Help with results 🙏

[Lovethemozman]

Can anyone give me an opinion on latest blood results? Diagnosed with Hashimoto's 18 months ago - take 125mg levothyroxine (skipped it before bloods). Finally eliminated gluten 2 weeks ago and think it is making me feel better. Also have pernicious anaemia and FND. Thanks in advance 😁

[shaws Administrator]

A TSH result alone isn't sufficient to respond. Yours is very low so the assumption would be by GP that maybe you're on too much. The most important tests are the Free T3 and Free T4 but are rarely tested. Yours only has the TSH.

Other members will respond re your other results.

A Full Thyroid Function Test blood draw is, TSH, T4, T3, Free T4, Free T3 and antibodies and should be at the earliest possible, fasting (you can drink water) and allow a gap of 24 hours between last dose of levo and test and take afterwards. This allows the TSH to be at its highest as it drops throughout the day. A later in the day blood draw would not give a true result.

[SlowDragon Administrator]

Just testing TsH is completely inadequate

Presumably you have Hashimoto's? Diagnosed by high thyroid antibodies

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)

Last Levothyroxine dose should be 24 hours prior to test, (taking delayed dose immediately after blood draw).

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

Come back with new post once you get results and ranges

Would suggest you wait to test until 6 weeks after going strictly gluten free