I am seeing an Endocrinologist tonight at 7pm due to a low tsh (see below). I am not on medication and have never been diagnosed with any thyroid problems. I have a few weird symptoms (tingling mouth, increased urination frequency, palpitations) but also a slow resting heart rate (about 58bpm). Everything I read suggests subclinical hyperthyroidism.
Could you offer any advice on what I should ask him or ask for as a next step please?
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farranccc
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Your potassium level is scraping along the bottom of the range and this can be linked to subclinical hyperthyroidism. It might be that readjusting potassium levels will help the tingling and palpitations to begin with. Then you'll need regular frequent checks especially of FT3 to ensure it doesn't rise above its range. If it does then that is true hyperthyroidism.
Hello, we have been messaging but just thought I'd point out that I mentioned getting checked for diabetes in our messages and the fact you've mentioned frequent urination stands out to me as that can be a symptom of diabetes, along with drinking lots more and a dry mouth, also urine can smell sweeter if you have diabetes as sugar could be in your urine stream. If you haven't been checked it's worth mentioning as you did mention pain in the right hand side below your ribs and that is the area you'd find the pancreas in x
For 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
Low TSH can be early stage Hashimoto's
Ask for vitamin testing and antibodies
Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or vitamins
Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have money off offers.
All thyroid tests should ideally be done as early as possible in morning and fasting. This gives highest TSH and most consistent results. (Patient to patient tip, GP will be unaware)
If antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).
About 90% of all hypothyroidism in Uk is due to Hashimoto's. Low vitamins are especially common with Hashimoto's. Food intolerances are very common too, especially gluten. So it's important to get TPO and TG thyroid antibodies tested at least once .
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