Update in results for first Endocrinology Appointment tomorrow

[Peacefull]

Hello Very Helpful Souls,

So, I have my first Endocrinology appointment in the morning and have just got back the updated results.

The Consultant (V respected in his field at well renowned hospital) requested vit D and T3 both were declined by my local hospital as not enough supporting documentation to say why they were needed!

I feel i need to know what i should be aware of in regards to what dosage increase if any i need to expect/suggest. Do i look like a have a conversion problem? Would i benefit from T3? Should there be such a difference in TSH levels over 4 days between blood tests (although 2 hours difference in time of blood drawn?)

Thank you for your advice in advance.

I'll show my historical results first.

Feb-2018

FT4 15 (11.0-22.0) pmol/L

TGA 23 (0.0-33.0) iu/ml

TSH 4.4 ( 0.27-4.2)

Mar-2018

FT4 15 (11.0-22.0) pmol/L

TSH 6.3 (0.27-4.2)

Feb-2019

Vit D 39.2 (50-175)

FT3 4.6 (3.5-7.8)

FT4 14 (11.0-22.0) pmol/L

TSH 8.9 (0.27-4.2)

Mar-2019

FT4 30.8 (11.0-22.0) pmol/L

TGA 29 (0.0-33.0) iu/ml

TSH 3.8 (0.27-4.2)

Apr-2019

TSH 3.78 (0.27-4.2) pmol/L

FT3 4.3 (3.5-7.8)

FT4 15.6 (11.0-22.0)

TPA 32.5 <115

TGA 23 (0.0-33.0) iu/ml

Latest: By GP Request taken @ 08.30am

03rd Jun-2019

B12 465 pg/mL (191 - 663)

Folate 8.7 ug/L (4.8-37.3)

Ferritin 89.2 ng/mL (13.0-150.0)

FT4 14.9 pmol/L (11-22)

TSH 4.33 mlU/L (0.27-4.20)

TPO 28 (<34)

Requested by consultant blood taken @ 10.30am 07th June

Vit D - Not done

T3 - Not done

Total CK 146 U/L (25-200)

TPO 22 (<34)

The following were done but not requested..!

FT4 13.7 pmol/L (11-22)

TSH 2.64 mlU/L (0.27-4.20)

kind regards,

Allison

[Peacefull]

A bit of an update....

Seen the Endo this morning, V nice man. Still wants to go by TSH rather than just symptoms. We discussed my symptoms and on the basis that it could be other things too has requested Adrenal and other hormone bloods. He also ordered the original tests again which my local hospital didn't comply with. Which he proceeded to get the blood drawn there and then.

He suggested that my TSH should be withing 1-2 range but i said that until i feel im in optimal range i dont feel i can rule out that all my symptoms are Thyroid related and he seemed happy with that.

So all we have to do now is wait and see....