Feeling weak and unwell

[Bellmitzi]

Can anyone have a look at my blood results pls I have also got a blood clot in calf at moment doctor said my results are fine

[Aurealis]

Your T4 is on the low side. I wonder what your T3 is. Do you know what’s caused your blood clot? If your T3 is low your circulation could be sluggish making it more likely for clot to form. I had one a few years before starting t3

[Bellmitzi in reply to Aurealis]

Hi thanks for taking time to reply I know that blood flow in this leg is slow I was told that when I had a ct scan I’ve got an unprovoked clot so tests are to be carried out now it’s my third now since Oct but last one was put down to flight to Turkey so I’m unsure thanks again

[SlowDragon Administrator]

A year ago on 100mcg Levothyroxine your FT4 and FT3 were both low. So Levothyroxine was increased to 125mcg

healthunlocked.com/thyroidu...

You need TSH, FT4 and FT3 all tested together. This should be done as early as possible in morning and fasting and last Levothyroxine dose 24 hours before blood test

Do you normally take Levothyroxine when you wake up?

You know Levothyroxine needs to be taken on empty stomach and nothing apart from water for at least an hour after

No other medication at same time

Ask GP to retest thyroid including FT3.

Your FT4 is too low, likely FT3 is low too

On Levothyroxine FT4 should be in top third of range, around 18-20

This suggests you need further dose increase, despite low TSH. TSH is very often not a reliable test once we are on Levothyroxine

You also need vitamin D, folate and ferritin tested

Can see you have B12 injections, is this due to Pernicious Anaemia or just low B12 due to being hypothyroid?

[Bellmitzi in reply to SlowDragon]

Hi I’ve no idea about the B12 as I have been on it for years at least now due to your help I have an idea what to aim for as nothing gets explained and unless GP thinks we need seeing after a telephone conversation we don’t even get an appointment to see one it’s an absolute joke thanks very much for your help

[SlowDragon Administrator in reply to Bellmitzi]

Thousands on here forced to get full testing privately

Thyroid testing on NHS is far too often completely inadequate

Just testing TSH and FT4 is not enough

As absolute minimum you need TSH, FT4 and FT3

Ideally also vitamin D, folate and ferritin too

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

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.

[Bellmitzi in reply to SlowDragon]

Thanks very much for this very helpful information which I will need to do ASAP as I need to get well like us all but since thyroid I’ve really gone down hill Thanks again