Blood test results, can anyone explain them all

[satellite123]

Hello I've had some blood tests done and wondered if anyone can help tell me what the results mean? I have UAT and am having lots of symptoms including exhaustion so the dr decided to check for other things. I take 50mg of levo everyday but don't feel my thyroid levels are right. I don't know if this is the right place to ask but I've not used health unlocked before so i apologise if it's in the wrong place. There is 3 more pages of blood results but I don't know how to add them. Thank you

[bantam12]

You would have to do separate posts as only one pic per post but it then becomes confusing so easier to type them all into one post.

[satellite123 in reply to bantam12]

Ok thanks, thats a lot to type in.......

[greygoose]

Your sodium is very low. Adrenals need sodium, so you need a decent level of that. Are you on a low salt diet for any reason?

[satellite123 in reply to greygoose]

No not on any sort of diet. I will try and type in all the other results. I was told everything is normal.

[greygoose in reply to satellite123]

Yes, well, when a doctor says 'normal', all he means is 'in-range'. I'm afraid he doesn't understand the finer detail. And, it's where the result falls in the range that counts. Some need to be at the top of the range, some in the middle, and some at the bottom.

[satellite123 in reply to greygoose]

I'm starting to loose faith in my Drs to be honest. I've been told for years my thyroid levels are normal yet the new dr I've seen who is doing all the bloods looked at my past tft blood tests and is surprised I have just been left as both tft and free t4 have been out of range a lot. That's why I've come on here for help with the blood tests 😊

[greygoose in reply to satellite123]

The problem is, in the money-scraping, penny-pinching NHS, they won't diagnose if a TSH result is just out of range, they want it to come up to 10 before they will deign to diagnose. Otherwise, they'd have to diagnose too many people, and not only would that be expensive, but would do their masters - Big Pharma - out of a lot of profit. All the while they can continue to treat each symptom as a separate disease, BP will continue to make money and slip them the odd back-hander. Everyone happy - except the patient, and who cares about them!

In the real world, you are hypo with a TSH of 3, and in some countries you would be treated at that level. So, your TSH is saying you're hypo, but it would be very hard to find an NHS doctor to admit it.

I'm afraid I don't know about the other numbers.

[satellite123 in reply to greygoose]

Ok thank you. I'm on 50mg of levo, hopefully this new dr will sort my meds out for me. Fingers crossed

[greygoose in reply to satellite123]

You're welcome.

[Hidden in reply to satellite123]

Doctors are out to create patients not to cure people as it is their bread and butter .

[satellite123 in reply to greygoose]

I have added my other blood results if you are free to have a look for me. Don't worry if not. Thank you

[satellite123]

These are all the tests and results from what I can see.

Full blood count.

Haemoglobin concentration 143g/L (117.0-149.0)

Total white blood count 7.9 10*9/L (4.3-11.2)

Platelet count-observation 294 10*9/L (155.0-421.0)

Red blood cell count 4.70 10*12/L (3.85-5.15)

Mean cell volume 89.0 fL (81.0-97.0)

Haematocrit 0.416 (0.347-0.445)

Mean cell haemoglobin level 30.4 pg (26.9-33.0)

Mean cell haemoglobin concentration 344 g/L (320.0-359.0)

Neutrophil count 4.32 10*9/L (2.1-7.4)

Lymphocyte count 2.86 10*9/L (1.0-3.6)

Monocyte count - observation 0.49 10*9/L (0.3-1.0)

Eosinophil count - observation 0.15 10*9/L (0.02-0.5)

Basophil count 0.04 10*9/L (0.02-0.1)

Blood haematinic levels

Serum vit b12 level sample haemolysed

Serum folate level sample haemolysed

Serum ferritin level 75.1 ug/L (20.0-130.0)

Thyroid function test

Serum free t4 level 16.2 pmol/L (11.0-23.0)

Serum tsh level 3.7 mum (0.27-4.5)

Haemoglobin A1c level- IFCC standardised 37 mmol/mol (20.0-41.0)

Plus the tests on the photo I posted. I've got a repeat blood test for liver function in a couple of weeks and I had a repeat test for vit b12 and folate today. A few weeks ago my tsh was 4.4.

[SlowDragon Administrator]

B12 and folate tests need repeating as test failed

No vitamin D test - ask for this to be tested

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)

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

Medichecks currently have an offer on until end of May - 20% off

thyroiduk.org.uk/index.html

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.

[silverfox7]

FT4 readings should be in the top third of your ranges or even the top quarter. The same goes for FT3 so a pity that hasn't been tested as T3 is the active hormone so to give you an idea where you need your results to be, FT4 reading at the bottom of the top third would be 19 so at the moment it's pretty low but once you get up to that figure then you should feel much. Etter. The downside of not getting your FT3 tested is that you need that to tell how well you are converting the AT4, the inactive hormone, to T3 the active hormone so ideally you need that FT3 reading to also be that high in the range. When you get up to that FT4 level and above then if you are feeling good then that could suggest conversion is ok but if you still feel dreadful then it's probable that your FT3 reading would be very low by comparison then you have a conversion error to correct.

As SlowDragon suggests then optimal vitamins etc helps such a lot and in any case it would be advisable to get those tested now and start working on them where necessary.