Hi can I please have advice on daughter results. Her TSH is 6.45 0.27-4.2. The Dr never tested her t3 but also she has a few other border line results here. I have pages and pages of her results. I didn't want to put them all on here but I have wrote down the ones that I think need looking into?
The Dr is saying come back in 6 months? What do all of you lovely peeps think? Vit d is 25 (25-50).
Thank you 😊
t3tracy
Not diagnosing but some information that might be relevant:
B12 145 (145-180)
That range doesn't make sense. It can't be Active B12 as that range starts around 25-30 and goes up to around 165-180, and the NHS doesn't tend to do Active B12 test. Serum B12 range goes from around 140 up to around 700/800/900. So maybe you can clarify what this actually is. If it's serum B12 then check for signs of B12 deficiency here
b12deficiency.info/signs-an...
and if any are present then further testing for B12 deficiency/pernicious anaemia will be necessary, so your daughter should list them and ask her GP for further tests.
Was there a folate test result?
Raised MCH and MCV can indicate B12 or folate deficiency.
Low urea levels are generally not a cause for concern, can be seen in a normal pregnancy, but I suppose any other associated tests should be taken into account.
Serum globulin can be raised in autoimmune diseases.
Vit D: 25 (25-50)
Presumably the unit of measurement is nmol/L (please say so if not, and ignore the following). If so she has Vit D deficiency which needs treating with loading doses of D3 - see NICE treatment summary for Vit D deficiency:
cks.nice.org.uk/vitamin-d-d...
"Treat for Vitamin D deficiency if serum 25-hydroxyvitamin D (25[OH]D) levels are less than 30 nmol/L.
For the treatment of vitamin D deficiency, the recommended treatment is based on fixed loading doses of vitamin D (up to a total of about 300,000 international units [IU] given either as weekly or daily split doses, followed by lifelong maintenace treatment of about 800 IU a day. Higher doses of up to 2000IU a day, occasionally up to 4000 IU a day, may be used for certain groups of people, for example those with malabsorption disorders. Several treatment regims are available, including 50,000 IU once a week for 6 weeks (300,000 IU in total), 20,000 IU twice a week for 7 weeks (280,000 IU in total), or 4000 IU daily for 10 weeks (280,000 IU in total)."
Each Health Authority has their own guidelines but they will be very similar. Your daughter should go and see her GP and ask that he treats her according to the local guidelines or this summary and prescribes the loading doses. Once these have been completed she will need a reduced amount (more than 800iu so post new result at the time for members to suggest a dose - essential to retest after completing the loading doses although many GPs wont) to bring her level up to what's recommended by the Vit D Council - which is 100-150nmol/L - and then she'll need a maintenance dose which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. She can do this with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:
Her doctor wont know, because they are not taught nutrition, but there are important cofactors needed when taking D3 as recommended by the Vit D Council -
vitamindcouncil.org/about-v...
D3 aids absorption of calcium from food and K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day (D3 four hours away from thyroid meds if taking tablets/capsules/softgels, no necessity if using an oral spray).
Magnesium helps D3 to work. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.
Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening (four hours away from thyroid meds if taking tablets/capsules, no necessity if using topical forms of magnesium).
naturalnews.com/046401_magn...
Check out the other cofactors too (some of which can be obtained from food).
TSH of 6.45 (0.27-4.20) is obviously over range. A TSH over range but below 10 with normal FT4 is classed as Subclinical Hypothyroidism. Some doctors will treat at this level but not all. If antibodies are present then treatment with Levo should be given a trial.
Was ferritin tested?
Were thyroid antibodies tested?
Thank you for your advice. Much appreciated.
Antibodies are 10.4 < 34
Folate is 7.51 (2.5-19.5)
Folate is on the low side but not deficient, likely B12 deficiency then.
Those antibodies are Thyroid Peroxidase and that test is showing negative. There are also Thyroglobulin antibodies which can be present in autoimmune thyroid disease.
Hi
SeasideSusie has given you lots of good advice.
As she has said your daughter’s thyroid is not normal and is struggling.
As SeasideSusie has already said, and, my own personal experience, until your TSH reaches 10 or above the NHS will not start you on Thyroid medication, unless your GP is sympathetic with your thyroid symptoms.
You say your daughter is going back in 6 months, presume for Thyroid blood test again?, this is what they like to do, keep you going back to monitor your thyroid until your TSH reaches the magic number 10!!!.
I would suggest if this is the case you make sure you book your daughters blood test for as early as possible in the morning, no later than 9am, don’t let her eat and only drink water before the blood test.
Why? Well this is a tip we pass to members on here, and we ask that it’s not discussed with the nurse/GP/Endo etc as it could help your daughter out. Our TSH is always higher in the morning and your daughter desperately needs a high TSH reading to get her thyroid treated.
Good luck
Best Wishes
Peanut31
Daughter's thyroid results
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Blood results 
