Thyroid Blood Test Results

[Moloney]

Please can anyone help me with understanding these results? They belong to my 14 year old daughter, GP wouldn’t elaborate just said we have to wait for appt at hosp which is taking forever..... she is underweight, tired all the time, rapid heart rate and has intermittent rashes possibly hives

[SlowDragon Administrator]

This looks like possible autoimmune thyroid disease

High TPO antibodies

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 have autoimmune thyroid disease (Hashimoto's) diagnosed by raised Thyroid antibodies

Ask GP to test vitamin levels

Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Also request coeliac blood test

[Moloney in reply to SlowDragon]

Thank you for your quick reply, I will get on to the GP about the Vit D tests etc... great tip about the timing of the blood test, I will make sure to do that in the future as this one was taken in the afternoon.

[jimh111]

Her thyroid results look OK. Has she been checked for anaemia?

[Moloney in reply to jimh111]

Yes, that seemed fine

[Lora7again]

I think her TSH is too high for someone her age and it should be around 1. Her thyroid is under attack because she has high antibodies.

[Moloney in reply to Lora7again]

Thank you for your reply, can you recommend anything to help her whilst waiting for her appt? I feel bad for her, she’s really struggling at the moment she’s also been having some heart issues that I’m pretty sure are all related.

[SlowDragon Administrator in reply to Moloney]

Getting vitamin levels tested by GP and push for referral to endocrinologist

List of hypothyroid symptoms

thyroiduk.org/signs-symptom...

Email Dionne at Thyroid UK for list of recommend thyroid specialist endocrinologists...

NHS and Private

[e-mail]

[Partner20]

Although ranges for children/teenagers can differ slightly from those of adults, the thyroid results you have given look fine, and not suggestive of hypothyroidism. Other conditions your GP might be considering include things like anaemia, digestive problems, and vitamin/mineral deficiencies. A paediatrician will obviously be the next port of call, who will then decide which specialism needs to be involved, possibly endocrinology, cardiology, digestive diseases or rheumatology. Until you know which conditions are going to be investigated, you will not be able to pursue this further privately, unless you first see a general paediatrician. Practical support is what you can give now, by providing a good, varied diet, gentle outdoor exercise, (walking is fine) and allowing plenty of rest. Only give supplements for those things which have been tested for and shown to be deficient, or you may skew the results of future testing. Hopefully you will get a helpful appointment soon.

[SlowDragon Administrator in reply to Partner20]

TPO antibodies are high