Thyroid results what next?!

[Mag999]

Just got my results from blue horizon, very efficient, but am bit confused and would appreciate a view on what I do next if anything. The dr. comments suggested a 24 hour cortisol test as it is high, my b12 is high as I was severely deficient and have had 12 injections so I understand this isn’t a true reflection of my b12 status as I haven’t had an injection for a month and my symptoms, mostly neurological and fatigue are returning. I was surprised not to have antibodies as my maternal line is riddled with hypothyroidism, mum sis, niece cousins. Are my thyroid numbers far enough out of line to merit treating? Will a gp consider it?

Thanks for reading

[fuchsia-pink]

As regards your thyroid numbers - probably not. Your GP will want your TSH waaay over-range before you get prescribed thyroid meds - possibly as high as 10 as your antibodies are low. This is despite your actual thyroid hormones not being brilliant - free T4 is only 22% through range and free T3 a balanced and equally feeble 21.3% through range. Waiting until your TSH is more than double the top of the range rather makes a mockery of having a top of range figure at which most people would feel unwell. Do you have a sympathetic GP? If so you may want to keep testing TSH periodically and talk to your GP to talk through your family history and see if you will be prescribed a trial of levo if/when you go over-range ...

In the meantime, in addition to your cortisol and B12, I'd suggest ferritin, folate and vit D are all a bit on the low side - but happy to defer to the wisdom of SeasideSusie , the nutrient queen who may pop up in a bit x

[Mag999 in reply to fuchsia-pink]

Thanks for your reply, yes I had very low vit d earlier this year, got it back to 150 so stopped supplementing but it hasmore than halved in 3 months so will get back on it as well as my iron and b complex