Just did a Thyroid panel. Want to know if there are any discrepancies.

[PrateekKurup95]

Free T3 3.92 pg/ml (2.5 -4.8)

Free T4 0.90 ng/dl (0.61-1.12)

TSH 2.296 ulu/ml (0.34 - 5.50)

Is there any discrepancies in the values ?

My symptoms are weakness in legs, mild headaches and overall weakness.

[humanbean]

Your Free T4 is about 57% of the way through the range.

Your Free T3 is 62% of the way through the range.

These results are good for someone who is not diagnosed with a thyroid problem. You could get tested again in three months to see if your results are getting worse.

Since there is nothing obviously wrong with your thyroid results at the moment the problem could be low nutrient levels. For thyroid purposes it is generally suggested that people get vitamin B12, folate, vitamin D, ferritin and iron tested, and optimised where possible.

[PrateekKurup95 in reply to humanbean]

I've never been diagnosed with a thyroid problem. Never had any health issues till last year when I had tingling and weakness and a headache. Turned out I had low b12. Been supplementing since then. D is normal. Iron and ferritin are very low end of normal range. I'm just exploring the potential causes. So thyroid is most likely not the issue then?

[humanbean in reply to PrateekKurup95]

I'd be surprised if it was thyroid-related, at least at the moment. I'm not saying that it could never be thyroid. But with one set of reasonably good results it is impossible to say more.

If you get tested again in 3 months and the results haven't significantly changed then I'd suggest you probably only need to test every 6 - 12 months if you are convinced you have a thyroid-related problem, and probably only every 1 - 2 years if you decide thyroid is not responsible for your health problems.

When you had the low B12 test result were you tested for Pernicious Anaemia (PA)? I know very little about PA, but you can get more help from the PA Society forum here :

healthunlocked.com/pasoc

Someone with low B12 also needs to have healthy levels of folate in order to make use of the B12 in their body, so if you haven't had that tested you should get it done.

Iron and ferritin are very low end of normal range.

Low iron and ferritin will cause all sorts of problems. Fatigue, weakness and headaches wouldn't be unusual. Optimal values for iron and iron-related testing are given here :

rt3-adrenals.org/Iron_test_...

Ferritin is optimal around mid-range for many of us. Don't try and get any iron related results higher than optimal because iron is poisonous in overdose.

The word "normal" for any test result is meaningless. When a doctor says it they just mean that the result falls somewhere within the reference range (and sometimes they say "normal" when a test result is slightly over or under range). But normal is not the same as optimal and we should aim for optimal if at all possible.

[PrateekKurup95 in reply to humanbean]

My saturation is 21% and Iron is only 30% of range. Not in the 70% range.

So could it be an iron deficiency anaemia?

[humanbean in reply to PrateekKurup95]

It could be iron deficiency without anaemia. People don't have to be anaemic to feel awful with low iron so improving your levels will help to make you feel better.

On the subject of iron deficiency with anaemia the World Health Organisation has given suggested haemoglobin levels for diagnosis as shown in this link - see page 3 :

who.int/vmnis/indicators/ha...

You might also find the table on this link helpful :

who.int/vmnis/indicators/ha...

To improve iron with food see this website :

dailyiron.net/

[fuchsia-pink]

I would want a lower TSH and for my FT3 to be in the top quartile myself ... but these results are not disastrous. Are you on thyroid meds - if so, what/how much? Did you also have thyroid antibodies and key nutrients tested? - ferritin, folate, vit D and B12.

[PrateekKurup95 in reply to fuchsia-pink]

I'm on no thyroid meds. Never had a Thyroid issue before. My b12 was low a year ago and since then I've been experiencing symptoms. I've been supplementing them.

Folic acid is 9ish (3-27) range.

[humanbean in reply to PrateekKurup95]

I'd suggest trying to get your folate level into the upper half of the reference range i.e. somewhere around 15 - 27.

Folic acid is not the best thing to supplement with to improve folate levels. Read this :

chriskresser.com/folate-vs-...

and buy yourself some methylfolate supplements instead. They are easily found on supplement sites and Amazon.

[humanbean]

SeasideSusie has just posted this link which you may find of interest :

drhedberg.com/ferritin-hypo...

[SlowDragon Administrator]

You need thyroid antibodies tested for autoimmune thyroid disease (hashimoto’s)

What is actual vitamin D result?

[PrateekKurup95 in reply to SlowDragon]

I Haven't got thyroid antibodies tested yet. Vitamin D is 50. So it's in the optimum range.

[SlowDragon Administrator in reply to PrateekKurup95]

Is that 50nmol?

[SilverAvocado]

PrateekKurup95, this TSH is a tiny bit high, so it is worth keeping an eye on it, retesting in maybe 3 months.