Help please to understand results before doctors appointment.

Hello all,

Apologies in advance for the long list of results and questions I’d like to ask!

I posted my Medichecks results a few weeks ago but wanted to note them again now I have my NHS results.

Please could I ask a few questions of you knowledgeable people, I know I may have asked some of them before but I’m finding it all a bit of a challenge getting my head around things.

1.Do I need to start taking any vitamins or am I in the optimal range (I’ve read these need to be optimal but I don’t know how to work this out).

2.If I do need vitamins please could you advise which ones, the dosage and where I can buy these from.

3.The Medichecks results suggest I have Hashi’s (which a forum member also indicated in my last post), please could you point me in the right direction on the best material to read so I can read up on this.

4.I’m currently taking 75 mcg of Levothyroxine and am still feeling fatigued/tired and just not myself (can’t say as I know what normal is though) hence the doctor doing further tests (results below) but some of these have come back abnormal. I don’t know what these results indicate so would appreciate any feedback or experience you may have.

5.Am I converting FT4 into FT3 adequately.

Thank you so much for taking the time to read my post it is very much appreciated, thank you for all the advice you have given me so far it has been invaluable in helping me to try and understand this disease which is so complicated.

Results are for the past 12 to 18 months for an overall picture of where I'm at, not sure if some of them are relevant, apologies if they are not.

Thank you and keep safe xx

MEDICHECKS TEST RESULTS - SEP 20

Ferritin - 403 ug/L (13 - 150 ug/L)

Folate Serum - 7.96 ug/L (3.89 - 19.45 ug/L)

Vitamin B12 Active - 133 pmol/L (37.5 – 187.5 pmol)

Vitamin D - 83.5 nmol/L (50 – 175 nmol/L)

TSH – 0.1 mlU/L (0.27 – 4.2 mlU/L)

FREE Thyroxine – 22.5 pmol/L (12 – 22 pmol)

FREE T3 – 5.41 pmol/L (3.1 – 6.8 pmol/L)

Thyroglobulin – 632 kIU/L (0 – 115 kIU/L)

Thyroid Peroxidase Antibodies – 218 kIU/L (0 – 34 kIU/L)

C – Reactive Protein (CRP HS) - 0.87 mg/L (<5 mg/L)

NHS TEST RESULTS

The following tests were performed because of my Serum Ferritin and Serum Folate results below, waiting to discuss the results with the doctor later this week.

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Serum Iron Level

Oct 20 - 18.4 umol/L (11.0 – 29.0 umol/L)

Serum Transferrin

Oct 20 - 2.43 g/L (2.52 – 4.29 g/L) Abnormal

Transferrin Saturation Index

Oct 20 - 30% (20 – 50%)

Serum Sodium

Oct 20 - 140 mmol/L (133 146 mmol/L)

Jun 19 - 143 mmol/L (133 146 mmol/L)

Serum Potassium

Oct 20 - 4.4 mmol/L (3.5 – 5.3 mmol/L)

Jun 19 - 5.0 mmol/L (3.5 – 5.3 mmol/L)

Serum Creatinine

Oct 20 - 68 umol/L (44 – 97 umol/L)

Jun 19 - 74 umol/L (44 – 97 umol/L)

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These tests were undertaken and because these results came back abnormal the tests above were undertaken, in a previous post a member did indicate possible haemochromatosis which the doctor muted about but said my level would have to be around 1000 before they would investigate further.

Serum Ferritin

Oct 20 - 369 ug/L (10 – 291 ug/L) Abnormal

Sep 20 - 321 ug/L (10 – 291 ug/L) Abnormal

Jun 19 - 228 ug/L (10 – 291 ug/L)

Serum Folate

Oct 20 - 9.5 ug/l (>4.1 ug/l)

Jun 19 - 4.6 ug/l (>5.4 ug/l) Abnormal

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Serum Vitamin B12

Sep 20 - 523 ng/l (160- 820 ng/l)

Jun 19 - 303 ng/l (160- 820 ng/l)

Serum Total 25-OH vit D Level

No result for vit D, doctor did request it to be tested, doctor did state the lab more than likely wouldn’t carry out the test as they believe everyone should take vit D during winter months!

Serum TSH Level

Sep 20 - 0.13 mU/L (0.10 – 4.00 mU/L)

May 20 - 2.9 mU/L (0.10 – 4.00 mU/L)

Jan 20 - 2.0 mU/L (0.10 – 4.00 mU/L)

Nov 19 - 5.7 mU/L (0.10 – 4.00 mU/L) Abnormal

Aug 19 - 4.6 mU/L (0.10 – 4.00 mU/L) Abnormal

Jun 19 - 4.5 mU/L (0.10 – 4.00 mU/L) Abnormal

Serum Free T4 Level

May 20 - 18.2 pmol/L (9.0 – 22.0 pmol/L)

Jan 20 - 20.3 pmol/L (9.0 – 22.0 pmol/L)

Aug 19 - 17.3 pmol/L (9.5 – 22.0 pmol/L)

Jun 19 - 15.7 pmol/L (9.5 – 22.0 pmol/L)

GFR Calculated Abbreviated MDRD

Oct 20 - 82 mL/min (> 60 mL/min)

Jun 19 - 75 mL/min (> 60 mL/min)

Serum Gamma GT Level

Oct 20 - 16 u/L (9 – 36 u/L)

Jun 19 - 17 u/L (9 – 36 u/L)

Serum Total Bilirubin Level

Oct 20 - 10 umol/L (1 – 21 umol/L)

Jun 19 - 7 umol/L (1 – 21 umol/L)

ALT/SGPT Serum Level

Oct 20 - 13 U/L (0 – 33 U/L)

Jun 19 - 21 U/L (0 – 33 U/L)

Serum Alkaline Phosphatase

Oct 20 - 70 U/L (20 – 130 U/L)

Jun 19 - 81 U/L (20 – 130 U/L)

Serum Total Protein

Oct 20 - 65 g/L (53 – 78 g/L)

Jun 19 - 64 g/L (60 – 80 g/L)

Serum Albumin

Oct 20 - 46 g/L (38 – 51 g/L)

Jun 19 - 46 g/L (35 – 50 g/L)

Serum Globulin

Oct 20 - 19 g/L (14 – 30 g/L)

Jun 19 - 46 g/L (18 – 35 g/L)

Serum C Reactive Protein Level

Oct 20 - 4 mg/L (0.0 – 10 mg/L)

Jun 19 - 4 mg/L (0.0 – 10 mg/L)

Total White Cell Count

Sep 20 - 5.5 x10^9/l (3.7 – 11.0 x10^9/l)

Aug 19 - 5.2 x10^9/l (3.7 – 11.0 x10^9/l)

Red Blood Cell (RBC) Count

Sep 20 - 4.42 10*12/L (3.80 – 5.80 10*12/L)

Aug 19 - 4.29 10*12/L (3.80 – 5.80 10*12/L)

Haemoglobin Estimation

Sep 20 - 131 g/L (115 – 165 g/L)

Aug 19 - 129 g/L (115 – 165 g/L)

Haematocrit

Sep 20 - 0.40 (0.37 – 0.47)

Aug 19 - 0.40 (0.37 – 0.47)

Mean Corpuscular Volume (MCV)

Sep 20 - 91.2 fl (76.0 – 100.0 fl)

Aug 19 - 92.1 fl (76.0 – 100.0 fl)

Mean Corpusc.Haemoglobin(MCH)

Sep 20 - 27.7 pg (27.0 – 32.0 pg)

Aug 19 - 30.1 pg (27.0 – 32.0 pg)

Mean Corpusc. Hb. Conc. (MCHC)

Sep 20 - 326 g/L (320 – 365 g/L)

Aug 19 - 327 g/L (320 – 365 g/L)

Red Blood Cell Distribut Width

Sep 20 - 12.6 (11.5 – 14.5)

Aug 19 - 12.6 (11.5 – 14.5)

Platelet Count

Sep 20 - 304 x10^9/l (150 – 450 x10^9/l)

Aug 19 - 290 x10^9/l (150 – 450 x10^9/l)

Neutrophil Count

Sep 20 - 2.8 10*9/L (1.7 – 7.5 10*9/L)

Aug 19 - 2.5 10*9/L (1.7 – 7.5 10*9/L)

Lymphocyte Count

Sep 20 - 1.9 x10^9/l (1.0 – 4.5 x10^9/l)

Aug 19 - 2.2 x10^9/l (1.0 – 4.5 x10^9/l)

Monocyte Count

Sep 20 - 0.4 10*9/L (0.2 – 1.1 10*9/L)

Aug 19 - 0.3 10*9/L (0.2 – 1.1 10*9/L)

Eosinophil Count

Sep 20 - 0.2 10*9/L (0.0 – 0.6 10*9/L)

Aug 19 - 0.2 10*9/L (0.0 – 0.6 10*9/L)

Basophil Count

Sep 20 - 0.0 10*9/L (0.0 – 0.1 10*9/L)

Aug 19 - 0.0 10*9/L (0.0 – 0.1 10*9/L)

HbA1c Level – IFCC Standardised

Jun 19 - 36 mmol/mol (< 41 mmol/mol)

Serum Cholesterol

Jun 19 - 6.2 mmol/L (< 4.0 mmol/L) Abnormal

Serum HDL Cholesterol Level

Jun 19 - 1.8 mmol/L (> 1.2 mmol/L) Abnormal

Serum Triglycerides

Jun 19 - 0.8 mmol/L (0.3 – 1.8 mmol/L)

Serum LDL Cholesterol Level

Jun 19 - 4.0 mmol/L (< 2.0 mmol/L)

Serum Cholesterol/HDL Ratio

Jun 19 - 3.44 mmol/L (< 6.00)

Se non HDL Cholesterol Level

Jun 19 - 4.4 mmol/L

Serum Calcium

Jun 19 - 2.32 mmol/L

Serum Adjusted Calcium conc

Jun 19 - 2.44 mmol/L (2.20 – 2.60 mmol/L)