Can anyone tell me if this is good or bad
Thyroid results : Can anyone tell me if this is... - Thyroid UK
Thyroid results
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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
tukadmin@thyroiduk.org
print it and highlight question 6 to show your doctor.
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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
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 ...
Just taken naproxen as well 🤦🏻♀️
See GP tomorrow's and get new thyroid blood tests including vitamins especially ferritin
But important to test folate, B12 and vitamin D too
I’m on it .. 👍🏼
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.
I agree with the advice given above - as I mentioned to you on your previous thread - so everyone is saying the same thing ....