Advice needed

[Bristol19]

Hi, my son who is 19 has very poor sleep and is constantly fatigued. Feels generally unwell, brain fog and feels the cold. his TSH is high but only about 4 above the normal range as is his Free T4. His symptoms effect the quality of his life. Gp is not concerned. Does anyone have any advice

[Lora7again]

Can you please post his results with the ranges? Also has he had any of his vitamin levels tested?

[Bristol19 in reply to Lora7again]

Hi,

His blood results are as follows,

TSH 4.47 range 0.27-4.2

FREE T4 24.0 range 12-22

Cortisol 254

Antithyroid peroxidase 9

Ferritin 85

Vit D 26

He started weekly Vitamin D tabs 2 weeks ago

[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

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

Low vitamin D can cause poor sleep

You may need to get full Thyroid testing privately as NHS refuses to test TG antibodies if TPO antibodies are negative

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)

Please add any blood test results and ranges

[Bristol19 in reply to SlowDragon]

Thank you