Nurse has requested to see me after my blood test results

[Harthill42]

Dear friends of Thyroid Uk

Can I please ask for help with the results I have posted

I wish to be prepared for the need to discuss that I don’t need statins, I don’t eat processed foods & follow a healthy diet. I do like to drink red wine.

Am I right in saying my T4 is too high

& my Serum ferritin needs challenging as states just out of normal range - I ok?!!

Many thanks

[Lalatoot]

Your ft 4 is not too high as it is well within range. I think that in range ft4 and low tsh is a sign of possible central hypothyroidism. If you search for that on here you may learn more and it may confirm what I think I read.

[greygoose]

No, your FT4 is too low. You are under-medicated despite your low TSH - which is probably why the nurse wants to talk to you.

And your high cholesterol indicates that your FT3 is too low. You don't need statins, you need a decent dose of levo to raise your FT3, and thereby lower your cholesterol.

Cholesterol has nothing to do with diet. It's made in the liver. But, when T3 is low, the body cannot process cholesterol properly, and it mounts up in the blood. Hypos should not take statins, and neither should women. So, don't let her bully you into it!

[Harthill42 in reply to greygoose]

Everything I thought but eloquently put. 🙏

[SlowDragon Administrator]

Likely to have very low vitamin D, folate, B12 and/or ferritin

What is your ferritin result and range?

Never ever agree to dose reduction based on low TSH

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

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)

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...

nhs.uk/conditions/statins/c...

If you have an underactive thyroid (hypothyroidism), treatment may be delayed until this problem is treated. This is because having an underactive thyroid can lead to an increased cholesterol level, and treating hypothyroidism may cause your cholesterol level to decrease, without the need for statins. Statins are also more likely to cause muscle damage in people with an underactive thyroid.

Ft4 14 (10-22)

Ft4 is only 33% through range

This shows you are under medicated and need dose increase in levothyroxine

How much levothyroxine are you currently taking?

[Harthill42]

Thank you. Sorry for the slow response.

Mad busy day in work, going downhill as I speak do something isn’t right with me.

My TP0 is elevated 263 kiul <34

B12 -212 (200-770)

Vitamin D3 111 nmol =76 normal

Vitamin D2 111 nmol

Ferritin out of range but normal. No ranges given.

I do have Hashimotos

Folate 5-9 (3.9 -26.8)

As with other results I posted.

Thanks once again.

I anticipation of a response 🙏

[Gambit62]

your high cholesterol could be the result of low B12 (though the nurse is unlikely to be aware that is a possibility - but B12 plays a part in processing of lipids and fats - and if that process goes wrong then you get high cholesterol)

Serum B12 is only accurate to within 20% so as your result is very low in range the margin of error overlaps significantly with the 'deficient' range.

Do you know if you have ever had serum B12 measured before? If it was more than 20% higher that would point to a B12 absorption problem such as pernicious anaemia.

There is a high cross-over between hashimotos and PA as both are auto-immune disorders - 40% of patients with PA go on to develop hashimotos and between 10-40% of hashimotos patients go on to develop PA

ncbi.nlm.nih.gov/pmc/articl...

[Harthill42]

Thank you I shall look into this,what you are saying makes sense.