Got called to get retested TSH,ft4 and,ft3 because my ft4 and ft3 dropped but TSH didn't rise.
19.03 2020 /07.05 2020
TSH <0.01 ->0.18
FT4 20.8 -> 10.1 (10.2-21)
FT3 8.7- > 4.7 (3.5-6.5)
At first I thought they mixed up patients as I don't have arthritis and haven't asked for rheumatologist but I assume it was closest to endo they could think of 😄
I expected antibodies tested too but no. Fortunately my functional doctor happened to call today and got me referral to TPOab and thyglab. He said if those are negative as well then ultrasound as cause must be find before we start treatment.
Written by
Justiina
To view profiles and participate in discussions please or .
Yes rapid and significant fluctuations in TSH, Ft4 and Ft3 strongly suggests Hashimoto’s
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
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)
If TPO or TG thyroid antibodies are high this is usually due to Hashimoto’s (commonly known in UK as autoimmune thyroid disease).
About 90% of all primary hypothyroidism in EU is due to Hashimoto’s. Low vitamin levels are particularly common with Hashimoto’s. Gluten intolerance is often a hidden issue to.
I know nothing compared to many on here, however I believe rheumatoid arthritis is an auto immune condition like thyroid conditions can be, so it doesn’t surprise me. Perhaps there were other signals? I also believe when you have one autoimmune condition there is a chance you’ll get others.
Have you been referred to rheumatology or was it that the doctor asked his advice?
There is no endo in my local hospital so rheumatologist apparently is someone closest to endo because they asked rheumatologist to review my thyroid. I have no symptoms of rheumatoid arthritis.
Yeah it's better than nothing when my GP is clueless as rheumatologist probably faces more autoimmune thyroid problems than GP and has some idea. Unfortunately the rheumatologist also dismissed antibody testing!
Fortunately my functional doctor got those sorted out, but he was upset that my GP went to rheumatologist and they still did not come up with better plan, but he figured that GP and rheumatologist only care about the TSH and that freaked them out. Will see.
If I didn't have thyroid cancer I would rather have my Rheumy deal with my thyroid levels...my Rheumy was the only doctor who said get her thyroid levels under control and her cholesterol will fix Its self when all the other medical savants said your thyroid levels are goood.... I wonder if my Endo was offended by my Rheumy, hope so!
Yeah , I am not saying the rheumatologist is useless but it's sad even the rheumatologist missed antibody tests. Fortunately my functional doctor got that sorted.
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.
Is GP over worrying about my TSH level?
My thyroid results are in 
My thyroid results(help) I have calculated the range percentage 
GP cautioned me about Thyroid UK credability
