Would this combined blood check be appropriate - Thyroid UK

Thyroid UK

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Would this combined blood check be appropriate

Middleagedandtired profile image

Hello

I had my bloods T3 tested privately some while ago but still feel so unwell majority of the time( fatigue , weight gain , not sleeping brain fog and more ) Also diagnosed many many years ago with Psoriatic and Rheumatoid Arthritis and taking sub cut Mehtotrexate and sub cut biologic Cosentyx ..both of these have worked wonders and now no psoriasis and joints much better than have been for many years. I purchased T3 but have cut right back due to palpitations I am now on 1/2 a tablet daily and 2 of levy (100mg) . I do take various vitamins mineral Jigsaw Magnesium Solgar Vit D3 , Solgar Vit k2, Solgar Choline, Life extension Mega Benfotiamine and B12 in liquid form plus anti histamines as affected badly by pollen (aches and tiredness )

There is no rhyme or reason as to my off days or very off days especially when I had a few good days a month or two ago which was wonderful but don't know why ? Looking at various tests I wondered if the Blue Horizons Thyroid premium Gold would be the overall better one to do as it covers... Profile includes TSH, FT4, FT3, TT4, Thyroid Peroxidase Antibodies, Thyroglobulin Antibodies, Vitamin D, Vitamin B12, Folate, Ferritin and CRP, as well as the new addition of Cortisol and Magnesium. For a total of £129 if done by myself via fingerpick test . Haven't seen if they do any discounts yet for Thyroid Uk or other groups .

I can deal with the weight and the pain if I have to but the overwhelming fatigue is difficult as I have horses and dogs to looks after

Thank you for any advice

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Middleagedandtired
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6 Replies
SeasideSusie profile image
SeasideSusieRemembering

Middleageandtired

Yes, the BH Premium Gold is a good test for full thyroid/vitamin status.

There is a discount code, see this page on ThyroidUK's main website:

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

Make sure that you fill the microtainer as full as possible, at least to the upper line and possibly slightly over, as there are a lot of tests included.

If you've not done a fingerprick test before and would like some tips then please ask and I will list what helps me.

Middleagedandtired profile image
Middleagedandtired in reply to SeasideSusie

Lovely I will look up the discount code .

And would appreciate any tips on fingerpick tests

SeasideSusie profile image
SeasideSusieRemembering in reply to Middleagedandtired

TIPS FOR DOING FINGERPRICK TEST

* Be well hydrated, drink plenty of water the day before, and before you do the test.

* Some people take a shower before hand, some run up and down the stairs to get blood flowing. Personally, as I can't run up and down the stairs, I circle my arm round, windmill style.

* Have a bowl full of hot water, dip hand in and out, swish around, hand needs to go red. If blood flow stops, you can always swish round in the hot water again.

* Stand up to do the test. Make sure your arm is straight down when collecting the blood. Either use a small step stool to raise yourself well above the work surface, or put the collection tube on a lowish shelf. One member uses an ironing board so she can get the perfect height.

* Prick finger on the side, not the tip. I find that half way between the nail bed and tip is about right, or maybe slightly nearer the nail bed rather than the tip. I use my ring finger, but middle finger is next best for me.

* Do not squeeze your finger to get the blood out, it can damage the blood and it may not be usable

I've recently done 2 tests. The first one there was very little blood coming out which was unusual for me so I used a second finger and between the two I gradually filled the tube. However, when I checked the prick site for the first finger the actual cut was very small and as I've had some of these lancets fail before I put it down to that. When I did the second test this is what I did

* Prick my finger as usual, at the same time try and make a very slight twist with the lancet (the blade retracts very quickly so you have like a nano second to twist the lancet). I'm not talking 90 degrees or anything, just a very slight twist to make the cut just slightly bigger, it doesn't hurt or cause a blood bath! This made a big difference, 11 generous drops of blood filled the tube in less 2 minutes.

If you supplement with Biotin, or a B complex containing it (B7), leave it off for 7 days before doing any blood tests as it can give false results when biotin is used in the testing procedure, and most labs do use it.

Video showing how to do a fingerprick test:

youtube.com/watch?v=w2JzToZ...

Middleagedandtired profile image
Middleagedandtired in reply to SeasideSusie

Thank you for all the information .. So help full . Another query is should I stop my prescribed Levo and unprescribed T3 ? Any time prior to taking the blood ?

SeasideSusie profile image
SeasideSusieRemembering in reply to Middleagedandtired

Middleagedandtired

Another query is should I stop my prescribed Levo and unprescribed T3 ? Any time prior to taking the blood ?

Yes, when doing thyroid tests, we advise:

* Book the first appointment of the morning, or with private tests at home no later than 9am. This is because TSH is highest early morning and lowers throughout the day. If we are looking for a diagnosis of hypothyroidism, or looking for an increase in dose or to avoid a reduction then we need TSH to be as high as possible.

* Fast overnight - have your evening meal/supper as normal the night before but delay breakfast on the day of the test and drink water only until after the blood draw. Eating may lower TSH, caffeine containing drinks affect TSH.

* If taking thyroid hormone replacement, last dose of Levo should be 24 hours before blood draw, if taking NDT or T3 then last dose should be 8-12 hours before blood draw. Adjust timing the day before if necessary. This avoids measuring hormone levels at their peak after ingestion of hormone replacement. Take your thyroid meds after the blood draw. Taking your dose too close to the blood draw will give false high results, leaving any longer gap will give false low results.

* If you take Biotin or a B Complex containing Biotin (B7), leave this off for 7 days before any blood test. This is because if Biotin is used in the testing procedure it can give false results (most labs use biotin).

These are patient to patient tips which we don't discuss with doctors or phlebotomists.

Middleagedandtired profile image
Middleagedandtired in reply to SeasideSusie

Thank you

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