For grey goose : Here is my results. Thanks. I... - Thyroid UK

Thyroid UK

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For grey goose

mikkymouse•

5 years ago•5 Replies

Here is my results. Thanks. I didn’t know you could put photos on. Not that I will be doing it.

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mikkymouse

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5 Replies

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greygoose5 years ago

OK, that's better. And, it's the other way round from what you originally posted.

greygoose• in reply togreygoose5 years ago

And you're under-medicated.

NWA65 years ago

Yay!!! Well done mikkymouse 🤗 I know it’s daunting at first, I’ve had to ask for loads of help, about my tests but also about posting on the forum.

Are you on medication? If so you need a raise 🤗

radd5 years ago

Well done mikkymouse,

I still haven't posted a pic on here yet !

SilverAvocado5 years ago

I've just gone back and read the full saga of getting your results posted! Usually I prefer people to type out their results so they can be easily read. In this case seeing the picture has confirmed that these are freeT4 and freeT3, and got the ranges the right way round!

To explain each part in turn, TSH is thyroid stimulating hormone. Its a chemical messenger made by the pituitary to tell the thyroid to make more hormone. When the hormone in our blood is low, we expect it to go high, asking for more, when the hormone is high it should be low.

A person with a healthy thyroid will have a TSH between about 0.8 and 2. Anything above about 2.5 becomes very unlikely, and suggests there is seething wrong. Once we're on thyroid hormone replacement we usually need a TSH even lower than healthy, around 1 or even below that. Yours is much too high for comfort, which tells us you're probably undermedicated.

FreeT4 tells us how much T4 you've got available in your blood. This is the main hormone made by a healthy thyroid, and is the only hormone in Synthroid /Levothyroxine. When on T4 only it's. Important because it tells us how well the tablets are raising levels. In a healthy person the range will be a normal curve, withost people in the centre, and the further out to the edge someone is, the less likely they've got a healthy thyroid. But again, while on hormone replacement we tend to need it higher. Most people taking T4-only will need it right at the top or even slightly over range.

Your result is about a third up the range, which is very low. For me it would take several increases to get this all the way to the top. With thyroid go one dosage is very important, its not a treatment where you can just take any old dosage and feel fine, it needs to be adjusted to be the perfect dose for you. The same goes for looking at blood tests. Just being inside the range isn't enough, you need to be at the optimal point in that range. These results show you've been very undermedicated on T4. This is very common, doctors often leave us in this state for years

FreeT3 shows us how much T3 is available. This is the active form of the hormone, and our bodies have to convert any T4 we get into T3 to make use of it. With such a low freeT4, the freeT3 won't have any chance to get high, so we know this will be low, and it is. The range for this is also a normal curve, so most healthy people will be. V the middle. People on thyroid hormone replacement tend to need it higher, usually in the top third of the range. Again, you're is about a third of the way up, which is very low. FreeT3 is the result that most reflects symptoms, so I'd expect you to feel quite rubbish on this dose and to have all kinds of symptoms.

I got very sad halfway through writing this reply, because this is such a common story. So many people end up in this position of being sure that T4 treatment itself doesn't suit them, when in fact it's just being undermedicated for years that is making them sick.

I know you've now gone on to try NDT, so dosage advice for T4 isn't as important. The really important thing to make sure with this NDT is that you get the dose adjusted fully. There are more old fashioned methods for adjusting NDT quickly, but I tend to prefer the more contemporary slower method. Get a blood test every 6 weeks, and adjust the dose until your freeT3 looks good - high in the range, you can keep increasing all the way to the top of symptoms justify it.

And I'd advise you to read the forum yourself and look at many many other people's blood tests until you get knowledgeable about interpreting your own, so you don't get hoodwinked by doctors again like you have been with Synthroid.

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