Results

[Untoward]

Can anyone help with my results keep getting told nothing untoward but systems are classic thyroid and on 75 g But still tired and feel foggy

Serum free T3 level 4.5 pool/l

Serum free T4 level 10.8 pool/L

Serum T-SHIRT level 7.63 mu/L

Taking T3and T4

[Nanaedake]

Please add the lab reference range next to each result. We need them to interpret results.

[SeasideSusie Remembering]

Untoward

As reference ranges vary from lab to lab we need your lab's ranges to interpret your results accurately.

We can see that your TSH is far too high. The aim of a treated hypo patient on Levo, generally, is for TSH to be 1 or lower with FT4 and FT3 in the upper part of their ranges if that is where you feel well.

Your TSH obviously shows that you are are undermedicated but we can't comment on your FT4 and FT3 without their ranges.

You need an immediate increase in your dose of Levo, 25mcg now, retest in 6-8 weeks, possibly further increases followed by retesting 6-8 weeks later each time.

If your GP is saying there is nothing untoward with your results then he should go back to med school, your TSH is obviously over range.

[Untoward in reply to SeasideSusie]

How do I go about getting full range of tests including vitamins done

[SeasideSusie Remembering in reply to Untoward]

Untoward

SlowDragon has given links to private tests below if your GP won't do them all. Hundreds of us use these private labs.

[SlowDragon Administrator in reply to Untoward]

The aim of levothyroxine is to increase the dose slowly upwards until TSH is under 2, Ft4 in top 1/3 of range and Ft3 at least 50% through range

Essential to test vitamins regularly ...low vitamins tend to lower TSH

Official NHS guidelines saying TSH should be between 0.2 and 2.0 when on Levothyroxine

(Many of us need TSH nearer 0.2 than 2.0 to feel well)

See box

Thyroxine replacement in primary hypothyroidism

pathology.leedsth.nhs.uk/pa...

[SlowDragon Administrator]

Essential to regularly retest vitamins, especially if you have Hashimoto’s

Please add ranges on these 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

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 .

Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)

If/when also on T3 make sure to take last half or third of daily dose 8-12 hours prior to test, even if this means adjusting time or splitting of dose day before test

Is this how you do your tests?

Private tests are available as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins

List of private testing options

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

Medichecks Thyroid plus vitamins including folate (private blood draw required)

medichecks.com/products/thy...

Thriva Thyroid plus antibodies and vitamins By DIY fingerpick test

thriva.co/tests/thyroid-test

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins by DIY fingerprick test

bluehorizonbloodtests.co.uk...

If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3

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

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

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

[Untoward in reply to SlowDragon]

Thank you will look at having private test done