I’ve just had the Genova Thyroid Panel Plus competed. I’m not on any thyroid medication and the test was taken early in the morning. I’d be very grateful for some advice as I’m a complete newbie.
My results are:
T4 99 (58-161)
TSH 2.27. (0-40-4-00)
FT4 14.2 (11.5 - 22.7)
Reverse T3 1.10 (0.14 - 0.54)
My symptoms are feeling shaky and cold. Brain fog and low mood.
My GP has ordered an NHS blood test in addition to hormone testing as I’m menopausal.. I’ve not discussed the Genova results with her as I wanted your expert knowledge first. I’ve not had the NHS blood test yet.
Thanks so much.
Jo
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OK thanks, I just wanted to see if your antibodies were positive which would have confirmed autoimmune thyroid disease. Yours are below the limit but your Tg antibodies are quite high, might be worth keeping an eye on them as antibodies do fluctuate.
Hi Jo, I love the way you are taking control of your health. Probably a good idea considering the way hypo is handled by conventional medicine. I would say your thyroid gland is struggling. Hormonal changes during life are prime times for problems and menopause is one of them. Sometime estrogen dominance is at fault as it keeps thyroid hormone from working. Normally your T4 should be in the upper part of range and you are not even half way. But you seem to have more reverse T3 than it seems for the amount of T4. Maybe others can understand that but reverse T3 is made up of excess T4 so it's puzzling. Estrogen may be blocking T3 receptors.
You definitely have hypo symptoms and it would be good to know why. If it is Hashimoto's you should avoid gluten but if you could get a sensitivity test you will find you have other hidden problems never suspected. That's what I found anyway.
STTM gives some information for a hormonal balance that might help.
RT3 also rises as a result of some types of stress including chronic illness, low calorie diets and intense exercise, so isn't linked necessarily to free T4 levels. It also doesn't block T3, as used to be thought, but has its own receptors. Less T3 will be produced because more T4 is converted to rT3.
And it can also be affected by other meds such as propanolol, the metabolite of which both reduces production of FT3 and increases levels of RT3 by inhibiting its degradation to T2 and subsequent elimination.
For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also extremely important to test vitamin D, folate, ferritin and B12
Low vitamin levels are extremely common, especially if Thyroid antibodies are raised
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and fasting. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)
Pity FT3, antibodies and vitamins weren't tested
Ask GP to test vitamins and antibodies
Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or all vitamins
Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have special offers, Medichecks usually have offers on Thursdays, Blue Horizon its more random
If antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).
About 90% of all hypothyroidism in Uk is due to Hashimoto's.
Low vitamins are especially common with Hashimoto's. Food intolerances are very common too, especially gluten. So it's important to get TPO and TG thyroid antibodies tested at least once .
Thanks Slow Dragon. I did have my antibodies tested which I’ll post below. Back to the GP then for vitamin testing. My Vit D was tested in June 18 and it was 94.4 ol/L. I’m always low in B12 but have not been tested for a while. I’ll ask the GP to retest them all.
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