Thyroid read !

[Charly1999]

Pleas help!! asked my doctor to give me my readings as far as possible and it’s results can you please explain what’s wrong with me? Didn’t feel right last three months but doctor said it’s fine

2001 T3. 5.3 (0-7) 2002 TSH. 1.9 (05.5.5). 2007 T4. 168 (60-180). 2018 T3. 3. (0 -7). 25-Apr-2018 Anti-CCP antibody level-(IJM) <1.0. 8 jun 2018. T4. 21.9. (11.50-22.70). April-2019 B12. 661 (223.00-1132). February-2020 TSH 2.49. Help please 🙏

[SlowDragon Administrator]

So looking at previous post

You are on 100mcg levothyroxine

2001

T3. 5.3 (0-7)

2002

TSH. 1.9 (05.5.5).

2007

T4. 168 (60-180).

2018

T3. 3. (0 -7).

25-Apr-2018

Anti-CCP antibody level-(IJM) <1.0.

8 jun 2018.

T4. 21.9. (11.50-22.70).

April-2019

B12. 661 (223.00-1132).

February-2020

TSH 2.49

Feb 2020

Just testing TSH on its own is completely inadequate

But TSH is likely too high

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 and thyroid antibodies, plus FULL TSH, Ft4 and Ft3

NHS rarely agrees to test Ft3

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 .

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

[SeasideSusie Remembering]

Babalena15

Not easy to decipher your results when written like that. Much easier on the eye for responders if you list them:

2001 T3. 5.3 (0-7)

2002 TSH. 1.9 (05.5.5).

2007 T4. 168 (60-180).

2018 T3. 3. (0 -7).

25-Apr-2018 Anti-CCP antibody level-(IJM) <1.0.

8 jun 2018. T4. 21.9. (11.50-22.70).

April-2019 B12. 661 (223.00-1132).

February-2020 TSH 2.49.

There appears to be some very random testing there. T3 only. T4 only. B12 only. TSH only.

For a full picture you need:

TSH

FT4

FT3

all these thyroid tests need to be done at the same time.

And if possible:

Thyroid antibodies

Vit D

B12

Folate

Ferritin

According to your previous post you take 100mcg Levothyroxine. Your current TSH of 2.49 suggests that you are undermedicated. The aim of a treated hypo patient generally is for TSH to be 1 or below with FT4 and FT3 in the upper part of their respective ranges, if that is where you feel well.

So you need full testing of the above. If GP can't do them all, and if you are in the UK, you can get them done with one of our recommended labs which SlowDragon mentioned in response to your previous post.

[SilverAvocado]

Hi Babalena15, I see from other posters here that you are already taking Levothyroxine. This makes a big difference to how your results are interpreted, so it's best to make that clear when reporting them.

This is a very incomplete set of results. Which is unfortunately very typical when dependant on doctors. They will often do things very unsystematically.

If you've been taking Levothyroxine since before the 2002 tests, then this is a fairly high TSH which suggests undermedication.

The T3 and T4 tests are a bit hard to interpret, as we need to know they are freeT3 and freeT4. The latest TSH of 2.49 is much too high for someone on thyroid hormone replacement.

It is very common to be left on the wrong dose for years Levo needs to be adjusted carefully for each person, and when we're on the wrong dose can continue to feel very ill.

[Charly1999]

I will like to say thank you for everybody in here for your answer and support thank you 🙏