Blood results

[Owleyes]

Hi

Recent 6 week blood results as increase of Levo from 100mg to 125mg

TSH 1.26 range 0.38-5.33

T3 4.4 range 3.8-6.0

T4 8 range 7.9-14.4

Please advise if I need to increase levo

Thank you x

[fuchsia-pink]

How do you feel? If not tip-top, then yes, I'd increase, Free T4 is crawling along the bottom of the range, and although free T3 is better, at 27% though range, that's still pretty feeble.

Have you tested key nutrients, or are supplementing? Your levo works best when nutrients are good x

[Owleyes in reply to fuchsia-pink]

Thank you

I take K2 vit d selenium complex b

Not tested for a while Will ask at the next 6 week bloods x

[SlowDragon Administrator]

Looking through previous posts couldn’t see any vitamin results apart from Vitamin D for last 2 years

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)

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 antibodies and vitamins

medichecks.com/products/adv...

Thriva Thyroid plus antibodies and vitamins By DIY fingerpick test

thriva.co/tests/thyroid-test

Thriva also offer just vitamin testing

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...

Current results suggest perhaps still under medicated

[Owleyes in reply to SlowDragon]

Yes have followed your recommendations. Always have bloods done early am. Stop Levo as recommended. I’ve got a good GP. He does as I ask. Ferritin was done 6 weeks ago. Will get the print out for that tomorrow. Vit d done 6 months ago. So will get them redone in next 6 weeks time. Will ask forTPO AND TG thyroid antibodies next time as well.

[SlowDragon Administrator in reply to Owleyes]

B12 and folate?

[Owleyes in reply to SlowDragon]

Oooooohhh a year goes soooo fast! Ferritin I know was done 6 weeks ago but me b12 and b12 was a year! 🙄will be on that tomorrow. Having bloods done on Friday for the plague study so will get them to add them on.

[SlowDragon Administrator in reply to Owleyes]

Looking at previous posts you had RAI for Graves

Did you also get diagnosed as Hashimoto’s?

Won’t need antibodies retested

[Owleyes in reply to SlowDragon]

No one has said I’m Hashimoto’s

[SlowDragon Administrator in reply to Owleyes]

Ok ....I saw a previous post of yours discussing possible Hashimoto’s...but didn’t read whole thread

[Owleyes in reply to SlowDragon]

So how do I get tested to see if I have that. Or is it because I’ve gone under active that it’s presumed I am.

[SlowDragon Administrator in reply to Owleyes]

You have Graves’ disease (even after RAI)

After RAI its inevitable to become hypothyroid

It is possible to also have Hashimoto’s (but rare). It’s almost irrelevant anyway.

With Graves or Hashimoto’s, low vitamins are extremely common.

Gluten intolerance common with both

[Owleyes in reply to SlowDragon]

I’ve been doing keto for the last 3 years lost 18lb and feel good!

I try and stick to under 50g or carbs a day. My cholesterol is within range. Just annoys me that my thyroid keeps trotting up and down. My GP said you had your bloods taken a while back don’t need them keep doing, so I said well it’s not you feeling rubbish. And I know when it’s on the down as me hair falls out. He rang and apologised. Lol.

[SlowDragon Administrator in reply to Owleyes]

Previous post discussing your antibodies

healthunlocked.com/thyroidu....

[Owleyes in reply to SlowDragon]

Thank you! I couldn’t find them. I’ve changed phone and things have gone. I normally take screen shots to refer back to. I’m good at following what I’m told to help me. And I’m lucky to have found you guys

[Owleyes in reply to SlowDragon]

Blimey I had both! I’ve just re read it all. I missed that or didn’t really understand. It’s been hard to understand and I’m afraid my brain is mush.

[Owleyes]

So basically I could have had hashis but they got my TSH down and sent me graves?

[SlowDragon Administrator in reply to Owleyes]

No

Graves’ disease is HYPER thyroid

Hashimoto’s is HYPO thyroid.....but frequently starts with temporary hyperthyroid phase as thyroid is attacked, and cells breakdown releasing lots of thyroid hormones. It’s not true hyperthyroid.....just a very temporary high level

To confirm Graves’ disease TSI or Trab antibodies need to be high

You can have high TPO antibodies with both Graves and Hashimoto’s

I don’t think you need to worry about it

You’re now hypothyroid having had RAI

RAI destroys your own thyroid

[Meanbeannyc]

I’m

Jealous of your conversion.