Looking for test results advice ahead of apt

[MrsButler]

Hi, I'm visiting the Neck Lump Clinic soon so had a fresh Medichecks test done. I have attached all my recent results from them.

test dates - 07/20, 06/20, 02/20, 11/19

TSH (0.27-4.2) - 2.82, 2.88, 1.93, 2.16

FT4 (12-22) - 14 (20%), 12.6 (6%), 14.8 (28%), 15.6 (26%)

FT3 (3.1-6.8) - 4.25 (31%), 4.27 (31%), 4.18 (29%), 5.2 (56%)

TGA (<115) - 14.7, 11.8, 13.1, 14.5

TPO( <34) - Under 9, Under 9, Under 9, Under 9

Vit D (50-157) - 96.7, Not tested, 91.6, 59.7

B12 Act (>37.5)- 95.5, Not tested, 64.8, 38.4

Ferritin (13-150)- 23.4, Not tested, 24.1, 22.6

Folate (>3.89)- Not tested, Not tested , 6.34, 6.38

I notice that my FT4 has risen, but the TSH has stayed the same. Also, my FT3 doesn't seem to change much.

Also, my Ferritin won't increase - I've tried Spatone and have been using an oral spray from Better You. A few years ago it was 58 (r 15-300) so it can be higher. Last FBC looked ok with regards to anemia. Not a fan of red meat.

No diagnosis or medication. Stopped supplements week before tests.

Any thoughts welcomed? I'm trying to summon up some assertiveness ahead of the apt, particularly in relation to the ultrasound and making sure they really look for any signs of Hashi's.

Thanks

[SlowDragon Administrator]

The fact that you have goitre, low vitamins and symptoms suggests you could/should be given trial of levothyroxine

This might reduce size of goitre

Important to work on improving low ferritin needs to be up around 70

Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption

dailyiron.net

Links about iron and ferritin

irondisorders.org/Websites/...

drhedberg.com/ferritin-hypo...

This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.

healthunlocked.com/thyroidu...

Thyroid disease is as much about optimising vitamins as thyroid hormones

Helpful post about iron supplements and testing

healthunlocked.com/thyroidu...

Folate could be higher. What B vitamins are you taking?

[MrsButler in reply to SlowDragon]

Thanks Slowdragon.

It's actually a cyst I'm having investigated.

I will look at my diet again in regards to ferritin. Sure I can manage some dark chocolate and orange juice if not the liver.

I've been taking the Ingennus B supplements, but as Medichecks took the folate out of their finger prick test test, I don't know if it's improved.

[SlowDragon Administrator in reply to MrsButler]

You can “hide” liver in curry, shepherd pie etc

Or look at freeze dried liver capsules or other iron supplements

Possibly cheapest option for getting all tested via DIY finger prick test

TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off if go on thyroid uk for code

monitormyhealth.org.uk/thyr...

Medichecks - JUST vitamin testing including folate - DIY finger prick test

medichecks.com/products/nut...

Medichecks often have special offers, if order on Thursdays

[SlowDragon Administrator in reply to MrsButler]

Link for £ off MMH test

thyroiduk.org/getting-a-dia...