Blood results help

[Aliceharper]

Hi Everyone,

This is my first post here, I had a large goitre and under active thyroid in 2013. The goitre was so big I had surgery where I was left with just a small part of my thyroid gland that was functioning. Over the years I have been prescribed thyroxine and I’m now on 100mg.

I have many symptoms of under active thyroid. Chronic fatigue, constipation, thinning hair, dry skin and serious brain fog.

I have been many times to my GP who tests TSH and T4 and always just says it’s normal.

I have just had a pre op test for something else and seen my blood results and they look high to me like I’m over active but I really have no idea. Please can anyone tell me what I’m looking at with these two results.

Many thanks 🙏🏼

[SlowDragon Administrator]

Just testing TSH and FT4 is completely inadequate

Your results don't show over medication.

We frequently have low vitamin levels and these need regular testing and frequently need supplementing to improve to optimal levels so that thyroid hormones can work well

Essential to test FT3 and well as FT4 to see how well you are converting Levothyroxine from FT4

Low vitamin levels hinder conversion

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. Last Levothyroxine dose should be 24 hours prior to test, (taking delayed dose immediately after blood draw). This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)

Is this how you do your tests?

Ask GP to test vitamins and thyroid antibodies

Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or all vitamins

thyroiduk.org.uk/tuk/testin...

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

Come back with new post once you get results and ranges

[Aliceharper in reply to SlowDragon]

Thank you so much for the explanation. I will ask my GP or go private. To be honest since I was discharged from the endocrine I haven’t ever been asked to have my bloods tested despite many visits to my GP and repeat Levothyroxine prescriptions.

Thanks again 🙏🏼