Blood results and consultant meeting

[Jrouseuk]

Hi

I wondered if you could help with interpreting my latest blood results I’ve just had twins so things clearly aren’t quite right from the results but I’ve got a consultants meeting and they are not very helpful normally when I go in so I’d like to be armed with what might be helpful for me to do or at least understanding my results. I’m currently on 175 of levothyroxin and was on 162.5 before I fell pregnant.

Thanks for your help.

Serum free triiodothyronine - 5.4 (2.6-5.7)

Serum TSH - 0.03 (0.35-4.94) **below range but I’m normally over medicated as struggle with weight gain

Serum free T4 - 19.5 (9-19) **above range

Thyroid peroxidase antibodies - 47.25 (0-5.9 reference limit) **above range

Serum ferritin 37 (15-200) on the low side but not clinically low

Haemoglobin concentration - 140 (120-150)

Total white blood count - 6.9 (4-10)

Platelet count - 282 (150-410)

Red blood count - 4.5 (3.8 - 4.8)

Haematocrit - 0.42 (0.36-0.46)

Mean cell volume - 93 (83-101)

Mean cell haemoglobin level - 31.2 (27-32)

Mean cell haemoglobin concentration - 336 (315-345)

Red blood cell distribution - 11.4 (11.6-14) **below range

Neutrophil count - 3.6 (2-7)

Lymphocyte count - 2.5 (1-3)

Monocyte count - 0.5 (0.2-1)

Eosinophil count - 0.2 (0.02-0.5)

Basophil count - 0.1 (0-0.1)

Nucleated red blood cell count - 0 (0-0.09)

[SlowDragon Administrator]

Congratulations on your twins ......you're going to need as much energy as possible!

Have you had vitamin D, folate, B12 tested?

If not request they are done

As you have Hashimoto's are you on strictly gluten free diet?

Ferritin is a bit low. Eating liver or liver pate once a week, plus other iron rich foods like black pudding, prawns, spinach, pumpkin seeds and dark chocolate, plus daily vitamin C can help improve iron absorption

If you're breastfeeding that will be taking a lot out of you too

How long since the actual birth?

Perhaps retest thyroid in another 6 weeks

[Jrouseuk in reply to SlowDragon]

Thank you. Babies are 5.5 months old now it’s been a busy few months so only just starting to take care of myself 🙈. I wasn’t gluten feee in pregnancy but used to be but haven’t gone back to it yet.

[greygoose]

Serum TSH - 0.03 (0.35-4.94) **below range but I’m normally over medicated as struggle with weight gain

A low/suppressed TSH on its own does not mean you are over-medicated. And, you are not over-medicated because your FT3 is still in-range. If you were over-medicated, it would be well over-range.

[Jrouseuk in reply to greygoose]

Thanks what do you think about the antibodies? They seem high to me compared to historical bloods?

[greygoose in reply to Jrouseuk]

Yes, they are high. You have Hashi's. And you've already got substantial damage to the thyroid to need 175 mcg levo.

But, don't get hung up on antibody levels, they don't mean that much. Over-range means Hashi's, but going higher doesn't mean your Hashi's is worse. And, going lower certainly doesn't mean your Hashi's is going away. It doesn't.

[SlowDragon Administrator in reply to Jrouseuk]

Antibodies frequently rise if you start eating gluten again

You may see them fall if you cut gluten out again

Or it's common to get a strong autoimmune reaction after hormonal changes....like pregnancy

[Jrouseuk in reply to SlowDragon]

I didn’t know that thanks for sharing

[Mamapea1]

Congratulations on the twins! I have twins too, all grown up now, but still a joy. It's very important to test B12, especially after pregnancy, so get them to test that if it hasn't been done already. Folate and Vit D too. Your B12 was too low before...did you supplement and sort it out? B deficiencies had a very detrimental effect on me, so well worth checking👍