Test results what do they mean? Have gone online so have previous results when I was complaining of fatigue, confusion over last 5 years...

[DizzLizzie]

Felt fairly rubbish over the last 2 months- feeling sleepy if sat back unless using the PC, hence watch TV on a night and o stuff on PC otherwise I would drop off, or reach for something to eat to keep me awake! Hence the expanded waistline....

Appreciate your comments - is it the thyroid, B12, or something else causing the chronic fatigue?

Results Dec 2018- then results from 2017 and 2016 as a comparison..

Haemoglobin A1c level - IFCC standardised 37 mmol/mol [20.0 - 41.0]

Borderline raised TSH. Suggest repeat in 4-6 weeks

Serum TSH level 6.5 mU/L [0.27 - 4.2]

Above high reference limit

Serum free T4 level 14 pmol/L [11.0 - 22.0]

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Serum folate level 5.2 ug/L [> 3.9]

Fasting sample preferred. Recent folate intake may mask deficiency

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Serum vitamin B12 level 1044 ng/L [197.0 - 771.0]

Above high reference limit

Results May 2018

Haemoglobin A1c level - IFCC standardised 40 mmol/mol [20.0 - 41.0]

Serum sodium level 145 mmol/L [133.0 - 146.0]

Serum potassium level 4.7 mmol/L [3.5 - 5.3]

Serum urea level 7.3 mmol/L [2.5 - 7.8]

Serum creatinine level 75 umol/L [45.0 - 84.0]

GFR calculated abbreviated MDRD 69 mL/min/1.72m*2

Was on statins for short period, which dropped my cholesterol down form 8.2 to below within a few weeks:

Serum cholesterol level 4.4 mmol/L

Serum HDL cholesterol level 1.2 mmol/L [> 1.1]

Cholest./HDL ratio Non-HDL cholesterol now reported as recommended in NICE CG 181

Serum cholesterol/HDL ratio 3.7

Serum non high density lipoprotein cholesterol level 3.2 mmol/L

Full blood count

Haemoglobin concentration 129 g/L [115.0 - 165.0]

Platelet count - observation 282 x10^9/L [150.0 - 450.0]

Red blood cell count 4.63 x10^12/L [3.9 - 5.4]

Haematocrit 0.394 L/L [0.36 - 0.47]

Mean cell volume 85 fL [79.0 - 101.0]

Mean cell haemoglobin level 27.9 pg [27.0 - 32.0]

Total white blood count 5.5 x10^9/L [4.0 - 11.0]

Neutrophil count 2.7 x10^9/L [2.0 - 8.0]

Lymphocyte count 2.3 x10^9/L [0.5 - 4.5]

Monocyte count - observation 0.4 x10^9/L [0.2 - 1.2]

Eosinophil count - observation 0.0 x10^9/L [0.1 - 0.7]

Below low reference limit

Basophil count 0.0 x10^9/L [0.0 - 0.2]

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Results April 2017

Thyroid function test Further info at: british-thyroid-association...

Serum TSH level 2.8 mu/L [0.55 - 4.8]

Serum free T4 level 12 pmol/L [9.0 - 23.0]

Serum ferritin level 31 ug/L [20.0 - 291.0]

Pathology Investigations

Liver function tests

Serum total protein level 70 g/L [60.0 - 80.0]

Serum albumin level 40 g/L [35.0 - 50.0]

Serum alkaline phosphatase level 103 IU/L [30.0 - 130.0]

Serum alanine aminotransferase level 22 U/L [0.0 - 34.0]

Serum total bilirubin level 5 umol/L [< 21.0]

Serum C reactive protein level < 5 mg/L [0.0 - 5.0]

Serum cholesterol level 4.7 mmol/L

[SeasideSusie Remembering]

DizzLizzie

This is almost a duplicate of your previous post. Were the replies to that post not helpful?

[JAmanda]

I’d insist on Starting 50 levo and see how you feel in six weeks - you’ll feel a lot better. TSH is too high as doc says plus you have symptoms of hypothyroid. Time to start treatment!

[Tina_Maria]

Hi there, witha TSH of 6, thats clearly a sign that your thyroid is struggling, also your free T4 is in the very low range. Shame they did not test free T3, but it will be in the low range as well I am sure. If you are having symptoms, you should go back to your GP and ask to be put on a trial of 50 mcg thyroxine ( unless you are over 65 or have a heart condition, then they start you on 25). You may well feel initially better and then less good again, but that is normal and you will most likely to need another increase after 6 weeks.

In addition, your high cholesterol is very likely being caused by the slow down of your metabolism and having too little T4/T3 available. If your GP was astute, he would have made the connection, but they don’t seem to be able to connect the dots any more. I also saw that your HbA1c was fluctuating, again, raised glucose levels can also be a sign of thyroid disease, but if you are on the proper treatment, cholesterol and glucose levels should get back into the normal range.

If you wait until your TSH has reached 10, more damage will be done not only to your energy levels but also will have implications on other metabolic processes! Stand your ground and insist on treatment - best of luck and I hope you will feel better soon!