Help, please, not sure of the results

[Norrahsjake]

Hi,

I just wondered if these results are ok, iv been feeling very tired for months and feel cold all the time , dry skin, weight gain, forgetful, tingling hands and feet , wondered if some one help me out with the results as I can’t get into my drs for a couple of weeks. Thank you

[SlowDragon Administrator]

Are you diagnosed as hypothyroid and on Levothyroxine?

Or trying to get diagnosed?

TSH is high and FT4 is low ....so if you are on Levothyroxine you need dose increase

If trying to get diagnosed, and this is first test GP will want to repeat test in 6-8 weeks

Getting bloods retested early morning will give highest TSH

Vitamin D is below range

GP will only prescribe to bring vitamin D up to 50nmol. Aiming to improve by self supplementing to at least 80nmol and around 100nmol may be better .

Once you Improve level, you may need on going maintenance dose to keep it there.

testing twice yearly via vitamindtest.org.uk

Vitamin D mouth spray by Better You is good as avoids poor gut function. (They make one that includes vitamin K2 mk7)

It's trial and error what dose each person needs.

Local CCG guidelines

clinox.info/clinical-suppor...

Government recommends everyone supplement October to April

gov.uk/government/news/phe-...

[Norrahsjake in reply to SlowDragon]

Hi, I’m trying to get diagnosed, I can’t get into my drs for a while and I just wanted to know what to expect when I see them, I dont want him to fob me off , as I keep going to see him saying I don’t feel well . Thank you for your quick reply.

[SlowDragon Administrator in reply to Norrahsjake]

Start the vitamin D supplements

Treat yourself to full private testing (or put it on your Christmas list)

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also EXTREMELY important to test vitamin D, folate, ferritin and B12

Low vitamin levels are extremely common, especially if you have autoimmune thyroid disease (Hashimoto's) diagnosed by raised Thyroid antibodies

Ask GP to test vitamin levels

Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)

Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or all vitamins

thyroiduk.org.uk/tuk/testin...

For thyroid including antibodies and vitamins

Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have special offers, Medichecks usually have offers on Thursdays, Blue Horizon its more random

Or slightly cheaper if don't bother to retest vitamin D

No point testing vitamin D until 2-3 months on supplements

[Norrahsjake]

I have my vitamin results , but can’t seem to copy them, to show you , not sure if this works?

IMG_7697.jpg

[Norrahsjake in reply to Norrahsjake]

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Test resultSerum vitamin B12 level;Serum folate level;Serum ferritin level Report, Satisfactory, No Further Action (Patient Informed)

Coded entrySerum folate level (42U5.) 4 ng/ml [3.1 - 20.5] Information about this test

Coded entrySerum ferritin level (XE24r) Information about this test

Coded entrySerum ferritin level (XE24r) 74 ng/ml [10 - 204] Information about this test

Coded entrySerum vitamin B12 level (XE2pf) Information about this test

Coded entrySerum vitamin B12 level (XE2pf) 218 ng/L [187 - 883] Information about this test

Coded entrySerum folate level (42U5.) Information about this test