You helped me recently when my GP diagnosed hyperthyroidism and you thought I maybe was actually experiencing a Hashimotos flare so I have had tests done via Medichecks this week.
NHS
Dec 2017 @ 4pm tested because of hypo symptoms
TSH 2.9 (0.35-5.00)
FT4 21.4 (11.00-23.00)
NHS
6/11/18 @ 10am (after coffee) tested because of a big increase in anxiety
TSH <0.02 (0.35-5.00)
FT4 31.1 (11.00-23.00)
FT3 9.1 (3.90-6.80)
Prescribed carbimazole at this point however I haven’t started to take them
Medichecks Test
3/12/18 @ 08:30 Fasted
TSH 12.6 (0.27-4.2)
FT4 12.400 (12.00-22.00)
FT3 4.03 (3.10-6.80)
TGAB 600.00 (0.00-115.00)
TPO 30.2 (0.00-34)
VIT B12 90.300 (37.50-188.00)
FOLATE 4.44 (3.89-26.80)
25 OH VIT D 89.8 (59.00-200.00)
CRP 1.86 (0.00-5.00)
FERRITIN 65.6 (13.00-150.00)
Do you think my GP will now prescribe levothyroxine based on these results or will he say my T4 is normal?
Thanks
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Redrosegirlie
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Yes, it’s clearly Hashi’s and hypo. I just hope that because I am symptomatic I can start Levo but I am worried he will want to continue to monitor me without treatment.
I think you're going to have to put your foot down, and insist on how bad your symptoms are, and how bad you feel, and you want to start treatment now. Any doctor who wanted to continue monitoring someone with a TSH of over 12, without treatment, is a sadist and should be reported for mal-practice.
Greygoose and SlowDragon have given you good advice and several links.
I just hope your GP isn’t one of those that likes to buggar about, and keeps saying return in a month for another thyroid blood tests, mean while your symptoms get worse.
From my understanding (as I learnt from my own experience) once your TSH reaches 10 or above, then you should be started on Levothyroxine by the NHS.
If you have a very sympathetic GP then he would of started you on medication beforehand.
You mentioned your T4 is normal, and you are worried about this, well most GP’s are just obsessed with TSH results and don’t bother with your T4 & T3 results, so I don’t think you have to worry about that.
You will soon learn that T3 is very important, and when having blood test for thyroid we need to test TSH, T4 & T3.
As greygoose has said you need to be firm and insist on treatment.
Unless your elderly or have a heart condition, then insist that you start on 50mcg of Levothyroxine not 25mcg of Levothyroxine, that wouldn’t bring a fly back to life, let alone a human.
Take 50mcg for 6 weeks then go back again for a blood test, book as early in the morning as possible before 9am, don’t eat or drink before blood.
Then insist on another increase of 25mcg and keep repeating this process until your TSH reaches 1 or below, and your T3 & T4 are in the higher figures of the lab ranges.
The most important thing regardless of your blood tests is how well you feel.
Don’t let your GP keep you on the same dosage for months and months.
I am going to be firm with the GP. After all, this is a GP in another practice within the group for a second opinion so he will know I am not just going to accept whatever they say.
I’ll update when I have been seen.
I just hope this thyroxine can give me back my brain and my energy 😊
That link implies that small amounts of TG ab can be other things, but high levels implies "autoimmune disorder, such as Graves’ disease or Hashimoto thyroiditis" but they don't define either high or small.
Curious because I don't think I've ever had TPO antibodies, but my thyroid is being destroyed (seen on scan) and I'm hypothyroid which certainly points to Hashis!
Thyroglobulin antibodies are specific for thyroglobulin, a 660kDa matrix protein involved in the process of thyroid hormone production. They are found in 70% of Hashimoto's thyroiditis, 60% of idiopathic hypothyroidism, 30% of Graves' disease, a small proportion of thyroid carcinoma and 3% of normal individuals.[1][3] Anti-TPO antibodies are present in 99% of cases where thyroglobulin antibodies are present, however only 35% of anti-TPO antibody positive cases also demonstrate thyroglobulin antibodies.[14] "
I doubt your doctor will believe the Dec Medichecks results over the Nov NHS results. And the NHS tests look hyper not hypo..? In my experience getting my folate up was a huge help. (But an expert in anything.)
If you want the earlier test ignored, try telling GP that you think the test was inaccurate because you were taking a very high dose of biotin and you've read that biotin interferes with the lab assay. So you were very careful to stop taking it before the Medichecks test. Worth a punt.
All my future tests will be done early morning on an empty stomach. I work in the NHS so I can easily ask a colleague to take my blood for me and no need to wait for a practice nurse appt
Hi Redrosegirlie: When I saw the title of your post, I had to smile. I am in a similar boat, but my title would read, "Can I have my T3 now?" My last tests showed TSH under 1, FT4 near the top of the range, and FT3 just under where the range begins. Doctor commented that "Your free T3 level was slightly low, but remaining labs are normal. I recommend we continue the current dose of levothyroxine and repeat labs in 4-6 weeks."
Hi redrosegirlie, there’s a big difference in the medicheck results & I hope you get all the support you need from your doctor. I hope you feel better soon. 😀
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Can I get some thoughts on these blood test results?
TPO ANTIBODIES, what does it mean? 
I have test results now. Advice please?
