WOW results in from BH - something wrong with NDT!!!

[Christinah61]

Hi Everyone, well just received my results from BH.

I have been considering going back to levo as thyroid symptoms have developed again with this new batch of NDT, Nature Throid!!!

Can you please help me to understand the figures better..

hs CRP 0.87 < 5.0

Ferritin 116.0 13-150

vit D 83

vit b12 571

serum folate 45.40 8.83 -60.8

TSH 0.37 0.27-4.20

t4 L58.4 66-181

free t4 L 11.10 12.0 - 22.0

free t3 5.40 3.1 - 6.18

Anti thyroidperozidase abs 142 <34

Anti thyroidglobulin abs H 4000 115

Doctors comments were to get in touch with my doctor.

Thanks in advance

Christina x

[Jazzw]

Actually, I don’t see anything there that indicates a problem with your NDT. T4 and FT4 are often low and occasionally under range when you take T3-containing meds. And your FT3 is high-ish in range.

It does however look like you’re suffering a hashi’s flare, which isn’t the NDT - it’s the autoimmune disease itself.

How much NDT are you taking? You could try a small raise in dose - perhaps another 1/4 or 1/2 grain per day.

[Christinah61 in reply to Jazzw]

Hi Jazzw

it worried me when the doctors comments were "it looks like your only on Liothyronine you could do with seeing your GP regarding getting some T4? " my results over the past 8 months are:

Jan tsh 7.21 Feb tsh 1.88 July tsh 0.02 Oct tsh 0.37

Free T3 jan 4.0 Feb 3.72 July 5.17 Oct 5.40

T4 jan 58 feb 54.6 July 73.3 oct 58.4

Free Thyroxine jan 9.9 feb 9.45 july 13.30 oct 11.10

I take 2 grains early morning 7ish and 1 grain evening. And yes it could well be a hashis flare used to them BIG TIME !!!

thanks you for your reply and advice.

[greygoose in reply to Christinah61]

The doctors that work for BH are only run-of-the-mill NHS GPs, and know nothing about NDT. So, I wouldn't worry too much about anything they say.

As Jazzw said, your labs actually look quite good, although room for improvement. But, I don't think you're having a Hashi's 'flare', because the FT4/3 would be over-range if you were. The antibodies are very high, but I don't think that is significant. It just means you have Hashi's.

[Jazzw in reply to greygoose]

Oh, good point, doh. You can tell my brain’s a bit fried today.

Though people do seem to feel more unwell when their antibodies are high, I’ve noticed.

[greygoose in reply to Jazzw]

Well, her antibodies are high. But, if she was having a flare, she'd probably feel better rather than worse, because more hormone in the blood - I know I always did. We theorise about antibodies, but frankly, I think they're a law unto themselves.

[Christinah61 in reply to greygoose]

thank you greygoose for your kind comments. Much appreciated

[greygoose in reply to Christinah61]

You're very welcome.

[Jazzw in reply to Christinah61]

I’m afraid the doctors comments often aren’t all that useful - about as useful as my GP’s interpretation of results, LOL.

FT3 is about the only result that tells you much about what’s going on when you’re on either NDT or T3.

Hard work, d/w this stuff, isn’t it?

[Christinah61 in reply to Jazzw]

thanks Jazzw for your kind comments also its much appreciated.

[Clarebear]

I think your TSH looks a bit high! I need mine to be <0.02 when well medicated on NDT. How long after you took your meds was your blood test?

[Christinah61 in reply to Clarebear]

Hi Clarebar,

I took 1 grain at 8.00pm on the Monday night and took bloods at 8.00am Tuesday morning.