Just had my TSH results back and they are “normal” at 1.34. However I am still experiencing hyperthyroidism symptoms. Is it possible to have hyperthyroidism with this result?
I am morbidly obese with a BMI over 40, does that make a difference to my result?
Any advice would be great
Written by
ClaireALF
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If your levels are suddenly rising it’s possible the TSH hasn’t reacted yet.
NHS do not test FT4&3 unless TSH out of range.
For full thyroid function you need TSH, FT4, FT4, Folate, ferritin, vitamin D, & B12. TPO antibodies, TG antibodies. Deficiencies in the key nutrients cause similar symptoms and must be optimal for good thyroid health.
If you did have hyper results you would need TSI and TRab tested.
First thing is, do you have any actual blood test results? if not will need to get hold of copies.
You are legally entitled to printed copies of your blood test results and ranges.
The best way to get access to current and historic blood test results is to register for online access to your medical record and blood test results
UK GP practices are supposed to offer everyone online access for blood test results. Ring and ask if this is available and apply to do so if possible, if it is you may need "enhanced access" to see blood results.
In reality many GP surgeries do not have blood test results online yet
Alternatively ring receptionist and request printed copies of results. Allow couple of days and then go and pick up.
Important to see exactly what has been tested and equally important what hasn’t been tested yet
Just testing TSH is completely inadequate
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
Most thyroid disease is autoimmune
Hashimoto’s- hypothyroid, but frequently has transient hyperthyroid symptoms and results . Diagnosed by high TPO or high TG thyroid antibodies
Graves’ disease - hyperthyroid. Diagnosed by high TSI or Trab
Low vitamin levels are extremely common, especially if you Hashimoto’s or Graves
Ask GP to test vitamin levels and thyroid antibodies
Low vitamin D common when overweight
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 .
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Private tests are available as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins
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