Blood test results TSH 16 Ferritin 14

[Lissaok]

Good evening,

Clearly my TSH & Ferritin is terrible. I had a TT in Nov was on 125 mg but I started on a dose of 150 mg today. I have been given some Ferrous Sulfate tablets to take too. I have kindly been advised that my Ferritin needs to increase to allow my body to abosord my Levo.

Please could somebody have a look at my blood tests and advise if there is anything else I need to be doing to optimize my health & to check the results as I am sadly losing faith in my local gp.

Thank you,

Lissa

Bone profile (44Z2.)

Specimen: BloodCollected: 27 May 2020 10:30

Provider Specimen Comments: On thyroxine

InvestigationNormalityResult

Bone profile (44Z2.)

Serum alkaline phosphatase level (XE2px)72 IU/L [30.0 - 100.0]

Serum albumin level (XE2eA)46 g/L [35.0 - 48.0]

Serum calcium level (XE2q3)2.38 mmol/L [2.2 - 2.6]

Serum adjusted calcium concentration (Xabpk)2.36 mmol/L [2.2 - 2.6]

Calcium corrected for Albumin

Liver function tests (X77WP)

Specimen: BloodCollected: 27 May 2020 10:30

Provider Specimen Comments: On thyroxine

InvestigationNormalityResult

Liver function tests (X77WP)Bilirubin not analysed as icteric index normal

Serum alanine aminotransferase level (XaLJx)26 IU/L [0.0 - 35.0]

Serum total bilirubin level (XaERu)NA

Renal profile (44J5.)

Specimen: BloodCollected: 27 May 2020 10:30

Provider Specimen Comments: On thyroxine

InvestigationNormalityResult

Renal profile (44J5.)Either Serum Creatinine has not significantly risen or there is

no previous result to compare from the last year.

Multiply GFR by 1.21 if Afro-Caribbean race.

Serum sodium level (XE2q0)137 mmol/L [132.0 - 146.0]

Serum potassium level (XE2pz)4.1 mmol/L [3.5 - 5.0]

Serum urea level (XM0lt)4.1 mmol/L [2.5 - 6.7]

Serum creatinine level (XE2q5)72 umol/L [45.0 - 84.0]

GFR calculated abbreviated MDRD (XaK8y)79 ml/min/1.73m*2

Acute kidney injury warning stage (XabmE)0 [< 1.0]

Full blood count (424..)

Specimen: BloodCollected: 27 May 2020 10:28

InvestigationNormalityResult

Full blood count (424..)

Total white blood count (XaIdY)4.8 10*9/L [4.0 - 10.0]

Red blood cell count (426..)4.29 10*12/L [3.8 - 4.8]

Haemoglobin concentration (Xa96v)125 g/L [120.0 - 150.0]

Haematocrit (X76tb)0.39 [0.36 - 0.46]

Mean cell volume (42A..)91 fL [83.0 - 101.0]

Mean cell haemoglobin level (XE2pb)29.2 pg [27.0 - 32.0]

Mean cell haemoglobin concentration (429..)321 g/L [315.0 - 345.0]

Platelet count - observation (42P..)247 10*9/L [150.0 - 410.0]

Neutrophil count (42J..)2.1 10*9/L [2.0 - 7.0]

Lymphocyte count (42M..)2.1 10*9/L [1.0 - 3.0]

Monocyte count - observation (42N..)0.3 10*9/L [0.2 - 1.0]

Eosinophil count - observation (42K..)0.1 10*9/L [0.0 - 0.5]

Basophil count (42L..)0.0 10*9/L [0.0 - 0.1]

Bone profile (44Z2.)

InvestigationNormalityResult

Bone profile (44Z2.)

Serum alkaline phosphatase level (XE2px)72 IU/L [30.0 - 100.0]

Serum albumin level (XE2eA)46 g/L [35.0 - 48.0]

Serum calcium level (XE2q3)2.38 mmol/L [2.2 - 2.6]

Serum adjusted calcium concentration (Xabpk)2.36 mmol/L [2.2 - 2.6]

Calcium corrected for Albumin

Liver function tests (X77WP)

Specimen: BloodCollected: 27 May 2020 10:30

Provider Specimen Comments: On thyroxine

InvestigationNormalityResult

Liver function tests (X77WP)Bilirubin not analysed as icteric index normal

Serum alanine aminotransferase level (XaLJx)26 IU/L [0.0 - 35.0]

Serum total bilirubin level (XaERu)NA

Renal profile (44J5.)

Specimen: BloodCollected: 27 May 2020 10:30

Provider Specimen Comments: On thyroxine

InvestigationNormalityResult

Renal profile (44J5.)Either Serum Creatinine has not significantly risen or there is

no previous result to compare from the last year.

Multiply GFR by 1.21 if Afro-Caribbean race.

Serum sodium level (XE2q0)137 mmol/L [132.0 - 146.0]

Serum potassium level (XE2pz)4.1 mmol/L [3.5 - 5.0]

Serum urea level (XM0lt)4.1 mmol/L [2.5 - 6.7]

Serum creatinine level (XE2q5)72 umol/L [45.0 - 84.0]

GFR calculated abbreviated MDRD (XaK8y)79 ml/min/1.73m*2

Acute kidney injury warning stage (XabmE)0 [< 1.0]

27 May 2020 16:23Plasma glucose levelReport ID: 5393089/18

Request Receipt: Request Comments:

Issued: 27 May 2020 16:23Provider Comments:

Arrived: 27 May 2020 17:14Service Type: NewFinancial Details:

Follow-up action: No Further Action

Clinical Information: on t4 wt gain

Plasma glucose level (XM0ly)

Specimen: BloodCollected: 27 May 2020 10:29

InvestigationNormalityResult

Plasma glucose level (XM0ly)4.4 mmol/L [4.0 - 7.7]

Lower limit applies only to diabetics on insulin.

Bone profile (44Z2.)

Specimen: BloodCollected: 27 May 2020 10:30

Provider Specimen Comments: On thyroxine

InvestigationNormalityResult

Bone profile (44Z2.)

Serum alkaline phosphatase level (XE2px)72 IU/L [30.0 - 100.0]

Serum albumin level (XE2eA)46 g/L [35.0 - 48.0]

Serum calcium level (XE2q3)2.38 mmol/L [2.2 - 2.6]

Serum adjusted calcium concentration (Xabpk)2.36 mmol/L [2.2 - 2.6]

Calcium corrected for Albumin

Liver function tests (X77WP)

Specimen: BloodCollected: 27 May 2020 10:30

Provider Specimen Comments: On thyroxine

InvestigationNormalityResult

Liver function tests (X77WP)Bilirubin not analysed as icteric index normal

Serum alanine aminotransferase level (XaLJx)26 IU/L [0.0 - 35.0]

Serum total bilirubin level (XaERu)NA

Renal profile (44J5.)

Specimen: BloodCollected: 27 May 2020 10:30

Provider Specimen Comments: On thyroxine

InvestigationNormalityResult

Renal profile (44J5.)Either Serum Creatinine has not significantly risen or there is

no previous result to compare from the last year.

Multiply GFR by 1.21 if Afro-Caribbean race.

Serum sodium level (XE2q0)137 mmol/L [132.0 - 146.0]

Serum potassium level (XE2pz)4.1 mmol/L [3.5 - 5.0]

Serum urea level (XM0lt)4.1 mmol/L [2.5 - 6.7]

Serum creatinine level (XE2q5)72 umol/L [45.0 - 84.0]

GFR calculated abbreviated MDRD (XaK8y)79 ml/min/1.73m*2

Acute kidney injury warning stage (XabmE)0 [< 1.0]

Serum vitamin B12 level (XE2pf)

Specimen: BloodCollected: 27 May 2020 10:28

Provider Specimen Comments: Override of request intervention

InvestigationNormalityResult

Serum vitamin B12 level (XE2pf)309 ng/L [211.0 - 900.0]

If high clinical suspicion of PA or neuropathy,

with a normal B12 level, further investigate

with autoantibody testing.

Serum folate level (42U5.)

Specimen: BloodCollected: 27 May 2020 10:28

Provider Specimen Comments: Override of request intervention

InvestigationNormalityResult

Serum folate level (42U5.)6.9 ug/L [4.0 - 20.0]

If high clinical suspicion of PA or neuropathy,

with a normal B12 level, further investigate

with autoantibody testing.

Serum ferritin level (XE24r)

Specimen: BloodCollected: 27 May 2020 10:28

Provider Specimen Comments: Override of request intervention

InvestigationNormalityResult

Serum ferritin level (XE24r)Below range14 ug/L [15.0 - 400.0]

Below low reference limit

If high clinical suspicion of PA or neuropathy,

with a normal B12 level, further investigate

with autoantibody testing.

27 May 2020 16:58Serum vitamin B12 level; Serum folate level; Serum ferritin levelReport ID: 5393162/7

Request Receipt: Request Comments:

Issued: 27 May 2020 16:58Provider Comments:

Arrived: 27 May 2020 18:11Service Type: NewFinancial Details:

Follow-up action: No Further Action

Clinical Information: on t4 wt gain

Serum vitamin B12 level (XE2pf)

Specimen: BloodCollected: 27 May 2020 10:28

Provider Specimen Comments: Override of request intervention

InvestigationNormalityResult

Serum vitamin B12 level (XE2pf)309 ng/L [211.0 - 900.0]

If high clinical suspicion of PA or neuropathy,

with a normal B12 level, further investigate

with autoantibody testing.

Serum folate level (42U5.)

Specimen: BloodCollected: 27 May 2020 10:28

Provider Specimen Comments: Override of request intervention

InvestigationNormalityResult

Serum folate level (42U5.)6.9 ug/L [4.0 - 20.0]

If high clinical suspicion of PA or neuropathy,

with a normal B12 level, further investigate

with autoantibody testing.

Serum ferritin level (XE24r)

Specimen: BloodCollected: 27 May 2020 10:28

Provider Specimen Comments: Override of request intervention

InvestigationNormalityResult

Serum ferritin level (XE24r)Below range14 ug/L [15.0 - 400.0]

Below low reference limit

If high clinical suspicion of PA or neuropathy,

with a normal B12 level, further investigate

with autoantibody testing.

Serum TSH level (XaELV)

Specimen: BloodCollected: 27 May 2020 10:30

Provider Specimen Comments: On thyroxine

InvestigationNormalityResult

Serum TSH level (XaELV)Above range16 mu/L [0.3 - 5.5]

Above high reference limit

Raised TSH ? under replaced

27 May 2020 16:58Serum vitamin B12 level; Serum folate level; Serum ferritin levelReport ID: 5393162/7

Request Receipt: Request Comments:

Issued: 27 May 2020 16:58Provider Comments:

Arrived: 27 May 2020 18:11Service Type: NewFinancial Details:

Follow-up action: No Further Action

Clinical Information: on t4 wt gain

Serum vitamin B12 level (XE2pf)

Specimen: BloodCollected: 27 May 2020 10:28

Provider Specimen Comments: Override of request intervention

InvestigationNormalityResult

Serum vitamin B12 level (XE2pf)309 ng/L [211.0 - 900.0]

If high clinical suspicion of PA or neuropathy,

with a normal B12 level, further investigate

with autoantibody testing.

Serum folate level (42U5.)

Specimen: BloodCollected: 27 May 2020 10:28

Provider Specimen Comments: Override of request intervention

InvestigationNormalityResult

Serum folate level (42U5.)6.9 ug/L [4.0 - 20.0]

If high clinical suspicion of PA or neuropathy,

with a normal B12 level, further investigate

with autoantibody testing.

Serum ferritin level (XE24r)

Specimen: BloodCollected: 27 May 2020 10:28

Provider Specimen Comments: Override of request intervention

InvestigationNormalityResult

Serum ferritin level (XE24r)Below range14 ug/L [15.0 - 400.0]

Below low reference limit

If high clinical suspicion of PA or neuropathy,

with a normal B12 level, further investigate

with autoantibody testing.

[Hidden]

I never realised there was so many things to check. I don't recognise what language most of them are written in.

For many people who have suffered the misfortune of losing their thyroid gland, it matters not one jot what any of the blood results are, you may simply be on the wrong medicine.

After my TT for a multinodular goitre in 2005, I was put onto Levothyroxine. After a short while I started to notice getting fatigue after any exertions. After 8 years of believing everything the doctors told me, my symptoms having got to the stage I spent most days in bed scarcely able to move, I gave up on them all and got some NDT. Health increased rapidly but left me with huge weight increase, a kidney lost to cancer and carpal tunnel syndrome.

Nothing to fear if you buy some and try it for a month or two. You're likely to come to the same conclusion as me - stuff the levothyroxine down the loo and buy lots more NDT.

[Angel_of_the_North]

B12, folate and ferritin (as you said) dreadful. But get tested for PA and a full iron panel before supplementing (no obvious signs of PA in bloods but best to be sure). Are there no thyroid hormone results? In any case, you can tell just by TSH that you are severely undermedicated. It would be easier to read if you hadn't entered the same test results more than once. Most of those tests not relevant to thyroid - just a basic full blood count

[Lissaok in reply to Angel_of_the_North]

Sorry, the report from the GP was in a horrible format. What is PA please?

[Angel_of_the_North in reply to Lissaok]

Pernicious Anaemia

[Lissaok in reply to Angel_of_the_North]

Never heard of that, I will research thanks

[thyr01d]

I am sorry but like Panda I can't offer any advice and hope someone else can. Please, though, may I follow you because my ferritin has been at almost exactly the same level as yours for years. I took prescribed iron for about 2 years but the ferritin level barely improved. If anyone offers you advice, other than eating liver etc, I'd be very interested.