I have now received my full thyroid profile, I would really appreciate your advice before I consult the doctor so I’m fully armed with some knowledge!
I believe I had mild symptoms of Covid back in March, I made a brief recovery for a couple of weeks but then since April I’ve felt fatigued, sore muscles, breathless, tingly fingers/face, etc. Vit D, folate, ferritin are low. I’ve been on a healthy eating plan, taken supplements and felt better the past couple of weeks - started cycling again - hoping this improvement’s not just a blip ! If you can offer any advice I would be really grateful. Thank you
FT3. 4.4 pmol/L. (0-10)
TSH. 8.64 MIU/L. (0-10)
TgAB. 410.4 kU/L. (0-300)
TPOAb. 341.4 KIU/L (0-200)
T4. 92 nmol/L (0-300)
FT4 14.8 pmol/L. (0-30)
Written by
Twig2020
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Sorry, but those reference ranges are all wrong. Thriva have a very confusing way of showing results on the graphic. I take it this is a Thriva test?
Have a look at the graphic on the dashboard and the reference range is just the green part of the bar, include the whole of the light and dark green parts, you will see that FT4 is 12-22, for example.
Or have a look at the results sheet that you can print off, it will have a column headed "Normal Range", like this:
I haven't included Total T4 because it's not a particularly useful test, the Free T4 is the more important T4 test.
TSH 8.64 0.270 - 4.2 mIU/L
Over range. You would be diagnosed when TSH hits 3 in some countries.
Free T3 4.4 3.1 - 6.8 pmol/L
35.14% through it's range.
Free Thyroxine (FT4) 14.8 12 - 22 pmol/L
28% through it's range.
Thyroglobulin Antibodies H 410.4 0 - 115 kU/L
Thyroid Peroxidase Antibodies H 341.4 0 - 34 kIU/L
Both thyroid antibodies are raised confirming autoimmune thyroid disease (known to patients as Hashimoto's).
A normal healthy person would have TSH no higher than 2, often around 1, with FT4 mid-range-ish. So you can see your TSH is way over range and your FT4 is rather low in range.
An over range TSH coupled with raised antibodies should get you a diagnosis of autoimmune thyroid disease by an enlightened doctor and you would be prescribed Levo.
Please take these results to your GP and point out the following:
Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine (the magazine for doctors):
"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l. In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l. Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l. This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l).*"
*He recently confirmed, during a public meeting, that this applies to Free T3 as well as Total T3.
You can obtain a copy of the article by emailing Dionne at
tukadmin@thyroiduk.org
print it and highlight question 6 to show your doctor.
If your GP wont accept these results, invite him to repeat them himself including the thyroid antibodies.
**
You should be started on 50mcg Levothyroxine (unless elderly or have a heart condition then it would be 25mcg).
Take your Levo on an empty stomach, one hour before or two hours after food, with a glass of water and water only for one hour either side.
Take Vit D, magnesium and iron tablets 4 hours away from your Levo. Any other supplements take 2 hours away from your Levo.
**
You will need retesting in 6 weeks, an increase of 25mcg Levo. Repeat testing/increasing every 6-8 weeks until your levels are where they need to be for you to feel well.
Don't forget to have your tests no later than 9am, nothing to eat or drink except water before the test, last dose of Levo 24 hours before the test.
If you are taking a B Complex then leave this off for 7 days before the test.
**
Some information about Hashi's:
Hashimoto's is where the thyroid is attacked and gradually destroyed.
Fluctuations in symptoms and test results are common with Hashi's.
Most doctors dismiss antibodies as being of no importance and know little or nothing about Hashi's and how it affects the patient, test results and symptoms. You need to read, learn, understand and help yourself where Hashi's is concerned.
Some members have found that adopting a strict gluten free diet can help, although there is no guarantee.
Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks.
You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.
Supplementing with selenium l-selenomethionine 200mcg daily is said to help reduce the antibodies, as can keeping TSH suppressed.
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Hashi's can cause gut/absorption problems and lead to low nutrient levels or deficiencies; however, I see from your previous post that you are already addressing these. It may be a good idea to retest your nutrients in 3-4 months to see how they are improving and whether you need to adjust the dose of anything.
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As you are taking Vit D supplement, the Vit D Council recommends a level of 125nmol/L and the Vit D Society recommends a level of 100-150nmol/L.
Once you have reached the recommended level then you'll need a maintenance dose to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. You can do this with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:
Doctors don't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3 as recommended by the Vit D Council.
D3 aids absorption of calcium from food and Vit K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking D3 as tablets/capsules/softgels, no necessity if using an oral spray.
Magnesium helps D3 to work. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.
Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds if taking magnesium as tablets/capsules, no necessity if using topical forms of magnesium.
Seaside Susie, this is so helpful, I really appreciate your help. I will make an appointment with the doctor and will print off the details you have so kindly added. I have been gluten and lactose free for about 6 weeks, I’m hoping this will help 🙏
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Medichecks results, could someone please take a look? Thanks
Can you comment on Full Thyroid Function test, please?
test results - could you have a look please?
Thyroid results. Could some one have a look please 
Finally have thyroid Test Results
