Results interpretation

[Paulina08]

Hi all,

I am reading this forum for A while now. I have all typical symptom for hypothyroidism. They are getting worse for the last 1-1,5 years.

I get some test from NHS however they are within range therefore no action needed.

My ferritin

24 (15-150)

Blood glucose(fasted)

4.7 (3.00-6.00)

My Medichecks results

Tsh

3.83 (0.27-4.2)

Free t3

4.83 (3.1-6.8)

Free t4

15.1 ( 12-22)

TgAb

25.1 (<115)

Tpo

29.2 (<34)

Can anyone help me with that?

Thanks

[SlowDragon Administrator]

Ferritin is very low. Ask GP for full panel testing for Anaemia

Plus vitamin D, folate and B12

Low vitamin levels can cause significant symptoms

Your TSH is higher than average, but not high enough for a diagnosis.....especially as antibodies are negative

What are your main symptoms

List of hypothyroid symptoms

thyroiduk.org.uk/tuk/about_...

[Paulina08 in reply to SlowDragon]

Hi SlowDragon

Thank you for your replay.

I will ask my gp. However, it's a long wait for an appointment at my clinic.

Is my TSH not too high for my age? I'm 24.

My main symptoms

Extreme Fatigue

Brain fog

Cold hands and feet all the time

Very dry skin, flaky skin on my head

Weight gain and not able to lose weight

Breathlessness

Loss of libido

Joint stiffness

Dizziness

Vertigo

Memory loss

Hard to concentrate, sluggish brain

Depression

Mood swings

Anxiety

Digestion problems

Acne on my chin back and chest

I had tested my Tsh In September 2018

And it was

TSH 2,23 (0.35-4.9)

T3 2.11 (1.71-3.71)

T4 0,82 (0.7-1.48)

[shaws in reply to Paulina08]

Did you get the earliest possible appointment, fasting (you can drink water) and if/when diagnosed allow 24 hoursgap between last dose and test and take afterwards.

p.s. you also need Thyroid Antibodies tested. If present you'd have another type of thyroid disease called Hashimoto's (if antibodies are present) and should be prescribed.

[Paulina08 in reply to shaws]

Yes, my blood test we're taken before 9am fasted.

My antibodies results are in my main post and are negative.

[Lalatoot in reply to Paulina08]

TSH does not go by age. TSH is the pituitary gland putting out hormones to stimulate the thyroid to make more thyroid hormones because it detects a need for them.

[Paulina08 in reply to Lalatoot]

But it is common that is elevated in elderly patients right?

[Lalatoot in reply to Paulina08]

Not necessarily. There is some research that suggest that the range should be wider for those over 70.

TSH has more to do with your thyroid function than your age!

[Paulina08 in reply to Lalatoot]

’Many studies have shown that the median and upper limit of TSH increase with age [10–12]. If we use the same reference interval of TSH in older patients as is younger patients, there is a chance of over-diagnosis of subclinical thyroid disease, which could lead to unnecessary treatment with levothyroxine in the older population.’

DOI:dx.doi.org/10.1371%2Fjourna...

I see your point that tsh is more thyroid related than age however I saw few times on that forum that in my age range, tsh should be lower than in the upper half of the range.

[SlowDragon Administrator in reply to Paulina08]

GP won’t diagnose hypothyroidism unless TSH is over ten (unless antibodies are high)

Essential to test vitamin levels

These are frequently too low when hypothyroid

Improving low vitamin levels by supplements, prescribed by GP if deficient or self supplement if levels low in range

This frequently improves symptoms

May also increase TSH so you can get diagnosed....if low vitamin levels are due to being hypothyroid

Low B12 causes similar symptoms

Low vitamin D obviously extremely common and can cause multitude of symptoms

[Paulina08 in reply to SlowDragon]

I will book an appointment to ask for a full panel for anaemia then. Plus vitamin b12, folate and vitamin D. Thanks