Update on gp visit with my medichecks results. Referred to endocrinology. Help to Interpret coeliac results...

[Pooka77]

So I thought I'd give a little update. I had my gp appointment. I waited 4 weeks to see a particular gp as i had seen her before and she seemed quite nice and thorough. I wasn't disappointed in the end. She was a bit off with me at first swanning in with my medichecks results but she did listen to me and she looked at them. She agreed it was unusual for my results to go so off kilter after only a short time of having a reduced dose of levo and said I should increase again (which I already had). She agreed it was hashimoto and that I may have an absorption issue. She has referred me to an endo who she knows does of t3 if it is indicated although said it would take a while. She also performed a coeliac test and discussed how autoimmune disorders at interlinked. J could do with some help interpreting that if anyone is able to help. So my tsh has come down from 4.38 only 3 weeks ago to 1.09. (Prior to the 4.38 a gp I didn't know at all had reduced my dose from 150 to 125 as my annual check had come back as 0.36).

What I presume is the coeliac test is 2.75g/l (ref range 0.3-3). I am unsure how to interpret that if anyone can help. It is in normal range but is it relevant that it is at the upper range.

I am now just starting a gluten free diet to see if it helps. I started after the test so it shouldn't have affected the result.

I was a bit disappointed the gp didn't teat my iron levels or any other vits/minerals that had been out. Or that she only retested my tsh but as a wise grey goose once told me you have to pick your battles with the nhs. Overall though, I am more happy that someone is at least listening.

Thanks to everyone for the advice on this thread. I still find all this quite confusing but I am getting there.

[Hibs1]

Hi 're your Coeliac disease test result,

I have CD and your result is normal full stop. If doesn't matter where the number is within the range as long as it is 3 or below. To compare, when I was diagnosed my level was 118 with a range of 0-5. After a year it was 8, still over range, then 7 and finally this year's 4.4 so I am now below the upper limit. Hopefully can get lower but it doesn't actually matter in terms that the damage will now be healing. Hope this helps.

[Pooka77 in reply to Hibs1]

Yes. That's great thanks. I didn't think it was a positive but I know from thyroid tests that the range they give isnt always that helpful so just needed advice on interpreting it.

I didnt think I'd be coeliac, i'm too fat 😞

[SlowDragon Administrator in reply to Pooka77]

Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels affect Thyroid hormone working

Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.

According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies

While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first

As your test is negative you can immediately go on strictly gluten free diet




(If test is positive you would need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)




Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse

Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease

ncbi.nlm.nih.gov/pubmed/296...

The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported

ncbi.nlm.nih.gov/pubmed/300...

The obtained results suggest that the gluten-free diet may bring clinical benefits to women with autoimmune thyroid disease

nuclmed.gr/wp/wp-content/up...

In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned

Other links all suggest that trying gluten free diet should be considered......you don't need any obvious gut symptoms

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...

restartmed.com/hashimotos-g...