Latest Medichecks results - help with interpret... - Thyroid UK

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Latest Medichecks results - help with interpretation please

ILR2019 profile image
4 Replies

Just received my Medichecks resuts and am a bit stumped so looking for advice before I fly a copy of to my GP. I knew am due a dose increase before the results due to a myriad of symptoms and increased nausea, but I don't understand why my T4 has dropped and my T3 increased. Is this a simple case of under medication or could there be an underlying cause? Obviously I undertook the tests in the same way (fasting, early in morning etc)

5th August 2019 (Medichecks)

☆ Dose increase to 75mcg Levo

TSH level 4.16 mIU/L [0.27 - 4.2]

FREE T3 - 4.21pmol/L [3.1 - 6.8 R]

T4 - 12.2 [12 - 22 R]

TGAb - 91.2 kIU/L [< 115 R]

TPOAb - 190 kIU/L [< 34 R]

27th September 2019 (GP)

☆ Dose increased to 100mcg Levo

TSH level 2.7 miu/L [0.35 - 4.94]

21st November 2019 (Medichecks)

☆ GP appointment due 28th November

TSH 4.49 mIU/L (Range: 0.27 - 4.2)

Free T3 4.88 pmol/L (Range: 3.1 - 6.8)

Free T4 X 10.700 pmol/L (Range: 12 - 22)

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ILR2019
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SlowDragon profile image
SlowDragonAdministrator

Your results show you are under medicated and need 25mcg dose increase in Levothyroxine

Bloods should be retested 6-8 weeks after next dose increase

Are you also supplementing to improve your low vitamin D and B12

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

ILR2019 profile image
ILR2019 in reply to SlowDragon

Thank you for responding. I'm supplementing Vit D, but I'm going to do a private test for serum B12 as the last NHS test was very low, but not 'deficient'. I don't follow a rigorously strict gluten free diet, as I fail hete and there, but on the whole I eat very healthy. Are the squiffy results a simple case of another dose increase do you think?

SlowDragon profile image
SlowDragonAdministrator in reply to ILR2019

This is link to indepth B12 testing

nutris.viapath.co.uk/pages/...

Getting dose increase in Levothyroxine should help vitamin levels improve too

Marz profile image
Marz in reply to ILR2019

A B12 result below 500 can be the cause of cognitive decline and neurological issues. Low B12 associated with brain shrinkage too.

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