Results back- TSH now up to 7.4 - lab comments appear to read no action required at this time???

[DizzLizzie]

TSH was 6.5 - 6.12.2018 T4 12

TSH was 7.4 - 3.1.2019 T4 13

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

Results suggest early / compensated hypothyroidism

Thyroid peroxidase antibody to follow

Serum TSH level 7.4 mU/L [0.27 - 4.2]

Above high reference limit

Serum free T4 level 13 pmol/L [11.0 - 22.0]

Serum thyroid peroxidase antibody concentration < 15.0 kU/L

Thyroid antibodies (TPO) screen negative

Negative thyroid antibodies suggest this patient is at low risk of

progressing to overt hypothyroidism. Suggest three yearly

monitoring of TFTs, or earlier if symptoms develop.

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Serum vitamin B12 level 869 ng/L [197.0 - 771.0]

Above high reference limit

B12 has dropped but is still high now 869 (3/1/2018) was 1044 (6.12.2018) (range

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I have an appointment booked for next week with GP, will hopefully want to try me on some medication due to my symptoms -

Current symptoms on a daily basis are: major fatigue, sluggishness, confusion, some balance issues, waking with headache, tingling sensation between eyes, daytime sleepiness, sore red tongue, leg and feet pain, itchy scalp and back.

My sister has MS and Hashimotos

[SeasideSusie Remembering]

DizzLizzie

I have just replied to a similar post and I will paste the appropriate parts of that reply to you, (although I gave you some of this information in your previous thread here healthunlocked.com/thyroidu...... )

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Looking at your previous results, you have a rising TSH and a low in range FT4 (free thyroxine is FT4 - free T4). This indicates Subclinical Hypothyroidism (where TSH is over range but below 10 with normal FT4).

See cks.nice.org.uk/hypothyroid...

How should I assess a person with suspected hypothyroidism?

Blood tests for thyroid stimulating hormone (TSH) and free thyroxine (FT4):

◾Suspect subclinical hypothyroidism (SCH) if TSH is above the reference range and FT4 is within the reference range. In non-pregnant people repeat TSH and T4 (ideally at the same time of day) 3–6 months after the initial result to exclude transient causes of a raised TSH (such as intercurrent illness) and to confirm the diagnosis of SCH.

You have more than one test so shouldn't need any further testing to come to a diagnosis of Subclinical Hypothyroidism.

cks.nice.org.uk/hypothyroid...

Management

Many people with SCH do not need treatment, but if a decision is made to treat, prescribe levothyroxine (LT4).

If TSH is between 4 and 10 mU/L and FT4 is within the normal range

◾In people aged less than 65 years with symptoms suggestive of hypothyroidism, consider a trial of LT4 and assess response to treatment 3–4 months after TSH stabilises within the reference range — see the section on Prescribing information for further information on initiation and titration of LT4. If there is no improvement in symptoms, stop LT4.

Follow up of people with SCH who are started on LT4

◾Reassess symptoms on treatment. If symptoms have improved, lifelong treatment may be considered. If symptoms have not improved or if adverse effects are reported, stop LT4 after a 3–6 month trial.

In another country when TSH hits 3, we have to wait until it reaches 10 in the UK .

You should ask your GP for a trial of Levo based on the above. If necessary see a different GP.

[Jazzw]

What SeasideSusie said. Plus “Sub-clinical” literally means there are no signs of illness. If your TSH is above the reference range and you have symptoms, there’s nothing “sub-clinical” about it...