Is this early signs of hypothyroidism?

[BiBi9]

Hey all. I'm new here, but frequently browse some posts that I feel relate to me. I recently received some thyroid blood test results that I hope someone would be kind enough to help me interpret. They are:-

TSH: 2.55 mIU/L (range 0.27 - 4.20)

Free Thyroxine: 14.4 pmol/L (12-22)

Free T3: 5.23 pmol/L (3.10 - 6.80)

Thyroglobulin Antibody: <10 IU/ml (0-110)

Thyroid peroxidase antibodies: 10.9 IU/no (0 - 34).

I understand many other countries ranges are different than the UK, so it'd be interesting to know if I'm bordering a thyroid disorder now, or in future. I have a vast array of the classic hypothyroid symptoms, but no answers yet as to what's causing these.

Many thanks x

[SlowDragon Administrator]

Reading posts regularly on here, you probably realise that you also need to test vitamin D, folate, B12 and ferritin too

These are very often too low

Ask your GP to test

[BiBi9 in reply to SlowDragon]

Hi, I'm sure I had those tested a while ago and they were normal apparently.

[SlowDragon Administrator in reply to BiBi9]

Never accept a GP saying "normal"

That just means within range

Always get actual results and ranges.

You are legally entitled to printed copies of your blood test results and ranges.

UK GP practices are supposed to offer online access for blood test results. Ring and ask if this is available and apply to do so if possible, if it is you may need enhanced access to see blood results.

In reality many GP surgeries do not have blood test results online yet

Alternatively ring receptionist and request printed copies of results. Allow couple of days and then go and pick up. They can no longer charge for printing out, rules changed after May 25th 2018

[Treepie]

Your antibodies are low so you do not have Hashimotos and the other results could be better i.e.TSH lower and FT4/3 higher in the ranges but it is a bit early to be sure to answer your question. Some countries treat TSH when it reaches 3.

[BiBi9 in reply to Treepie]

Thanks. Ive read that it has now been lowered to 2.5 in other countries, so I'm guessing with my 2.55 I would be treated. I have so many symptoms you'd think it was way higher! :/

[Treepie in reply to BiBi9]

I missed the bit re symptoms in your first post.Have a look at the symptoms on the Thyroid UK web site and if you tick off a few you are probably becoming hypothyroid.

[BiBi9 in reply to Treepie]

Yep, is that the huge questionnaire thing? I tick most of those boxes, apart from maybe 2 or 3 things. My tongue has swollen to twice its size as well, with no other explination. I wonder if I'm just really sensitive to the changes and am experiencing the symptoms earlier than someone else would with different levels. I just feel awful x

[Treepie in reply to BiBi9]

I can only suggest you take the ticked form to GP to discuss how you feel and see if you can get a trial of levothyroxine.

[BiBi9 in reply to Treepie]

Thanks, I'll be sure to do that asap.

[SlowDragon Administrator in reply to BiBi9]

Swollen tongue can be low B12 , common when hypo

B12 range is typically 190-800

GP will say result is normal is it's 750 or 200

Many people have symptoms when well within range

Anything under 500 could be too low

More detailed B12 testing if needed

nutris.viapath.co.uk/pages/...

[BiBi9 in reply to SlowDragon]

So I requested my results and ranges from August.. it turns out my vitamin D result was 44 nmol/l (<25 deficient, 25-50 insufficient, >50 adequate). I'm always curious, so researched this and converted it to the American values ng/ml and it converted to 17.6! Apparently that's deficient?

[SlowDragon Administrator in reply to BiBi9]

44nmol is indeed just classified as deficient

Your GP should have prescribed vitamin D

Aiming to improve to around 100nmol.

Vitamin D mouth spray by Better You is good as avoids poor gut function.

Suggest you supplement 2000iu for 2-3 months and retest.

It's trial and error what dose each person needs. You may need higher dose

Once you Improve level, very likely you will need on going maintenance dose to keep it there.

Retesting twice yearly via vitamindtest.org.uk

Local CCG guidelines

clinox.info/clinical-suppor...

Government recommends everyone supplement October to April

gov.uk/government/news/phe-...

[SlowDragon Administrator in reply to BiBi9]

What about vitamin B12, folate and ferritin levels?

Add results and ranges if you have them

[BiBi9 in reply to SlowDragon]

Apparently they were tested but I don't see them on my documents. I do have the following:

Creatinine Kinase: 117 (25-200 U)

C-reactive Protein: 3 (0-10 U) although mayo states 2 or above requires treatment for heart disease!

IgE: 26 kU/L (0-120 U)

Calcium: 2.41 nmol/L (2.2-2.6)

Calcium adjusted: 2.35

Parathyroid: 3.6 pmol/L (1.6 - 7.5)

- (Other thyroid hormones included in original post).

Non-fasting glucose: 4.6

Testosterone: 0.8 nmol/L (<<<1.5)

Androstenedione: 2.3 nmol/L (<<<5.5)

17OH Progesterone: 0.6 nmol/L (<<6.0)

FSH: 2.3 U/L

FSH: 5.0

Oestradiol: 2.3

Progesterone: 101 pmol/L

Sorry, I know some may be irrelevant, just thought I'd include in case something pops out that may be relayed!

[BiBi9 in reply to BiBi9]

Related*

[SlowDragon Administrator in reply to BiBi9]

All normal

Folate, B12 and ferritin need testing then, if not done

But you might need to test privately. GP often reluctant if everything else is within range