Iron studies, TFT: Hi all What do I need to ask... - Thyroid UK

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Iron studies, TFT

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Hi all

What do I need to ask for with regard to iron studies? The one I see is serum iron, ferritin, transferrin, saturation ratio, then there are others that also look at other things including haemaglobin - the price goes up as you can imagine. The really expensive one also has Vit D 25 Hydroxy and 1,25 dihydroxy Vit D.

Thyroid tests - there are several. Looking at the two with TSH, FT3, FT4 and Reverse T3, one also has TSI and the two Hashi antibodies.

I'm not convinced that I need to spend the money on the Hashi antibodies - diagnosed 20 years ago based on them, not sure I've really seen any benefit from testing them since then?

SiM

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SeasideSusie profile image
SeasideSusieRemembering

SewinMin

Are you in the UK?

Whose test bundles are you looking at?

If you've had positive antibody results in the past there's no much point in retesting those, but if they come as part of a bundle - which can be better value overall - then that's no problem.

Reverse T3 is not worth having. Your result will indicate whether or not it is high, if it is high it wont tell you why, and there are many, many reasons for high rT3 that aren't connected with thyroid.

in reply to SeasideSusie

No, not in the UK.

Rt3 has been high in the past and it was tested then. Then I was glad to have it done as it showed abnormal and I was so unwell and doc thought it indicated a need for more t3. My ndt got upped and I felt much better. So much better. I'm now slightly curious as to what it Is now but so far not curious enough to pay for it.

The basic bundle is tsh, ft3, ft4. Then that plus antibodies is another. Then the second one plus tsh.

SeasideSusie profile image
SeasideSusieRemembering in reply to

As you already know you've had positive antibodies, the thyroid tests you need are

TSH

FT4

FT3

An iron panel would include

Serum iron

Ferritin

TIBC

% Saturation

The tests within a full blood count which would indicate anaemia are

MCV

MCH

MCHC

Haemoglobin

Also useful vitamin tests are

Vit D

B12

Folate

in reply to SeasideSusie

Cheers. I expect my iron to be somewhere between adequate and fine ;) but it's been a while since anything but ferritin has been done.

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