Thyroid results

[Gullysully84]

Can anyone tell me if this is good or bad

[SeasideSusie Remembering]

Gullysully84

I have deleted your duplicate post and closed your other post so that all replies will be kept in one post.

Ferritin: 11.9 (13-150)

Haemoglobin: 98 (120-150)

MCV: 72.4 (83-101)

MCH: 22.4 (27-32)

These results are all 12 months old. They all suggest possible iron deficiency anaemia. Your low haematocrit also suggests anaemia. What was done about this?

TSH: 5.7 (0.27-4.2)

It would appear from your other thread that you are taking 50mcg Levo. When on Levo only, the aim of a treated hypo patient generally is for TSH to be 1 or lower with FT4 and FT3 in the upper part of their ranges if that is where you feel well.

Is this result also 12 months old? If so what is your current result, and you need FT4 and FT3 as well, TSH on it's own is of no use.

If this is your current result then your GP has been extremely negligent to leave you on a starter dose when your TSH is still over range.

You need an immediate increase of 25mcg, retest in 6-8 weeks, continue retesting/increasing every 6-8 weeks until your levels are where they need to be for you to feel well.

If your GP needs reminding of how to treat hypothyroidism, you can refer him to NHS Leeds Teaching Hospital who say

pathology.leedsth.nhs.uk/pa...

Thyroxine Replacement Therapy in Primary Hypothyroidism

TSH Level .......... This Indicates

0.2 - 2.0 miu/L .......... Sufficient Replacement

> 2.0 miu/L .......... Likely under Replacement

Also, Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine (the magazine for doctors): "The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l. In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l. Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l. This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l).*" *He recently confirmed, during a public meeting, that this applies to Free T3 as well as Total T3. You can obtain a copy of the article by emailing Dionne at

[e-mail]

print it and highlight question 6 to show your doctor.

[Gullysully84 in reply to SeasideSusie]

Thank you for all the advice and support I’m going to book ASAP , I did ask for b12 she said I didn’t need it 🙄 but I’ll take my mum with me , ...

[SlowDragon Administrator]

Folate is also right at bottom of range

You need vitamin D and thyroid antibodies tested

Suggest you take a supportive friend or family member along with you to see the GP

Are these results from BEFORE starting on 50mcg Levothyroxine?

Or are these recent tests while on Levothyroxine?

Ferritin is extremely low. You likely need an iron infusion if levels are still this low

The aim of Levothyroxine is to increase the dose slowly in 25mcg steps upwards until TSH is under 2 (many need TSH under one) and FT4 in top third of range and FT3 at least half way in range

Vitamin D, folate, B12 and ferritin all need to at GOOD levels for thyroid hormones to work well. They need to be regularly tested and frequently need supplementing to maintain optimal levels

Ferritin is extremely low, below range

Folate right at bottom of range

B12 - most thyroid patients need B12 over 500 as minimum

Vitamin D not tested

[Gullysully84 in reply to SlowDragon]

Thank you again , this was before I started taking meds , my stomach pain is back I’m in so much pain , no painkillers are working ...

[Gullysully84 in reply to SlowDragon]

Just taken naproxen as well 🤦🏻‍♀️

[SlowDragon Administrator in reply to Gullysully84]

See GP tomorrow's and get new thyroid blood tests including vitamins especially ferritin

But important to test folate, B12 and vitamin D too

[Gullysully84 in reply to SlowDragon]

I’m on it .. 👍🏼

[SlowDragon Administrator in reply to Gullysully84]

Ideally thyroid tests should be done as early as possible in morning and fasting and last dose of Levothyroxine 24 hours prior to blood test.

[Gullysully84 in reply to SlowDragon]

Oh ok well Iv got an appointment today at 4 , I took my lev at 830 this morning, but I did have a blood test taken couple weeks back so he shloud have the results to that , I wish one of you that knows what there talking about could come lol ...

[whispers in reply to Gullysully84]

are you also taking omeprozole? this is often prescribed with naproxen to protect the stomach, but it can interfere with thryroid meds too

[Gullysully84 in reply to whispers]

No I’m not , I don’t take naproxen much I only took one yesterday Cos the pain stopped after a wile .. I’m

Not sure if you keep taking it ?

[Gullysully84 in reply to SlowDragon]

What b12 and D would you suggest to take and how much please .. the doctors given me anther 25g so in total 75g of Levothyroxine...and also prescribed iron..

[Marz]

I agree with the advice given above - as I mentioned to you on your previous thread - so everyone is saying the same thing ....