Help with thyroid results plz anyone

[Toto88]

Can anybody help me plz - ive only just seen one of my thyroid panels - well not much info on it really but it says TSH is 0.68 (Range 0.3-5.6) & FreeT4 is 13.9 (Range 6.3-14) - I’ve been told it’s normal ? Is this normal plz for someone who has hypothyroidism? I’m v unwell at mo x thanks anyone who can help

[Marz]

As mentioned in your previous post - the FT3 is the most important test which wasn't done ! Your FT4 looks low in range so its possible the FT3 will be too. It's Low T3 that causes symptoms ...

[Toto88 in reply to Marz]

Can I legally ask my GP to do the T3 test because I’ve asked & they will not ! I’m thinking of seeing a private endocrinologist who hopefully maybe able to sort me out who prescribes T3. I’m on levothyroxine 50 mcg one day & 75 mcg the next ! What does it mean F4 at the top end of the range plz ?

[Marz in reply to Toto88]

T3 rarely tested these days and from reading here Endos are not much better. SlowDragon has given you good links below for Private Testing. Also the same link explains everything thyroid. Am afraid we have to read and read and do so much for ourselves to find wellness ...

[Toto88 in reply to Marz]

I mean low in range ? FT4

[Lalatoot]

Your ft4 is at the top end of that range. What medication are you on?

[Toto88 in reply to Lalatoot]

What does top of the range mean plz ? Levothyroxine - 75mcg & 50 mcg alternative days.

[Lalatoot in reply to Toto88]

The range is the number in brackets after your result. The bottom of the range is the lower number and the top of the range the higher number. The top of the range for ft4 is 14. Your result is 13.9. For ft4 any result between 6.3 and 14 would be considered normal by the doctor.

[Toto88 in reply to Lalatoot]

Other people on here say your TSH should be between 1 & 2 - Endocrinologists apparently prefer that aswell ! I honesty don’t think 0.68 TSH is v good at all & the other being just under the 14 ? Anyhow I will ask my GP for the T3 test & others or have to pay privately - I’m so v unwell aswell! Thankyou for helping me x

[NWA6 in reply to Toto88]

My TSH is 0.003 TSH is not a good indicator of thyroid health especially when we start to replace our normal output. So as others have suggested you need to get your FT3 tested to really find out what’s going on. Yes your FT4 is high in range, but you still don’t feel well, hyper and hypo symtoms can feel similar so it’s impossible to say if you are over or under medicated. Have you been long diagnosed? Most who have a long history of thyroid results begin to see patterns and so they know by their symptoms if they are under or over and the blood tests just back up their instincts.

My GP has always tested FT3 when I’ve asked but many members say that cut backs and lack of knowledge mean that many just don’t see it as necessary and only medicate by TSH which is criminal but it is what it is. So use one of the private company’s to get full testing.

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

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

[greygoose]

'Normal', in doctor-speak, just means 'in-range'. Yes, it's in-range, but so what? That doesn't tell us what the active T3 is like. Could be that you aren't converting that T4 to T3 very well. And, it's low T3 that causes symptoms. You really do need a test with the FT4 and the FT3 tested at the same time to establish how well you convert.

[SlowDragon Administrator]

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

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 .

Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).

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

Is this how you do your tests?

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

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

Cheapest option for just TSH, FT4 and FT3 £29 (via NHS private service )

monitormyhealth.org.uk/thyr...