Messed up with Levothyroxine prior to blood test - Thyroid UK

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Messed up with Levothyroxine prior to blood test

jo1001 profile image
8 Replies

I had a blood test on Wednesday 29th January 2020. After the blood test was done I realised that I had completely forgotton to take Tuesday's dose of Levothyroxine. So by the time I had the blood test on Wednesday morning it was about 39 hours since my last dose.

Have I wasted the GP's time having this blood test or will it not make too much difference to the results?

Thank you.

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jo1001
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8 Replies
fuchsia-pink profile image
fuchsia-pink

Your fT4 result will show a "false low" - so bear that in mind when you get it.

jo1001 profile image
jo1001 in reply tofuchsia-pink

These are my results from 29th January 2020:-

Serum TSH 1.05 mu/L Range 0.35 - 5.00 (normal)

Serum free T4 14.4 pmol/L 9.0 - 22.0 (normal)

Serum folate 11.4 ug/L 3.0 - 20.0 (normal)

Serum ferritin 152 ug/L 10 - 200 (normal)

Serum vitamin B12 804 ng/L 200 - 910 (normal)

SlowDragon profile image
SlowDragonAdministrator in reply tojo1001

No vitamin D result?

jo1001 profile image
jo1001 in reply toSlowDragon

SlowDragon, no, have checked again on test results, doesn't look like it was tested.

SlowDragon profile image
SlowDragonAdministrator in reply tojo1001

£29 via nhs postal kit

vitamindtest.org.uk

jo1001 profile image
jo1001 in reply toSlowDragon

Thanks, will have a look at that.

jimh111 profile image
jimh111

Using a half-life calculator after 12 hours (half-way between doses) your fT4 would be about 95% of its peak value. After 39 hours it would be about 85%. So take your fT4 figure and x 85 / 95. Your fT3 would probably be a bit higher than reported and your TSH lower. I wouldn't worry, these are small variances, our levels vary from day to day and for women vary considerably during the menstrual cycle. The numbers are good enough, they are not a precise measurement of thyroid status.

jo1001 profile image
jo1001 in reply tojimh111

Thank you.

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