Thyroid results

[Jenni55]

Currently on 75 mg levo feel crap

Any advice welcome

Tsh 1.22

Ft3. 4.58

Free thyroxine 20.6

Thyroglobulin antibodies 67.5

Thyroid peroxidase antibodies 160

Thanks

Jenni

[Angel_of_the_North]

Can't tell anything without ranges

[SlowDragon Administrator]

Please add ranges (figures in brackets after each result)

Has GP tested vitamin D, folate, ferritin and B12?

Add these results and ranges if you have them

Antibodies look high, but need ranges to confirm that

[Jenni55 in reply to SlowDragon]

TSH

0.27 - 4.2 R

1.22

mIU/L

FREE T3

3.1 - 6.8 R

4.58

pmol/L

FREE THYROXINE

12 - 22 R

20.6

pmol/L

Auto antibodies perodase 160

R 0 to34

Thanks

Jenni

[Jenni55 in reply to SlowDragon]

Read More

THYROGLOBULIN ANTIBODIES

< 115 R

67.5

kU/L

THYROID PEROXIDASE ANTIBODIES

< 34 R

160

kIU/L

[Jenni55 in reply to SlowDragon]

Hope this helps and Gp not tested for anything else

Thanks

Jenni

[SlowDragon Administrator in reply to Jenni55]

Your TPO antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).

Hashimoto's frequently affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels affect Thyroid hormone working

Request GP test vitamin D, folate, B12 and ferritin

Low vitamins would suggest that gut is affected

Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.

According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies

Ideally ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first

Assuming test is negative you can immediately go on strictly gluten free diet




(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)




Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...

restartmed.com/hashimotos-g...

Other gut issues due to being hypothyroid

healthunlocked.com/thyroidu...

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

[Jenni55 in reply to SlowDragon]

Thank you very much. I will follow up with GP. Much appreciated

Jenni

[SlowDragon Administrator in reply to Jenni55]

Don't be surprised if GP dismisse gluten free diet and may not want to run vitamin tests

New NHS England Liothyronine guidelines November 2018 clearly state on pages 8 & 12 that TSH should be between 0.4-1.5 when treated with just Levothyroxine

Note that it says test should be in morning BEFORE taking Levo thyroxine

Also to test vitamin D, folate, B12 and ferritin

sps.nhs.uk/wp-content/uploa...