How do these bloods look? Early pregnancy and hashimotos

[sarahjels]

Hiya, here's a little overview of my bloods and journey so far!

15th July 2019:

TSH 0.02

T4 32

T3 7.9

Vitamins all ok, D a bit low.

Repeated bloods November 2019:

TSH 3.76

T4 11.1

T3 6.6

And again December 2019:

TSH 3.76

T4 11.1

T3 6.6

TPO +

TRAB -

Hashimotos, told I couldn't have levothyroxine but when I said our fertility clinic needs TSH below 2.5 he started me on 25mg levo.

Bloods May 2020 on 25mg Levo and just found out we're pregnant:

TSH 0.02

T4 36

Bloods June 2020 (off levo after last bloods) Now 8 weeks pregnant (total miracle). Now supplementing vit D and taking pregnancy multi vitamins as well as oils and extra strength probiotic. Midwifes tests showed Iron: 14.

TSH 0.61

T4 9.7

4.7

Are the latest results better? I've been advised to stay off levo still. Consultant said these are 'completely normal' results but I don't know. I've had 2 miscarriages and almost 5 years of infertility so I'm a little nervous. Another blood test in 6 weeks.

Must add, you guys have been a wealth of information. Thank you so much.

[greygoose]

Sorry, but we need the ranges to go with those results. Ranges vary from lab to lab, and results without ranges are meaningless.

[sarahjels in reply to greygoose]

Oh blimey, I've no idea the consultant just told me over the phone, whoops. Its MK Hospital if anyone has any experience there?

[greygoose in reply to sarahjels]

That is just typical of consultants! And, I can never work out if they just don't realise that ranges vary, or if they think that by not giving you the range you won't be able to quibble about the results - in other words, are they ignorant or sneaky? I just don't know. But, the law in the UK says that you are entitled to your full blood test results, and that includes the ranges.

[sarahjels in reply to greygoose]

I've got them!

[SlowDragon Administrator]

Ring them back and request results including the ranges on TSH and Ft4

Your Ft4 looks low ...but how low will depend on the ranges

TSH lags several weeks behind and hormone change

Strongly recommend getting FULL Thyroid and vitamin testing privately if you can’t get full results

[sarahjels in reply to SlowDragon]

I've got them! Range for T4 was 7-16.

[shaws]

The following link is from the 'parent' of this forum i.e. Thyroiduk.org.uk who oversee the forum. They are in the background doing stellar work in order to try to change the attitudes of the 'experts' of whom the majority don't agree with the result that many have been prevented in rcovering.

thyroiduk.org/having-a-baby-2/

Hypo women at times do have miscarriages if hypothyroid, so it is very important that your doctor ensures you have an optimum of thyroid hormones. I shall also give you another link to a USA website, the owner of whom had miscarriages due to being hypo but did have success.

hypothyroidmom.com/

[sarahjels]

Right, I've got everything.

Unfortunately I had a scan on friday and I've had a missed miscarriage - Only just got out of hospital yesterday. So, not pregnant anymore!

TPO Antibody – Positive iu/mL

TSH Receptor antibodies – <0.3 IU/L – (Reference Range 0 – 0.9)

Free T4 - 9.7 pmol/L - (Reference range 7 – 16)

Free T3 – 4.7 pmol/L – (Reference range 3.8 – 6)

TSH – 0.613 miu/L – (Reference range 0.38 – 5.33)

[greygoose in reply to sarahjels]

You really ought to start a new thread with these results, otherwise not many people will see them.

[SlowDragon Administrator in reply to sarahjels]

Very sorry to hear

Ft4 is too low at only 30% through range

Ft3 slightly better at 41% through range

Helpful calculator for working out percentage through range

chorobytarczycy.eu/kalkulator

The aim of Levothyroxine is to increase the dose slowly in 25mcg steps upwards until TSH is under 2 (many patients need TSH significantly under one) and most important is that FT4 is in top third of range and FT3 at least half way through range

NHS guidelines on Levothyroxine including that most patients eventually need somewhere between 100mcg and 200mcg Levothyroxine.

nhs.uk/medicines/levothyrox...

Pregnancy guidelines

thyroiduk.org/having-a-baby-2/

gp-update.co.uk/files/docs/...

Important See pages 7&8

btf-thyroid.org/Handlers/Do...