After some advice and more info . . : I've not... - Thyroid UK

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After some advice and more info . .

tigerlily72 profile image
24 Replies

I've not posted here for some time and I've NOT been diagnosed by my GP with thyroid issues (yet)!

However, I've just had my annual blood test in connection with my type 2 diabetes which is diet controlled i.e. no meds or insulin. The surgery phoned me a few days after the blood test asking me to phone them. Apparently my serum thyroid is abnormal. I've seen the DSN today and got printouts of the recent bloods which I'll list further down. I was told to get re-tested in 3 months. However, I already have several health conditions which include fibromyalgia, high blood pressure, depression/anxiety, vitamin D deficiency, peri menopausal and recently diagnosed with moderate sleep apnea. In short, I'm struggling on a daily basis so put forward my case to be re-tested earlier. My point is that if I have hypothyroidism, I'd rather be treated sooner than wait another 3 months or so. I agreed with her that I could get re-tested early/mid November. After trying to do some more research on the condition, quite a bit is falling into place as I've been feeling cold for months on end, in addition to the many symptoms and those linked to hypothyroidism.

I'm also taking magnesium along with my D3 and read that magnesium may help improve thyroid function and levels so have stopped this today as it could be masking my true levels.

Anyway, here are my results:

Serum TSH level - 5.15 mIU/L (0.3-5.0) Above High Reference Limit

Serum free T4 level - 17.6 pmol/L (12.0-22.0)

Thyroid autoantibody level - 13 IU/ml (<100.0)

Serum total cholesterol level - 4.2 mmol/L

Serum HDL cholesterol level - 1.0 mmol/L

Serum cholesterol/HDL ratio - 4.2

Serum non high density lipoprotein cholesterol level - 3.2 mmol/L

Haemoglobin A1c level - 48 mmol

Serum sodium level - 142 mmol/L (133.0-146.0)

Serum potassium level - 3 9 mmol/L (3.5-5.5)

Serum creatinine level - 70 umol/L (45.0-84.0)

Serum bilirubin level - 15 umol/L (<22.0)

Serum alkaline phosphatase level - 86 IU/L (30.0-130.0)

Serum total protein level - 76g/L (60.0-80.0)

Serum albumin level - 46g/L (35.0-50.0)

Serum alanine aminotransferase level - 20 IU/L (10.0-40.0)

Serum globulin level - 30g/L (15.0-35.0)

All advice greatly appreciated as I educate myself further on this.

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tigerlily72
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24 Replies

Hello Tigerlily. I can’t help you with regards to your results, but just thought I’d say hello. We seem to be in a very similar situation. I was diagnosed with fibromyalgia a year ago, but recently had blood results showing high TSH levels. Mine were about 5.1 I don’t really know what it all means and like you just started to educate myself about the condition. I had a second test after 6 weeks, which came back slightly better, but still outside the normal range. I asked my GP also if I could retest earlier, which she agreed to, but also said it’s take 3 months to get a better picture and so I’ve been asked to do another repeat in 6 weeks time. My GP also said that the level of TSH was not high enough to cause symptoms. So I am guessing my symptoms are fibro related but, like you wondering if I should be on meds. I truly sympathise with your concerns. Let me know how you get on. I feel like I am stabbing in the dark too.

Take care, and hope you get the answers you need.

tigerlily72 profile image
tigerlily72 in reply to

Hi Claire. I think I've not long read your post and clicked to follow it. After about a year of tests, appointments with neurology etc, I was diagnosed with fibromyalgia by my GP a year ago tomorrow. So yes, we are in similar situations. I too am wondering if the fibromyalgia is a possible mis-diagnosis.

I've since read that a thyroid result ovet 3 can make you feel very unwell although we are all different. Also, that you can potentially have a lot of symptoms, building up over a long period but it won't necessarily show up in blood tests. My husband does have hypothyroidism and was unwell for quite a long time, not knowing what was wrong as our previous GP was rubbish and attributed a lot if things to his age (he was under 50 yrs old at the time). Once our new GP who replaced him took over and he got the treatment and meds sorted for his hypothyroidism he then started to feel much better!

Feel free to follow my post. x

Jazzw profile image
Jazzw

Your GP - and yours Hidden - is completely wrong about your TSH not being high enough to cause symptoms. I’d be bed-bound with a TSH of 5+ (as would many of us here). At least some of your fibro symptoms are being caused by untreated hypothyroidism and it’s scandalous doctors don’t know more about the effects of so-called sub-clinical hypothyroidism.

tigerlily72 profile image
tigerlily72 in reply toJazzw

Thanks for your reply. Depending on my result when I get re-tested I may push for a trial of levothyroxine esp given the other conditions. After all, the DSN was happy to push statins today due to my slightly raised cholesterol. I declined!

Jazzw profile image
Jazzw in reply totigerlily72

Back in the days when medical training was about understanding the human body and examining and listening to patients, doctors used to know that raised cholesterol was a sign of hypothyroidism. You don’t need statins, you need your hypothyroidism treated!

tigerlily72 profile image
tigerlily72 in reply toJazzw

And I've also read somewhere it contributes to sleep apnea which I was also diagnosed with approx 2 months ago. I don't think I mentioned that in my original post.

Jazzw profile image
Jazzw in reply totigerlily72

Hypothyroidism? Yes, it certainly can be a contributing factor. Not always but definitely more often than is realised.

Jazzw profile image
Jazzw

See how many of the symptoms on this list you can tick off...

thyroiduk.org/tuk/about_the...

tigerlily72 profile image
tigerlily72 in reply toJazzw

Around 40 of these! 😞

Jazzw profile image
Jazzw in reply totigerlily72

Thought so :)

tigerlily72 profile image
tigerlily72 in reply toJazzw

Thanks very much for the advice and the checklist. I think I might have to print this off, complete and give to my GP.

Jazzw profile image
Jazzw in reply totigerlily72

No probs. It’s hard to get through to some doctors unfortunately. Commonly, they believe that TSH needs to be over 10 to cause problems but if you were to ask the majority of the people who post here, we’d completely disagree.

in reply totigerlily72

Think I will do the same.

in reply toJazzw

So many of these symptoms ticked!

Jazzw profile image
Jazzw in reply to

It’s crazy that doctors refuse to join up the dots. :(

in reply toJazzw

It seems we have to join the dots ourselves then fight for answers and testing. If my symptoms are down to hypothyroidism and not fibromyalgia, and if there’s just one tablet that would help, instead of the endless trials of meds I’ve been on for fibromyalgia then surly it would be worth trying and pushing for it. I am so confused!!

tigerlily72 profile image
tigerlily72 in reply to

I totally agree!

greygoose profile image
greygoose

I already have several health conditions which include fibromyalgia, high blood pressure, depression/anxiety, vitamin D deficiency, peri menopausal and recently diagnosed with moderate sleep apnea.

Apart from the peri-menopause, these are all symptoms of hypothyroidism - and even the peri-menopause could be connected. So, I agree with you, you should be tested sooner rather than later. However, your doctor is following protocol and not rushing into treatment immediately on the first high TSH just to make sure that it isn't due to something else, like an infection. Six weeks should be soon enough to be retested for that. :)

SlowDragon profile image
SlowDragonAdministrator

You also need vitamin B12 and folate tested, plus ferritin and TG thyroid antibodies

Foor 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

Link about thyroid blood tests

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

Link about antibodies and Hashimoto's

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

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

List of hypothyroid symptoms

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

tigerlily72 profile image
tigerlily72 in reply toSlowDragon

My B12 was tested earlier in the year - it was 1001 (this was at the end of April)

Vitamin D was 35nmol/L

Folic Acid was 5.4

I was told they were all "normal" other than my vit D.

SlowDragon profile image
SlowDragonAdministrator in reply totigerlily72

vitamin D was far too low.

How much did GP prescribe?

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.

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

Retesting twice yearly when supplementing via vitamindtest.org.uk

Local CCG guidelines say 1600iu daily for minimum of 6 months

clinox.info/clinical-suppor...

Government recommends everyone supplement October to April

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

B12 and folate can you add the ranges on these please. Each lab is different

Folate looks low

Ferritin needs testing too

Sleep apnea linked to being hypo

healthunlocked.com/thyroidu...

tigerlily72 profile image
tigerlily72 in reply toSlowDragon

I was prescribed with 50,000 iu of D3 taken weekly for 6 weeks. I now take 10,000 iu daily as per recommendations and protocol from a Facebook group I'm in. GP however has declined to re-test vit D levels to see if I'm now optimal so think I will need to private test.

I unfortunately don't have the lab ranges for the B12 and folate. I'll have a look at the links you posted over the next day or so.

Thanks 👍

SlowDragon profile image
SlowDragonAdministrator in reply totigerlily72

10,000iu is very high dose

Even 5000iu is high as ongoing maintenance dose

Essential to retest

Vitamin D is toxic in excess as is oil based

Postal NHS kit £29

vitamindtest.org.uk

Do you supplement magnesium?

Muffy profile image
Muffy

Your FT4 levels are still fairly good, but it would be helpful to know what your FT3 levels are. I doubt your GP would do the test, but could you possibly have a private fingerpick test? Can you remember what time of day your blood was drawn; best done as early as possible, 8 - 8.30am. Your TSH is at its highest in the early morning.

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