Advice on Blood test results

[KC6002]

Afternoon,

I've been having symptoms for the past 18 months that include;

Fatigue - unable to exercise

Lightheadedness

Heat intolerance

Fast metabolism and constant hunger

Extreme thirst

I have recently visited a functional medicine doctor and have received my blood tests. I am awaiting a follow up consultation

FT3 6.08 pmol/L

TSH 2.18 miu/L

TgAB 10 Ku/L

TPOAb 10.7 KIU/L

T4 97 nmol/L

FT4 18.6 pmol/L

Thirva has indicated that my results are within a 'normal' range. Could someone offer any advice or help?

Thanks

[SeasideSusie Remembering]

Have you been tested for diabetes? Excessive thirst and hunger, plus fatigue are common symptoms of this.

[KC6002 in reply to SeasideSusie]

Yes I've been tested for diabetes by GP. I've been told I most likely have chronic fatigue

[SeasideSusie Remembering in reply to KC6002]

Yes I've been tested for diabetes by GP

What was the result? Are you in the pre-diabetic range or well below.

Chronic fatigue is a cop-out. There has to be a reason for it.

[KC6002 in reply to SeasideSusie]

My HBa1C level was 31 mmol

[SeasideSusie Remembering in reply to KC6002]

So that's good. Are they investigating further?

[KC6002 in reply to SeasideSusie]

I am also getting by Reverse T3 tested, but I'm assuming this will be normal since my other thyroid tests have been. The functional medicine doctor is also doing a comprehensive blood test for my mitochondria and wants me to do to a test for heavy metal toxicity.

[SeasideSusie Remembering in reply to KC6002]

Reverse T3 testing is expensive and doesn't tell us much. If it comes back high it doesn't tell us why and there are many, many reasons for high reverse T3 that are not connected to thyroid.

[KC6002 in reply to SeasideSusie]

I have paid for the RT3 as part of the test results but my sample got lost in the post. Thanks for the help

[SlowDragon Administrator]

Have you had vitamin D, folate, ferritin and B12 tested?

Can you add ranges on these thyroid results. They look pretty good, but need ranges to be sure

[KC6002 in reply to SlowDragon]

Yes had Vitamin D tested in August 18' and level was low so was prescribed tablets and levels improved.

Folate - 38.9 nmol/L

Total B12 - 302 pmol/L

Active B12 - 108 pmol/L

Ferritin - not tested

Ranges are not provided with the blood tests form Thriva. All tests were described as 'normal' except for TSH which was 'optimal'.

Listed below are ranges from previous NHS blood tests that I can find.

FT4 9.00-24.00

TSH 0.20-5.00

B12 197.00-1999.00

A previous test in June 2018 displayed a high prolactin level of 328 (86.00-324.00) but GP said that was probably caused by stress.

[SlowDragon Administrator in reply to KC6002]

You need to retest vitamin D

If these tests by functional medic were done privately they will have different ranges

You are legally entitled to printed copies of your blood test results and ranges

[SeasideSusie Remembering in reply to KC6002]

Ranges are not provided with the blood tests form Thriva

Everyone who has provided a screenshot of their results from Thriva has shown the result which has a "slide" graphic at the side which has an orange bar > green bar > orange bar. The green bar has a number at the left hand side and the right hand side where it borders the orange bars. Those numbers are the reference range.

Scroll down in this article to see, they're not thyroid tests but it's the same layout.

thephdrunner.com/2017/07/12...

[KC6002 in reply to SeasideSusie]

Thriva ranges

Active B12 0-300

B12 0-569

Folate 0-60

FT3 0-6.9

TSH 0.27-4.23

TgAB 0-300

TPOAb 0-200

T4 0-300

FT4 0-30

[SeasideSusie Remembering in reply to KC6002]

Those can't be right.

MaisieGray has said that FT3 is 3.1-6.8.

Thriva ranges tend to be the same, or very similar to Medichecks and FT4 is very likely to be 12-22.

Active B12 has quite a narrow range compared to Serum B12 so may be something like 37-188.

TPO Abs are usually <34 or <50

I don't remember seeing ranges start at Zero. Maybe look again because those certainly don't look right.

[MaisieGray in reply to KC6002]

You are confusing the span of possible results ie the whole length from left to right on the bar, with the reference ranges inside that ie the green portion. So the bar reads up to 300 for T4, but the actual reference range is 66 - 181. For FT4 the reference range is 12 - 23 with the full bar going from 6 - 30.

[MaisieGray in reply to KC6002]

"Ranges are not provided with the blood tests form Thriva."

Are you sure about that, because all my results from Thriva have ranges. They are represented by the green segment of each orange & green bar adjacent to the actual result. So for instance the range for FT3 is 3.1 - 6.8.

[KC6002 in reply to MaisieGray]

Apologies, correct ranges below;

Active B12 37.5-188

B12 110-569

Folate 8.83-60.8

FT3 3.1-6.8

TSH 0.27-4.3

TgAB 0-115

TPOAb 0-34

T4 66-181

FT4 12-22

[Angel_of_the_North in reply to KC6002]

I would want an endo referral to look for a pituitary problem/adenoma with that prolactin level. I'd also want cortisol/ACTH tested. I'd also want a full iron panel

[KC6002 in reply to Angel_of_the_North]

Thanks for advice. I will speak to GP. I have previously had cortisol tested and it was normal but my blood was taken in the morning.