A friend has been poorly for at least 7 years and I have always suspected it is hypothyroidism. Here are some details of her problems:

Issues are debilitating GI issues, low mood & energy & possible lichenschlerosis.

Explorations over the yrs have included colonoscopy, endoscopy, celiac test, trying FODMAP diet. Gastro unit blood tests found ferritin 4.2 (plus high inflammatory markers, sometimes poor kidney function etc). A couple of iron fusions raised ferritin to normal levels & allieviated a number of symptoms (absolute exhaustion, pica, tinnitus, confusion, restless leg etc etc). Debilitating GI issues continue & now referred to gynaecologist to rule out endometriosis. She understands that GI can cause low folate, b12 etc. and does not seem to believe it has anything to do with her thyroid.

I have posted her previous results for comment, her TSH was slightly elevated, so it was not obviously thyroid disorder, but her latest more comprehensive results show TSH rising and free’s at the bottom of range. Oddly she has not had positive antibodies showing. The vitamin etc stuff means little to me. The doc has told her to take B12 and folate supplements - not sure what that was based on - and referred her to dermatology and gynaecology to investigate for endrometrisis. The ultra vit test results came back too late to show doc. NHS have done extensive referrals for all sorts of problems but no diagnosis has been forth coming from any of them. Sounds oh so familiar.

Any comments would be most welcome to advise on what the tests reveal and on what action is best for her to take in light of these latest results.

Thanks in advance.