Liver function: Hi, I finally have a referral to... - Thyroid UK

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Liver function

Bride2be profile image
5 Replies

Hi, I finally have a referral to a specialist so just waiting to see when I can get an nhs appointment! May go private to get seen sooner. I have all my blood results printed and I’ve just noticed one that shows raised serum alkaline phosphatase levels?

I may have Hashimos (positive antibody test) and it may be caused by Pituitary problem as both TSH and T4 are low.

Does anyone have similar experience or know if liver problems are related to hypothyroidism? Is it liver disease?

Thanks again all

K x

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Bride2be profile image
Bride2be
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I recently saw a professor in London who does a procedure called a fibroscan of your liver and it gives you a great insight into your liver health I was worried about my liver and scared of needing to have a liver biopsie done so I went to see him and both myself and my husband had this scan done with great results no fatty liver etc and he’s so lovely ,fully discusses findings and procedure as hes doing too.think we were £350 each.I can send you his details by pm if you’d like.

CarpeDiem03 profile image
CarpeDiem03 in reply to

Hi could I please have details person you saw re. Fibroscan. I have cll and concerned as my alkaline phosphatase has been Steadily rising

Thank you

Caroline888 profile image
Caroline888

Hi Bride2be

When I was first diagnosed with hypothyroidism and my gp arranged a whole raft of blood tests for autoimmune diseases, I was also found to have slightly elevated liver enzymes. My gp didn’t think I should be too concerned but referred me for a fibroscan at the local hospital. I was worried though. The result was “healthy liver”. As I understand it a slightly raised level is not something to worry about. Anything serious results in very elevated levels. Also even very elevated levels could be due, for example, to a recent intake of alcohol and usually falls dramatically after a period of abstinence. All I’m trying to convey is that raised liver enzymes may be a transient occurrence.

I have also read on this site that elevated levels can also be a symptom of hypothyroidism and that they should fall when optimally treated.

If you’re concerned, I would discuss with your gp. They probably have the fibroscan facility at your local hospital. It’s a totally painless procedure.

All the best

Caroline

SlowDragon profile image
SlowDragonAdministrator

Yes liver can be affected

bmj.com/content/342/bmj.c7199

See you have hashimoto’s and PCOS

Hashimoto’s is much more common with PCOS

thepcosnutritionist.com/res...

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 as you have autoimmune thyroid disease (Hashimoto's) diagnosed by raised Thyroid antibodies

Ask GP to test vitamin levels NOW

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

If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3 £29 (via NHS private service )

monitormyhealth.org.uk/thyr...

Come back with new post once you get full thyroid and vitamin results

TTC and hashimoto’s

verywellhealth.com/infertil...

Pregnancy guidelines

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

gp-update.co.uk/files/docs/...

thyroiduk.org.uk/tuk/guidel...

As soon as pregnancy confirmed.....See pages 7&8

btf-thyroid.org/Handlers/Do...

SlowDragon profile image
SlowDragonAdministrator

Also metaformin linked to low B12

endocrineweb.com/news/diabe...

Do you get tested regularly

Optimal B12 essential for good thyroid function

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