I received my private bloods through Thriva for my thyroid last week. I have now spoken to my GP (not my regular one) who has not said to repeat bloods but has instead said to treat deficiency first (pic attached again for ease of reference).
He said that although my TSH is high, it wouldn't warrant treatment due to my FT3, FT4 and T4 being "normal". I brought up all my symptoms and issues from the last year and said that a lot of, if not all of them could be down to thyroid issues, including my 24mm nodule on my thyroid. He said treating the deficiency in vitamins and minerals first (my diet is very varied, so would need supplements) is their first port of call. Over the last 2 years I have had 3 TSH bloods and they keep escalating. 3.4 in 2018, 4.2 in 2019 and recently 6.1. The GP has never run a full Thyroid panel hence going elsewhere to get it checked. He is going to speak to my regular GP to see where we go from here but he said other than my Vit D he can't see anything "abnormal, plus nearly everyone is deficient in winter" sigh, it seems like I'm constantly fighting.
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SummerJessica
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You can download your results from Thriva as a PDF file. It can be a lot easier to read than the colour coded pictures that they provide, which many of us find quite confusing :
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.
It really annoys me when someone is clearly hypothyroid and the doctor doesn't prescribe Levothyroxine. The higher the TSH gets the more ill you will feel and the longer it takes to regain your health. I have no idea why GPs like to see us suffer!
He said that as my T4 and FT3 is normal they wouldn't treat me as hypothyroid even if my TSH is abnormal as they would expect the others to be abnormal too
Your TSH is saying your thyroid is struggling and it will only get worse not better. Getting your vitamin levels up will help but it is not the solution in my opinion. Read my story on my profile and see how I was left for over 2 years by doctors who knew nothing about thyroid disease.
I have a multinodular goiter which I have ultrasounds on every couple of years. This does cause me symptoms. Just to add a lot of people have nodules on their thyroid and they cause no problems but some do and it is always best to have them checked to see if they have grown etc. Mine are completely benign and I have had them for over 10 years.
The palpable lump at the right anterior neck corresponds to
a right lobe thyroid nodule with benign U2 characteristics measuring 24mm. Otherwise the thyroid gland is normal in size and appearance. There is minimal left sided tracheal deviation. No retrosternal extension. No lymphadenopathy.
Similar to my report only I have loads of small ones which can cause symptoms.
Finding of Ultrasound of neck.
Benign enlargement of the thyroid noted bilaterally with months hypoechoic nodules. There is a background of hypoechoic parechhyma with increased vascularity in the neck.
He also didn't seem overly concerned about my Vitamin D level either I don't want to start taking vitamins incase they want me to do bloods again! I honestly thought he would have at least prescribed Vit D
Hi I think it’s definitely worth getting your vitamins optimal as it could be affecting your thyroid function. You don’t need to wait for your doctor to prescribe the ones you’re deficient in. Luckily there’s brilliant advice here on how to load up your vitamin d.
It does make a big difference I have found to get folate ferritin vitamin d and b12 optimal. I also add in selenium as there’s evidence just adding that has lowered tsh. Get the most absorbable form ideally.I also think magnesium is pretty fundamental for my good health.
It might be you do need to have thyroxine but there’s a lot to benefit from getting these vitamin levels right first. I would also try going very strictly gluten free. It has also made the world of difference to me. It might help you avoid starting on medication. If you look at Isabella Wentz’s website she advices getting your vitamin levels optimal first and tackling your diet. There’s lots of free advice on there including very clear diet plans and recipes etc. Good luck
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Has anyone used a private GP to get prescription after NHS GP has refused?
HELP please with new 'private' blood test results compared to GP's. 
No joy with GP, been given antidepressants
Daughters blood results after GP visit. 
