abnormal thyroid results ?

[Yellow2651]

T4 28.3 pmo/L range 11-21 20pmo/L

T3 4.1 pmo/L range 3.10-6.80 pmoi/L

TSH 0.16 miu/l range 0.27-4.20 miu/L

[shaws Administrator]

I am assuming you take levothyroxine? Did you leave a 24 hour gap between your last dose of thyroid hormones and the test? If not your results may be skewed.

[SlowDragon Administrator]

All thyroid tests should be done as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test

For full Thyroid evaluation you need TSH, FT4 and FT3 tested.

EXTREMELY important to test vitamin D, folate, ferritin and B12

Low vitamin levels are extremely common, especially as we get older

What vitamin supplements are you currently taking?

Ask GP to test vitamin levels

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 .

Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).

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

List of private testing options

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Thriva Thyroid plus antibodies and vitamins By DIY fingerpick test

thriva.co/tests/thyroid-test

Thriva also offer just vitamin testing

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins by DIY fingerprick test

bluehorizonbloodtests.co.uk...

If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

NHS easy postal kit vitamin D test £29 via

vitamindtest.org.uk

[pennyannie]

Hey there again ;

The accepted conversion ratio when on T4 - Levothyroxine only is 1 / 3/50 - 4.50 : T3 / T4 with most people preferring to come in at around 4 or under :

So to find your conversion ratio when on T4 only you divide your T3 into your T4 and I'm getting 6.9 showing very poor conversion of T4 into T3.

Your T4 is over range at around 170% whilst your T3 is at around 27% through the range.

Conversion can be compromised by the usual suspects of low vitamins and minerals, and also inflammation, physiological and emotional stress, depression, dieting and ageing so whilst we can't turn back the clock there might be things here also that need to be considered

Primary hypothyroidism caused by RAI thyroid ablation is said to be more difficult to treat.

I can't remember now, but did you confirm when you previously posted that you were diagnosed with Graves Disease as this alone can cause further complications of your doctor doses and monitors you on just TSH blood test results.

The logically solution is reduce your T4 medication but not at the expenses of your T3 level so there is a need to add back in some synthetic T3 - Liothyronine to rebalance both these vital thyroid hormones, and we generally feel better when both T3 and T4 are in the upper quadrant.

You might like to ask for a referral to an endocrinologist as doctors currently can't prescribe T3.

Do you have any current ferritin, folate, B12 and vitamin D levels ?

You might like to go onto the Thyroid uk website, who are the charity who support this amazing forum, and ask to to be sent the list of T3 friendly endocrinologists, as currently the cost of T3, which is ridiculous compared to all other countries, has made its prescribing difficult for those amongst us seeking help.

I too have had RAI and failed to be prescribed anything other than T3 - Levothyroxine and have resorted to self medicating with Natural Desiccated Thyroid which contains all the same known thyroid hormones as that of the humans glands and is made from pig thyroid dried and ground down into tablets referred to as grains.

I am so much improved it simply defies logic why doth T3 and NDT aren't readily available in the NHS as in other countries throughout the World.