Help with lab results. I did a home test because my doctor only tested TSH and I have tons of symptoms. However the symptoms I have seem to go with both hyper and hypo so I’m not sure what these numbers mean.
No visible goiter but neck is super tight. If a shirt or my seatbelt is touching the base of my neck it’s uncomfortable and I have to pull it away. I feel like I’m living in a different body due to all the symptoms I’ve been experiencing for the past 3 years. I was told I have anxiety and familial tremors yet the tremors hit me out of nowhere. Palpitations, shortness of breath, feeling of blood rushing through my body which is super odd, terrible anxiety, face and ears flushing, fluid in ears, cold all the time especially hands feet and my nose, bloating, bouts of acid reflux, possible carpal tunnel in left hand, dry skin especially in my face and hands, my muscles are shaky and fatigued constantly, my arms get tired just brushing or shampooing my hair. All of my muscles fatigue very quickly in general, not that I’ve lost strength as I can still lift things but my muscles just get tired and shake really easily, amongst many other things. Too many weird things I feel like I’m dying most days honestly.
TPO antibodies are positive but no value listed
TSH is 0.72 (0.55-4.78 within range)
Free T3 is 2.1 pg/mL (below normal)
Free T4 is 0.6 ng/dL (below normal)
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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
Low vitamin levels are extremely common, especially if you have autoimmune thyroid disease (Hashimoto's) diagnosed by raised Thyroid antibodies
Ask GP to test vitamin levels and thyroid antibodies
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
If TPO or TG thyroid antibodies are high this is usually due to Hashimoto’s (commonly known in UK as autoimmune thyroid disease).
About 90% of all primary hypothyroidism in Uk is due to Hashimoto’s. Low vitamin levels are particularly common with Hashimoto’s. Gluten intolerance is often a hidden issue to.
In central hypothyroidism I didn’t read about any tightness in neck or trouble swallowing? Maybe that’s a completely separate issue and I’m grouping it all together. Also positive TPO does that mean autoimmune or do you have to have an exact value? It sounds mostly like vague hypothyroidism symptoms. I did fall in the shower back in 2018 and hit my forehead pretty good but I went in for a CT scan and nothing showed other than some calcification in my choroid plexus which was cleared by neurology. Would a pituitary issue have shown on that ct scan by chance? All of this stuff just gradually came on one thing after another. My mother has multinodular goiter and her mother is borderline hypo as well.
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