Confused about my blood results! Lost!

[iolla]

Hi, I have hypothyroidism, only diagnosed in the past 8 months. TSH was 55 on diagnosis. Improvement made on Levothyroxine but for the past month I’ve been getting increasing symptoms again: extreme fatigue, aching legs, sore wrists, cold...and the brain fog is awful. So bloods done this week and these are the results:

TSH 2.6 (I’m shocked at this as I was sure the symptoms are thyroid related!)

Other blood results:

Platelets 403

Ferritin 6

MCV 77

MCH 25.6

Lymphocytes 1.3

Apparently my platelet count has been high on the last few blood results.

I have been asked to attend the GP on Wednesday to discuss results but wondered if anyone could point me in the direction of what’s going on? I’m only 32, I feel very unwell. This week I’ve fekt unable to drive on occasion.

I’ve generally kept good health other than the past year.

[greygoose]

Whilst not exactly hypo, that TSH is too high. However, a TSH on its own tells you nothing much, you need your TSH, FT4 and FT3 tested, plus antibodies.

You don't give a range for that ferritin, but it looks very low. Hopefully, that's what your doctor wants to talk about.

[iolla in reply to greygoose]

Thanks for replying. My GP says my TSH is fine, it’s so frustrating as he is reluctant to check FT4 & FT3 and I don’t know enough about it to insist or put a good argument forward.

Ferritin range is 13 - 300, so yeah 6 is low.

[greygoose in reply to iolla]

He's probably reluctant to check them because he doesn't know enough about them, either. Just tell him that it's possible that the TSH is fine but the FT4/3 aren't. It happens all the time.

So, what's he doing about the low ferritin?

[iolla in reply to greygoose]

I have an appointment this week to discuss the ferritin.

Do you know anything about high platelet count?

[greygoose in reply to iolla]

Not a lot, no. But I think it can be something to do with inflammation. Have you had your CRP tested? That will tell you if you have high levels of inflammation.

[shaws in reply to iolla]

You can have a private home blood draw from one of our recommended labs. If you do so, make sure the blood is drawn at the very earliest, fasting (you can drink water) and a gap of 24 hours between your last dose of levo and test and take afterwards. They are home pin-prick tests.

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

You can have a Full Thyroid Function Test which is TSH, T4, T3, Free T3, Free T4 and thyroid antibodies.

You state:-

"TSH 2.6 (I’m shocked at this as I was sure the symptoms are thyroid related!)"

The aim is a TSH of 1 or lower once diagnosed and given levothyorxine. Most doctors believe a TSH 'within the range - usually around 5 means we're on sufficient)

thyroiduk.org.uk/tuk/about_...

Some of us cannot recover on T4 alone and need some T3 added but the NHS will not prescribe T3.

[iolla in reply to shaws]

Thanks for this, I will discuss withGP. Will ask for these tests via GP initially but good to know I can do it from home if need be.