Hello all, I posted here about 8 months ago and received lots of helpful advice, I’ve since had lots of reading and lots to try and understand.
My TSH has been suppressed at <0.01 for over a year now but I don’t have typically sky high T3 and T4. GP referred me to the hospital where I was told in 2019 that my results are not typical which makes me harder to know how to treat.
Bloods for visit in 2019
Tsh <0.01 (0.35 - 3.5)
Free T4 11 (8 - 21)
Free T3 6.1 (3.8 - 6)
I was told that antibodies and everything else was normal but I haven’t seen them despite asking.
On examination I was found to have a small goiter, they decided to do a watch and wait and said they would see me again in a few months and start me on a low dose of carbimazole to see if it reduces symptoms, I also left with a referral for sleep apnea (due to high bp) but everything’s been tested and I don’t have any issues here.
My main symptoms are itching skin, but only arms,shoulders, back of scalp and one spot on my back, constantly tired and really struggle to concentrate, I forget words which is so frustrating and have a general ‘cant be bothered’ attitude which isn’t me, weight isn’t budging despite restricting calories, I am always constipated, even using different types of laxatives doesn’t help. My blood pressure is high, it’s better than it used to be but I am now taking 4 different bp meds, systolic has finally dropped but diastolic is still over 100. GP is monitoring this and has just upped dosage again but says that she will arrange a hospital referral if it does not drop in the next fortnight.
I have hand tremors and jerky hands when doing anything precise, early in the day I am freezing cold, to the point where I shake, even my voice, but towards the end of the day I get uncomfortably hot, my head and back sweats, I sleep with a fan on and windows wide open. I suffer with ‘palpitations’ one minute my heart is racing, then it goes really slow and feels like it thumps, the thumps make me dizzy. Basically I feel a bit rubbish.
I’ve just had a medichecks test done prior to my hospital visit at the end of this month, blood drawn at 8am and fasting. NHS are only testing tsh, T3 and T4 hence me getting these tests.
I need to supplement Vitamin D and folate but is there anything that I should be questioning or aware of before seeing the Hospital on the basis of these recent results? Should I be asking questions about central hypothyroidism? I’m not an assertive person and don’t want to ask questions that may be sneered at, if that makes sense.
TSH <0.01
FT4 16.2 (12 - 22)
FT3 6.8 (3.1 - 6.8)
VIT D 38.2 (50 - 175)
VIT B12 49.9 (>37.5)
FOLATE 3.42 (>3.89)
FERRITIN 179 (13 - 150) I don’t supplement but could be caused by being overweight.
CRP HS 0.41 (<5)
THYROGLOBULIN ANTIBODIES 11.9 (<115)
THYROID PEROXIDASE ANTIBODIES 26.6 (<34)
I’ve just realised that this has turned into a bit of an essay despite trying to keep it brief!
Thank you for reading
Results for endo appointment 
Endo advises to Reduce T4 for TSH
New medichecks results. Endo appointment coming up. Advice appreciated. 
Endo appointment help - bloods taken
