GP says it’s normal. I’ve already been diagnosed with Hashimoto’s years ago but never been medicated because my results are always “normal”.
I’m getting worse and worse symptom wise and no one seems to help. My vitamins are fine except my ferritin was below range but now I’m taking ferrous fumerate to rectify that. My cholesterol is 6 which I know isn’t awful but I’m only 35, vegetarian and slim, don’t smoke or drink and walk all day for work so I feel it shouldn’t be above range.
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Paolatello
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Well they most certainly do reflect your feelings. Forget about the TSH (something your GP will have a hard job doing 😩)
You could easily raise your FT’s with a little Levo without going over range.
Is it a hard no from your GP? I wonder if your problem is more secondary Hypothyroidism. Your pituitary is not sending out enough TSH? I often wondered if mine struggled even though my diagnosis was Hashi’s in the end but 🤷♀️ just thinking out loud.
I say ignore TSH because it’s low but you feel rubbish and you have a diagnosis of Hashi’s and your vitamins are ‘fine’ although if you post results then some members will tell you the difference between ‘fine’ and optimal.
Definitely raise your Ferritin as that leads to lethargy but I suspect you know that already.
So going on your FT4 it’s really low, you’d need to be aiming for that in the top 10-20% of the range. If you did this then hopefully your FT3 would increase if you have no conversion issues. FT3 is quite low, esp as you’re feeling symptomatic. Some might feel ‘ok’ with this result for instance mine was usually 3.5 and when I was able to raise mine to 4.8, I felt brilliant but others maybe like yourself might need a higher FT3.
The main thing is, your FT’s are low and you feel rubbish. This warrants investigation and a 3mth trial of Levo based on symptoms rather than ‘in range’ blood tests. I’d tell your GP that you have loads of wiggle room.
You say these are your most recent results. Do you have an others? It's sometimes helpful to see if there is a trend. Having Hashi's can cause your levels to jump around.
What time of day was the blood draw for these tests? Do you always have your blood draw at the same time?
This was taken at 9am ish and I’d eaten only a banana. My levels are always that sort of result to be honest. Sometimes my antibodies are higher and sometimes they go back to below range
Well, we're not concerned with your antibodies. Once you've had an over-range result, it means you have Hashi's and that doesn't go away. No point in retesting them. They fluctuate all the time, so going back below the top of the range doesn't mean anything.
So, you haven't had any excessively high Free levels, or excessively low? To be honest, to a doctor, those levels look great. And, they know nothing about Hashi's so are not likely to start treating you.
But, what have they said about your below range ferritin? That should be further investigated and treated. That is definitely not normal, and you want to push them on that. Ferritin that low will be causing symptoms.
And, if your ferritin is that low, your other nutrients could also be low. Have you had your vit B12, folate and vit D tested? If not, you should ask for them to be done.
OK, so that was the Hashi's having a 'hyper' swing. But, you've never had very low results? If not, then your thyroid hasn't been that affected by the Hashi's.
Do you have the results for those other tests? OK is an opinion, not a result. Vit D should be around 100, I believe, and B12 over 500. Folate over mid-range.
Pins and needles? Neuropathy? Burning hands/feet? Weakness, tiredness, lightheadedness, dizziness, depression, loss of appetite, numbness or tingling, walking problems, loss of memory, loss of vision, swollen tongue? That's all that comes to me off the top of my head, but there are surely many more.
Not really any of those. I have fatigue and feel quite down at times but I assumed that was Hashimotos related. It comes and goes and definitely isn’t constant
Thank you! I also get breathless sometimes like I’ve got a tight chest but I’ve always thought this was anxiety or acid reflux but maybe it’s the low ferritin
We don't often see fT3 results from before any treatment, and they're needed to make best use of the SPINA thyr software. I've assumed the lower end of the range for TSH to be 0.35 and plugged in your numbers, giving:
Your TSHI of 1.7 is fairly low in the range of 1.3~4.1
This number tells you if the pituitary gland is behaving normally in response to thyroid hormone, within normal functional parameters.
TSHI will be low to the degree that the pituitary is not secreting enough TSH in response to lower thyroid hormone levels. This is secondary or tertiary hypothyroidism — a compromised hypothalamus or pituitary gland, from any cause, and at any degree, from mild to severe.
If secondary hypothyroidism is mild (TSH is not completely suppressed and the gland is still producing T4 hormone in reference range), TSH suppression could be temporary, perhaps caused by medications or substances that reduce TSH (such as corticosteroids), fasting (calorie-deficient or protein-deficient diets), or a severe illness.
I appear to experience "sympathetic thyrotoxicosis" with stressful events sending me hyper. One of these was caught by testing, before any treatment, over the course of about a year. My TSH and FT4 went from 5.5/12 to 0.42/14 and then I had three tests with fT3 above range and climbing. You sound on the ball about insisting on testing, but for anyone else: insist on regular testing (at least every six months) when there have been anomalous results.
My symptoms are the same but I’m currently having a better time. I still get all the above symptoms but less frequently and less severe. I know that it can change at any minute though. I haven’t had bloods done for a few months but am due this month. I’ve had bad anxiety recently and am unsure whether that’s all from my thyroid or whether I have a separate anxiety disorder.
I know. I did have a blood test in August but I can’t use it as a legitimate result as I was early pregnancy and that throws everything off. It resulted in early pregnancy loss in September so I’m now getting bloods done and hopefully everything has settled from the pregnancy and I’ll get a true thyroid result
Yes I am. I got my bloods done at 6 weeks. My TSH was very low but free Ts were ok. I was consultant led in my first pregnancy and had no issues except severe morning sickness. This time my pregnancy ended at 7.5 weeks. I had no trouble conceiving so am hoping it will happen again.
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