Hi, I’ve had a private blood test done, just got the results today. Extensive googling tells me that if T4 is high, then usually the TSH and / or T3 levels would be off as well but they’re fine. I can call my GP but she’s quite general and I expect she’ll say ‘your TSH levels are fine so there’s no issue’. And maybe she’s right, but I’d like to better understand my results.
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 and thyroid antibodies
Hairloss often linked to low ferritin
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)
Private tests are available as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins
Hi thanks for the reply. The test I did was Medicheck, the vitamin one, and all my vitamin levels are fine. It didn’t have the extensive thyroid tests you mention though, at least I don’t think so, I’ll look back at my results in case they’re not with the thyroid results on the page.
I have added those now (in the photo). The dr report with the test suggests testing again in 3 months time (Because of the raised T4) so that’s what I’ll do.
Never supplement iron without doing full iron panel test for anaemia first
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
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.
Thyroid problems are as much about optimising vitamins as thyroid hormones
Thank you for all this info, you are a goldmine! I'm mostly vegetarian, I eat a small amount of chicken or bacon very occasionally. I'd just started taking spatone iron but will look into a full iron panel test.
Do you have any sort of a diagnosis? Are you on thyroid hormone replacement? Knowing the answers to those questions will change interpretation of the results.
Yes this is my first test, I haven’t had my antibodies tested. Looking on the internet I suspect it’s fine because my TSH and T3 are ok I’m just being thorough using this forum to see if anyone knows whether there are any health implications if my T4 is high but everything else is fine.
Well, yes, I understand that. But, it's not normal, I don't think, to have such a high FT4 with that FT3 and TSH. And, just because they are ok, doesn't automatically mean all is fine. If you were on thyroid hormone replacement, I would say you have a conversion problem. But, I don't know if that's possible when you're not taking anything. I would urge you to get your antibodies tested.
I'll look into a test with antibodies. I obviously chose the wrong test as I thought I *was* getting the full thyroid test! Annoying to have to spend more money but no doubt worth it to get checked out fully.
Thnaks Marymary7, I've now done that and edited the post. I'm not sure if they're the right antibody tests compared to the ones mentioned by SlowDragon above.
They are the correct antibodies tests. Were you taking any Biotin or B complex before you took your bloods. They need to be left off for one week or they effect the results.
It's helpful to copy out your vitamin test results as often being in the bottom of the range is not good enough particularly with B12 and D3.
If you click on the “printable page” somewhere near the top right of the report, you will see all of the tests listed in a more readable form, as you haven’t shown your ferritin or CRP
I don't have any dosage I haven't been diagnosed with anything! Because it's only high T4 and all my other tests were normal, my GP just said test again in future.
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