Thyroid help: Here are a list if thyroid results... - Thyroid UK

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Thyroid help

Chevy49 profile image
18 Replies

Here are a list if thyroid results.

I always feel better with a high T4.

Would you keep medicating or go longer without?

When my results are very low I have been off medication but the last results I was taking nothing and TSH was the low end of normal.

May 18

T3 9.2

T4 18.9

TSH under 0.01

June 18

T3 no reading

T4 30.9

TSH 0.01

July 18

T3 no reading

T4 26.4

TSH 0.01

Sept 18

T3 no reading

T4 6.2

TSH 0.61

Oct 18

T3 4.2

T4 13.4

TSH 0.03

Jan 19

T3 3.2

T4 10.9

TSH 0.01

March 19

T3 8

T4 30

TSH 0.01

April 19

T3 2.3

T4 12.2

TSH 0.01

May 19

T3 6.9

T4 17.8

TSH 0.01

Feb 20

T3 no reading

T4 4.4

TSH 0.38

Thanks in advance!

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Chevy49
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18 Replies
Lalatoot profile image
Lalatoot

Why are you on and off medication? Have you been diagnosed with hashimotos.?

Need a bit more info to help interpret the results.

Chevy49 profile image
Chevy49 in reply toLalatoot

No I was diagnosed hypothyroid.

First by a private dr and finally my GP agreed but prescribed nothing.

I take thyroid S that I get myself.

The NHS endocrinologist refused to see me.

greygoose profile image
greygoose in reply toChevy49

Hashi's is the cause of hypothyroidism. It's diagnosed by testing TPO antibodies. Have you had TPO antibodies tested? There are other causes, of course, but if you have Hashi's your results are likely to jump around, like yours have. I suspect you do have Hashi's. :)

Chevy49 profile image
Chevy49 in reply togreygoose

Never had that. Does it still show if medicating or should I stop my meds for a bit?

greygoose profile image
greygoose in reply toChevy49

No, if the antibodies are there, they will show in the blood test whether you're taking levo or not. However, they do fluctuate, so one negative test is not conclusive. In other words, you can prove you have it, but you can't prove you don't. :)

Lalatoot profile image
Lalatoot in reply toChevy49

You need to get your antibodies - tpo antibodies - checked. This will confirm if you have autoimmune thyroid disease also known as hashimotos. It is important to find out as this will direct treatment and help to explain results.

With hashimotos the thyroid is attacked and slowly finished off. When it is under attack the thyroid puts out more hormones. This could explain the erratic nature of your results.

Chevy49 profile image
Chevy49 in reply toLalatoot

Will he still show in testing if you are taking your medication or should I stop for a few weeks?

Lalatoot profile image
Lalatoot in reply toChevy49

No it will show. Antibodies won't be affected by your medication.

SeasideSusie profile image
SeasideSusieRemembering

Chevy49

You need to add the reference ranges beside the result so that we can interpret them. They are usually by the side of the result on a print out, possibly in brackets, eg

TSH: 2.5 (0.2-4.2)

Also, please add what dose of Levo you were taking at the time of each test, put it by the date, eg

May 18 - taking 100mcg Levo

Chevy49 profile image
Chevy49 in reply toSeasideSusie

So normal T4 is 12.0 to 22.0

Normal TSH is 0.27 to 4.20

May 2018 I was taking approximately 180mg of thyroid S per say.

I felt best on 300mg if thyroid s but that was when my T4 was around 30.

Unfortunately I never kept a proper record of what I was taking. I just went by how I felt.

SeasideSusie profile image
SeasideSusieRemembering in reply toChevy49

So normal T4 is 12.0 to 22.0

Normal TSH is 0.27 to 4.20

For every one of those tests?

What about FT3 range?

Chevy49 profile image
Chevy49 in reply toSeasideSusie

I have nothing which gives me the 'normal' reading if T3 and most times they don't even have a report of the reading.

SeasideSusie profile image
SeasideSusieRemembering in reply toChevy49

You've got some FT3 results there, surely a range came with them?

Chevy49 profile image
Chevy49 in reply toSeasideSusie

I will try and get one tomorrow.

They normally give me results over the phone.

I only got one paper copy with the ranges for T4 and TSH.

SeasideSusie profile image
SeasideSusieRemembering in reply toChevy49

Important to have an accurate FT3 result, with range. When on NDT it's usual for TSH to be low, even suppressed, with a lowish FT4 (the T3 does this)

I felt best on 300mg if thyroid s but that was when my T4 was around 30.

Possibly this result:

March 19

T3 8

T4 30

If FT4 range was 12-22 then you were very over range which is most unusual when on NDT. It's FT3 that tells us if we're over medicated, your FT4 is telling us that so it would be interesting to see your FT3 result with the range.

Also, it's essential to know the time of the last dose of NDT before you did your test. Last dose of NDT should be 8-12 hours before test, last dose of Levo should be 24 hours before test.

SlowDragon profile image
SlowDragonAdministrator

These results look like swings in levels due to autoimmune thyroid disease also called Hashimoto’s

On your profile you have multiple sclerosis listed.

Hashimoto’s and multiple sclerosis are both autoimmune and often linked

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 .

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

Are you currently taking any vitamins?

Low vitamin D is linked to both Hashimoto’s and MS

Chevy49 profile image
Chevy49 in reply toSlowDragon

I have always had my thyroid tests done in the morning fasting with just water.

unfortunately my GP did ay that the one time I had my vitamin d checked it was low but they will not test again.

The times that my tests were low was when I was taking a low level of thyroid s or none at all.

Except for or my most recent test in February 2020 where my TSH was 0.38 and should be 0.27 to 4.20

SlowDragon profile image
SlowDragonAdministrator in reply toChevy49

How low was vitamin D?

GP will only prescribe to bring levels to 50nmol.

ouh.nhs.uk/osteoporosis/use...

But improving to around 80nmol or 100nmol may be better

ncbi.nlm.nih.gov/pubmed/218...

vitamindsociety.org/pdf/Vit...

Once you Improve level, you may need on going maintenance dose to keep it there.

Test twice yearly via vitamindtest.org.uk

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function. There’s a version made that also contains vitamin K2 Mk7

It’s trial and error what dose we need, with hashimoto’s we frequently need higher dose than average

Government recommends everyone supplement October to April

gov.uk/government/news/phe-...

Also read up on importance of magnesium and vitamin K2 Mk7 supplements when taking vitamins

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Have you had folate, B12 and ferritin tested?

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