I just received my results from Thriva. Unfortunately some of my tests couldn't be performed due to blood cells bursting but I did get my thyroid panel results. Can someone please help me interpret them? I have had ongoing symptoms for several years. I initially posted here 2 years ago when a lump was found on my thyroid (benign) and then my GP was only willing to test the bare minimum (TSH at that point was 4.2). Last year I was diagnosed with Raynauds Syndrome as I was suffering very cold fee with my toes turning white and even blue, even in the house! I have PCOS (diagnosed in 2001) but I have always struggled with weight gain, I have very fragile hair, nails peel including on my toes, I get a lot of muscle cramps all over my body, tired all the time and have been having awful anxiety this last year. I could go on! I meant to do a private thyroid test last year but just didn't get round to it
So here are my results from Thriva, bloods taken 2 daya ago first thing in the morning, fasted.
Ferritin 47 ug/L (normal)
Vitamin D 28 nmol/L (abnormal)
TSH 6.01 mIU/L (abnormal)
FT3 4.7 pmol/L (optimal)
TgAB 56.5 kU/L (normal)
TPOAB 15.9 klU/L (normal)
T4 118 nmol/L (normal)
FT4 14.9 pmol/L (optimal)
B12 326 pmol/L (normal)
My TSH is higher than it was last year
If anyone can help I would be grateful.
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SummerJessica
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Thanks for that! I don't have a diagnosis of hypothyroid. My GP has always said my results are normal. My next step was to go back to my GP with these results and see where we go from here. I have a feeling they will want to repeat bloods before doing anything
Great I will ask for these to be done. Do you think they will do them based on these results now? No matter how hard I tried before, I couldn't get them to run a full thyroid panel etc. I had bloods from the GP last July and they were as follows. This included folate.
No I'm not vegetarian/vegan, in fact I eat a pretty varied diet. Meat and chicken usually every day with plenty of vegetables. I always said to my GP that I felt these results were low even though they are considered to be normal range. Why would my B12 be so low then?
I've just had a look at the signs and symptoms of B12 deficiency and I have an awful lot of them. Tinnitus, restless legs are the most annoying ones right now, but I also had a DVT in the past with no real explanation. My GP has never once mentioned my B12 being low or any cause for concern.
Make sure you always have an early morning, fasting blood test - when TSH is highest - as so many doctors are obsessed with TSH regardless of your actual thyroid hormones
Igennus Super B is good quality and cheap vitamin B complex. Contains folate. Full dose is two tablets per day. Many/most people may only need one tablet per day. Certainly only start on one per day (or even half tablet per day for first couple of weeks)
Or Thorne Basic B is another option that contain folate, but is large capsule
If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
With such low B12 result taking a B12 supplement as well as a B Complex (to balance all the B vitamins) initially for first 2-4 months, then once your serum B12 is over 500 (or Active B12 level has reached 70), stop the B12 and just carry on with the B Complex.
Ferritin is low, but not low enough for GP to treat
Low iron and/or low ferritin frequently linked to hair loss
Heavy periods are classic sign of being hypothyroid and will lead to low iron and ferritin ask for full iron panel testing for Anaemia
Never supplement iron without doing full iron panel test for anaemia first
Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption
This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.
Thyroid disease is as much about optimising vitamins as thyroid hormones
“According to the current TSH reference interval, hypothyroidism was not diagnosed in about 50% of the cases in the afternoon.”
“Further analysis demonstrated inadequate compensation of hypothyroidism, which was defined in 45.5% of the morning samples and in 9% of the afternoon samples”
TSH levels showed a statistically significant decline postprandially in comparison to fasting values. This may have clinical implications in the diagnosis and management of hypothyroidism, especially SCH.
TSH is high enough now that you could/should be started on levothyroxine
That's my concern that as my T3 and T4 are in the normal range the GP won't do anything yet my TSH is the highest it has ever been and I have so many symptoms. Although some of that may be due to vitamin deficiency 😕
Some GPs will prescribe for a TSH over 5 especially if you say you have symptoms. You can ask for a trial of thyroxine. Although your Ft3 and FT4 came back labelled optimal, there is a link often posted on this forum to find the percentage through the range; T4 should be in the top third, with T3 probably a little lower.
Interesting then. I think I'm just going to ask for a trial as I've had ongoing symptoms for so long now. I am due to get bloods anyway (FBC etc) but I am going to call and ask them to do a full thyroid panel and ask them to make sure Vitamin D, B12, folate and ferritin is done. I hope they do these based on my recent results and also recent issues. GP diagnosed me with Gastritis in Dec and put me on Lansoprazole and last year was also diagnosed with Raynauds and they initially put me on Amlodopine, I took it for a month, but then I came off it as I didn't feel we got to the bottom of my issues. My restless legs have worsened this last year too
Hi SummerJessicaGPs are great, but they are not experts. I had/have most of your symptoms and was told by the GP ‘all is ok’. You need an Endocrinologist, either on the NHS or private (if you are in a position to afford that). For me it took one visit to the Endo and I had a diagnosis of hypothyroidism.
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