Help with blood results please

[lmoore]

There is a history of thyroid problems within my family & my 38yr old son is suffering with persistent bouts of extreme sweating which is causing him extreme distress & embarrassment his blood results are as follows - can someone help explain if there is a connection with the sweating & these results please?

Active B12 - 75.9 pmol/L

Ferritin -286 ug/L

Folate - 17.9 nmol/L

FT3 - 5.44 pmol/L

TSH - 1.92 mIU/L

TgAB - 10 kU/L

TPOAb - 9 kIU/L

T4 - 81.3 nmol/L

FT4 - 17.9 pmol/L

Vitamin D - 53 nmol/L

[StitchFairy]

Most if not all of those results need to be read in conjunction with their own reference ranges. Without the ranges, the numbers don't really mean much, so you need to add them before anyone can properly offer opinions.

[lmoore in reply to StitchFairy]

Help with blood results please

lmoore

lmoore•

3 hours ago•2 Replies

Thank you & I've sent this other information which I hope you will be able to help me with xx

Active B12 - 75.9 pmol/L - 37.5.......................188

Ferritin -286 ug/L - 30.................................200

Folate - 17.9 nmol/L - 8.83................................40......................60.8

FT3 - 5.44 pmol/L - 0............31 5.............6.8

TSH - 1.92 mIU/L - 0.27....1 2.5..........4.3

TgAB - 10 kU/L - 0............................115

TPOAb - 9 kIU/L - 0.................34

T4 - 81.3 nmol/L - 0..........66..............181

FT4 - 17.9 pmol/L - 0.........12.........17........22

Vitamin D - 53 nmol/L - 50 ..75.. 100......175

[StitchFairy in reply to lmoore]

Ferritin -286 ug/L - 30.................................200

That high ferritin number needs investigating. Has a doctor seen these results? I suggest looking up the symptoms of Haemochromatosis and getting a full iron panel done to check this out.

[lmoore in reply to StitchFairy]

Thank you

[StitchFairy in reply to lmoore]

Forgot to say, thyroid numbers look fine, at least for now.

[greygoose]

As StitchFairy said, we need the ranges, but his vit D does look low. And excessive sweating can be connected to low vit D.

Does he have a diagnosis of a thyroid problem? If so, which one? Is he taking any sort of medication?

[lmoore in reply to greygoose]

Active B12 - 75.9 pmol/L - 37.5.......................188

Ferritin -286 ug/L - 30.................................200

Folate - 17.9 nmol/L - 8.83................................40......................60.8

FT3 - 5.44 pmol/L - 0............31 5.............6.8

TSH - 1.92 mIU/L - 0.27....1 2.5..........4.3

TgAB - 10 kU/L - 0............................115

TPOAb - 9 kIU/L - 0.................34

T4 - 81.3 nmol/L - 0..........66..............181

FT4 - 17.9 pmol/L - 0.........12.........17........22

Vitamin D - 53 nmol/L - 50 ..75.. 100......175

Thank you for your reply - no diagnosis & no medication but he's struggling with the constant sweating !!!

[greygoose in reply to lmoore]

OK, so his vit D is rock bottom. I think he should see his doctor about that. That's bound to be causing symptoms.

His ferritin is slightly over-range, but did he have his CRP tested? That could change the interpretation of the ferritin result.

His folate and B12 are on the low-side, so he might benefit from a good daily B complex, one with methylcobalamin and methylfolate.

His thyroid numbers are good, so I don't think he has a thyroid problem. Just low nutrients. But worth retesting from time to time in the future.

[lmoore in reply to greygoose]

Thank you x

[greygoose in reply to lmoore]

You're welcome.

[MaisieGray in reply to lmoore]

lmoore I empathise with your son, as I also suffer badly with excessive sweating. Has he looked at the site of Hyperhidrosis UK for info about possible treatment options? hyperhidrosisuk.org/treatme...

I'm not understanding the reference intervals to the results where they include more than the upper and lower limits - I'd guess at them being an optimal subsection of the range except some have only a single number, and others have two; but not withstanding that, at 53 nmol/L, your son's vit D result falls withiin the sufficient range rather than insufficient or deficient. Here are the CKS/NICE guidelines regarding vit D supplementation:

Who should be treated for vitamin D deficiency or insufficiency?

Treat for vitamin D deficiency if serum 25-hydroxyvitamin D (25[OH]D) levels are less than 25 nmol/L.

Treat for vitamin D insufficiency if serum 25(OH)D levels are in the range of 25–50 nmol/L and the person:

-Has a fragility fracture, documented osteoporosis, or high fracture risk.

-Is being treated with an antiresorptive drug for bone disease.

-Has symptoms suggestive of vitamin D deficiency.

-Is at increased risk of developing vitamin D deficiency in the future, for example because of reduced sunlight exposure.

-Has raised parathyroid hormone levels.

I-s taking an antiepileptic drug or an oral corticosteroid, or is on long-term treatment with other drugs known to cause vitamin D deficiency, such as colestyramine.

-Has a malabsorption disorder (for example Crohn's disease) or other condition known to cause vitamin D deficiency, such as chronic kidney disease.

If serum 25(OH)D levels are adequate (that is, above 50 nmol/L), advise on measures to prevent vitamin D deficiency.

If the person has musculoskeletal symptoms (such as muscle pain or weakness) despite adequate serum 25(OH)D levels, consider an alternative diagnosis.

[lmoore in reply to MaisieGray]

Thank you 😊

[Maggiet]

I am hypothyroid and have awful sweats. My neurologist said it can be linked to adrenal problems and I was to do a 48 hour urine collection. Fortunately, the results came back ok and I have no adrenal problem, but it *may* be something to think about.