Results

[anon99]

Can somebody give me info on this please

RT3 27 10-24

TPA 14.1 0.0-34.0

TRA <1.00 0.00- 1.75

TAB <1.8 <4.0

T3 136 80-200

TSH 0.68 0.27-4.20

FT4 1.41 0.93-1.70

[SeasideSusie Remembering]

anon99

Are these results before or after the ones you posted here healthunlocked.com/thyroidu...

There's no sign of autoimmune thyroid disease, all antibody test results are below the limits.

Your FT4 is 62% through it's range, so even higher than in your other results, so it doesn't look like Central Hypothyroidism to me, but there is no FT3.

rT3 is slightly over range but the test can't tell you why it's over range, it could be due to non-thyroidal illness, low calorie diet, etc.

[anon99 in reply to SeasideSusie]

These were a few weeks ago , the others say from 2017 .

[SeasideSusie Remembering in reply to anon99]

So these latest results don't show any suggestion a thyroid problem.

It would be worth optimising your vitamin levels though, as mentioned in your other thread.

[anon99 in reply to SeasideSusie]

How could my old results show a thyroid issue then ? Thankyou for your reply

[SeasideSusie Remembering in reply to anon99]

They didn't for definite. I said "possible" Central Hypothyroidism but your FT4 was too high (should be low for CH), although FT3 low. Greygoose said "it looks like CH" and that "FT4 is mid-range which is strange". These new results show a higher FT4 than before but you have no FT3.

[anon99 in reply to SeasideSusie]

I see , Thankyou . My doctor told me I am “borderline” hyPER and another said hypo. :/ I’ve no idea what’s going on now would you reccomend getting other pitituary hormones tested still?

[MaisieGray in reply to anon99]

Central hypothyroidism does not necessarily mean there is an issue with the pituitary gland. Central hypothyroidism can be secondary hypothyroidism arising from a failure of the anterior pituitary to secrete TSH, or tertiary hypothyroidism arising from failure of the hypothalamus to secrete TRH. In some rare cases, there can be a TSH deficiency with no other findings of pituitary or hypothalamus abnormality. I can't see how a FT4 level that is only just into the upper half of the reference range, could be evidence of hyperthyroidism; unless your Dr is blind to other than the TSH for the purpose of making a diagnosis, which is not good thyroid practise.

[greygoose in reply to anon99]

Oh, I knew he was going to say that! No, you're not 'borderline' hyper. He's only looking at your TSH, but even that isn't low enough for hyper! And your T3 - it's only a TT3, but still - isn't even mid-range. So, hardly likely to be any kind of hyper.

But… where these two sets of tests done under the same circumstances? Early morning and fasting? If not, you can't compare them.

[anon99 in reply to greygoose]

Definitely not same timing . Would that make such a difference ? I can’t remember what time I got the test done a few weeks ago maybe 2-3 pm .. I’m stumped. Should I retest ?

[greygoose in reply to anon99]

It would make a difference to TSH and FT3, yes. But not FT4, I don't think. TSH was about at it's lowest at 2-3 pm. It's highest early in the morning and fasting. So, if you get another test, get it as early as you possibly can and fast over-night. This is something doctors have no idea about, they think it doesn't matter what time you have the test! Well, it does.

[anon99 in reply to greygoose]

Thankyou, I will get my labs done and post them again the thing I hate most is the turnaround time for labs here are 4-5 days

[greygoose in reply to anon99]

OK, but I wouldn't do them straight away, if I were you. Wait a couple of months, so that you can see how things progress - with the FT4, if nothing else, because that has risen since 2017.