Newbie here. Long story I'm afraid. Background : I am 61, a competitive triathlete and runner and in the last 5 years have been selected for the GB Triathlon team for my age group three times, competed in 2 Ironman 13 Half Ironman races and several 50km and 60km trail ultra marathons. I have seen a GP perhaps 5 times in the last 25 years until recently.
Three years ago my performance dropped sharply and I started to get into anxiety states resulting in sub-conjunctival haemorrhages. My job was stressing me out. My blood pressure is elevated, 130(+)/67 heart rate 48. I was put on a 24hr BP monitor and told nothing to worry about. I got my own BP monitor, my diastolic readings are consistent at 67-70 with resting HR of 48. My systolic is all over the place 130-165, occasional blips to 170+ and even 190+. I had two ECG tests, as expected tip top. I tried to reason with my GP that something was wrong, he kept reassuring me everything is OK.
May 2018 I had 2 major anxiety episodes. My boss was fantastic, he sorted out partial retirement, I work 3 days and money virtually no change. My GP reaction to my meltdowns, another eye haemorrhage and elevated blood pressure was basically chill out, learn not to get excited. It was only when I said in frustration, if everything is fine then why is my eye exploding, why is my BP elevated and why does my damn left hand and foot tingle constantly. That caught his attention. Had a nerve function test and for the first time a thyroid function blood test.
Serum free T4 level (XaERr) 14.2 pmol/L (11.0-23.0)
Serum TSH level (XaELV) Above range 6.4 mU/L (0.27-4.5)
Serum free T4 level (XaERr) 15.5 pmol/L (11.0-23.0)
Serum TSH level (XaELV) Above range 4.7 mU/L (0.27-4.5
Now I did try L Tyrosine in September and saw improvements in mood, BP and my running but that seemed to tail off so stopped early November.
Serum free T4 level (XaERr) 14.0 pmol/L (11.0-23.0)
Serum TSH level (XaELV) Above range 4.3 mU/L (0.27-4.5
Serum thyroid peroxidase antibody concentration (XabCy) 9 IU/ml [<34.0].
GP summary.. All normal, no further action required. Why do I feel rubbish? I feel he is looking at a single figure, applying a one size fits all strategy and ignoring my needs as a competitive amateur athlete.
My next step is to see a specialist privately I suppose, my health insurance will cover one consultation. Any suggestions for a athlete friendly specialist in Lincolnshire area? Should I get a more comprehensive blood test done beforehand? Which one do you recommend?