Need your expert guidance. T4 Total 4.9 , T3 total 0.77, TSH 0.02 are my recent results. Please guide me. Not taking any medicine.

[s123sharma]

No hunger, lost 2kg recent.

[greygoose]

Well, that's difficult. Your TSH is very low for someone not on thyroid hormone replacement, but your T4 and T3 say that you're hypo.

TT4 and TT3 are not the right tests, though. They tell you very little except that your thyroid isn't making very much hormone - probably because there's not enough hormone to stimulate it.

I'm not medically trained, but it looks to me like you have Central Hypo. CH is when the problem lies with the pituitary (Secondary hypo) or the hypothalamus (tertiary hypo) rather than the thyroid itself (Primary hypo). If there's not enough TSH - which is produced by the pituitary - then the thyroid will not make hormone.

What did your doctor say about your results?

[SlowDragon Administrator]

You have extremely high TPO thyroid antibodies

This confirms you have Hashimoto's also called autoimmune thyroid disease

Your TSH is so low this suggests central hypothyroidism or very low vitamin levels (or mix of both perhaps)

You need referral to and endocrinologist who is a pituitary expert

For full Thyroid evaluation you need TSH, FT4, TT4, FT3 plus TPO and TG thyroid antibodies and also very important to test vitamin D, folate, ferritin and B12

Have you had vitamin levels tested?

Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or vitamins

thyroiduk.org.uk/tuk/testin...

medichecks.com/thyroid-func...

Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have money off offers.

All thyroid tests should ideally be done as early as possible in morning and fasting. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, GP will be unaware)

Link about thyroid blood tests

thyroiduk.org/tuk/testing/t...

Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels affect Thyroid hormone working

Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.

According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies

Ideally ask GP for coeliac blood test first

amymyersmd.com/2017/02/3-im...

chriskresser.com/the-gluten...

thyroidpharmacist.com/artic...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...

thyroidpharmacist.com/artic...

[s123sharma in reply to SlowDragon]

Thanks!!

Thanks for the detailed reply. As you explained, I do have gluten intolerance too. Your reply will certainly help me.

Regards.