Joined this group a couple of weeks ago and I now have had access to historical blood results if anyone can help me understand what’s going on . Diagnosed with hypothyroidism in 2011
TSH 19.9 (0.3 - 5.5) FT4 7.2 (11 -23) FT3 4.4 (4.1-7.9) started on 50mcg Levo
Next results TSH 6.4 & FT4 12.4 same ref ranges upped Levo to 75mcg
TSH 2.2 FT4 14.1 FT3 4.4 increase to 100mcg
Left on 100mcg till 2013 always complaining of feeling tired achy dry skin constipation etc
In 2013 retested TSH 9.8 & FT4 13.6 upped to 125 mcg .
2014 parathyroid 2.76 (1.9 -7.64)
Tsh 0.69 & FT4 17.5
2017 TSH 0.44 & FT4 20.1
TSH 1.3 & FT4 22
In 2019 TSH 1.3 (0.3-4.2)
FT4 21.4 (12-22)
FT3 4.2 (3.1- 6.8 lowered dose back to 100mcg
Last test 2021 TSH 1.1
B12 45.4 (197-771)
Folate 8.4 (4.6 -18.7)
Vit D 54
I also had an ultrasound showing chronic thyroiditis in 2019 but not acknowledged as this was an incidental finding .
I have not felt well for so long and keep going to the GP tiredness insomnia raynauds weight gain dry skin constipation memory problems brain fog etc ...and nobody seems to listen and make me feel like a complete loony
Can anyone help me understand the blood results
Thankyou in anticipation
Written by
Coxyella51
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As you have Hashimoto's this frequently affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function with Hashimoto’s can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
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