My thyroid panel is it normal?

tsh 1.35 (0.40-4.50 mIU/L)

t4, free 1.1 (0.8-1.8 ng/dl)

[silverfox7]

FT4 isn't even in the top half of its range. You need an increase in medication. How are you feeling? Most feel better with a lower TSH as well so another pointer for more meds.

[Hidden in reply to silverfox7]

I feel somewhat okay at this level. There is still some symptoms and I think you’re right about the TSH. I’m going to try a low do a low dose of Levothyroxine.

Thank you,

Solly

[roxanaleah]

Hiya SollyOno,

Your results look very good.

Are you on medication?

Do you have sympyoms?

[Hidden in reply to roxanaleah]

This test was with no medicine. I had symptoms like brain fog and slower metabolism with my other medicines.

[roxanaleah in reply to Hidden]

If I had the results you cite, I would look elsewhere to explain my 'brain fog' and 'slower metabolism'.

By your reference to 'other medicines', it sounds as if you are already clued in to that idea.

My best wishes for your improved health!

[Hidden in reply to roxanaleah]

Are you saying based on my results that it’s not my thyroid but it’s something else?

[shaws Administrator]

TSH could be 1 or less. The most important test, i.e. Free t3, hasn't been tested. T3 is the Active thyroid hormone needed in all of our T3 receptor cells. T4 is inactive and has to covert to T3.

[SlowDragon Administrator]

How do you feel?

Just testing TSH and FT4 is inadequate

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

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

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

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. When on Levothyroxine, don't take in the 24 hours prior to test, delay and take straight after test. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, GP will be unaware)

If antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).

About 90% of all hypothyroidism in Uk is due to Hashimoto's. Low vitamins are especially common with Hashimoto's. Food intolerances are very common too, especially gluten. So it's important to get TPO and TG thyroid antibodies tested at least once .

[silverfox7]

Sorry didn't realise you hadn't been started on medication. You have to jump through hoops sometimes to get a diagnosis so need more things looking into to get the full picture so yes follow Slow Dragon's advice.