Daughters recent blood result: Thrive blood... - Thyroid UK

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Daughters recent blood result

JAE69 profile image
8 Replies

Thrive blood results 20 May 2021:

TSH 7.18 ( Range 2.5 - 4.2)

FT4 13.6 (Range ? 12 - 17)

(TIBC) 78 High, (Range 0 - 100)

Transferrin saturation

22% ? Normal (? Range 0 - 100)

Ferritin

80 Optimal (Range 15 - 150)

Iron

17.3 Normal (Range 5.8 - 60)

URBC

61.1 Normal (Range 0-125)

VitaminB9& B12 (Active)

All results normal

Folate

12 Normal (Range 8.83 - 60.8 )

Active B 12

106 Normal (Range 37.5 - 300)

Vitamin D

82 Optimal (Range 50 - 175)

I haven’t included liver & Kidneys because GP can refer to these result

Thank you, my daughter is so fatigued, mental health declining

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JAE69
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SlowDragon profile image
SlowDragonAdministrator

Was test done as early as possible in morning before eating or drinking anything other than water

Is she diagnosed as hypothyroid and on levothyroxine?

If not she should be diagnosed.

Is this her first thyroid test?

Typically bloods are retested again 6-8 weeks later after first abnormal thyroid results.

After 2 results where TSH is over 5 levothyroxine should be prescribed

Standard starter dose of levothyroxine is 50mcg

If she’s on levothyroxine she needs 25mcg dose increase in levothyroxine and bloods retested 6-8 weeks later

What vitamin supplements is she currently taking

JAE69 profile image
JAE69 in reply toSlowDragon

I can’t thank the forum enough for the support/advise we get from you all. My daughter has lots of mental health problems and not always able to look after herself fully. As you know, with psych problems often the emphasis is only on antipsychotics & antidepressants. Because my daughters recent results which indicate the possibility of hypothyroidism, I feel we can now approach her GP and hopefully get help to treat her. I feel there’s hope to cling to now to get help for her.

SlowDragon profile image
SlowDragonAdministrator in reply toJAE69

Did you get thyroid antibodies tested?

About 90% of primary hypothyroidism is autoimmune thyroid disease diagnosed by high thyroid antibodies or by ultrasound scan of thyroid

High TPO or High TG antibodies can confirm autoimmune thyroid disease

But 20% of Hashimoto’s patients never have high thyroid antibodies, ultrasound scan can help diagnosis

Are her vitamin levels naturally good, or has she been supplementing

Mental issues including Bi-polar and Hashimoto's

drknews.com/when-hashimotos...

holtorfmed.com/mental-illne...

thyroidpharmacist.com/artic...

drknews.com/when-hashimotos...

hypothyroidmom.com/miss-dia...

ncbi.nlm.nih.gov/pmc/articl...

ncbi.nlm.nih.gov/pmc/articl...

JAE69 profile image
JAE69 in reply toSlowDragon

After speaking to her Gp regarding private Thriva blood results, my daughter is having blood tests on Thursday. He indicated doing thyroid antibodies. Whether that means TPO & TG we’ll not know until we get the results. Once again thanks for your help Slow Dragon.

SlowDragon profile image
SlowDragonAdministrator in reply toJAE69

Confused as to why the thyroid antibodies weren’t included in Thriva test

NHS should test TPO antibodies, but will only test TG antibodies if TPO antibodies are high

Significant minority of Hashimoto’s patients only have high TG antibodies and struggle to get diagnosed

20% of Hashimoto’s patients never have high thyroid antibodies at all….so if both antibodies are negative need ultrasound scan of thyroid

SlowDragon profile image
SlowDragonAdministrator

See flow chart on top of page 2

gp-update.co.uk/Latest-Upda...

SeasideSusie profile image
SeasideSusieRemembering

JAE69

Thriva have a very confusing way of displaying their results, I think you have taken them from the graphic rather than the pdf which shows the proper normal ranges. With the graphic you only use the green part of the bar, including both light and dark green, and ignore their opinion of "optimal" (which is generally nonsense).

You can find the results with their normal ranges as a pdf using the link in the help page

intercom.help/thrivahelpcen...

The results will then look like this:

healthunlocked.com/thyroidu...

So her results with the proper reference ranges are:

TSH 7.18 (0.27 - 4.2)

FT4 13.6 (12 - 22)

If your daughter is not diagnosed hypothyroid then she is well on her way with a TSH of 7.18 but GPs don't tend to diagnose until TSH goes over 10. If thyroid antibodies are raised this will confirm autoimmune thyroid disease (known to patients as Hashimoto's) and an over range (but less than 10) TSH along with raised antibodies should give a diagnosis and prescription for Levo.

If she is already diagnosed and on Levo then she needs an increase in dose.

(TIBC) 78 High, (41-77)

Transferrin saturation 22% (20-50)

Ferritin 80 (13 - 150)

Iron 17.3 Normal (5.8 - 34.5)

URBC 61.1 Normal (24.2 - 70.1)

Optimal iron panel levels according to rt3-adrenals.org/Iron_test_... are:

Serum iron: 55 to 70% of the range, higher end for men - hers is 40% through range so on the low side.

Saturation: optimal is 35 to 45%, higher end for men - hers is low at 22%.

Total Iron Binding Capacity (TIBC): Low in range indicates lack of capacity for additional iron, High in range indicates body's need for supplemental iron - hers is high

Ferritin: Low level virtually always indicates need for iron supplementation; High level with low serum iron/low saturation indicates inflammation or infection; High level with high serum iron and low TIBC indicates excess iron; Over range with saturation above 45% suggests hemochromatosis - hers is 49% through range. It's often suggested here that ferritin should be half way through range.

So her iron panel is mixed. Her ferritin doesn't show iron deficiency but ferritin can show higher than normal if there is infection or inflammation. The rest of the iron panel suggests that she may benefit from supplementing. This should be discussed with her GP.

Folate 12 Normal (Range 8.83 - 60.8 )

Folate is recommended to be at least half way through range, This result is very low. What is the unit of measurement - I think it is nmol/L. If so then below 7 is folate deficiency and 7-10 is the indeterminate zone when it may be suggestive of folate deficiency but not diagnostic. As the result doesn't come into either of these categories this is something she might want to discuss with her GP but may need to address herself, in which case a good quality, bioavailable B Complex containing methylfolate could be considered, eg Thorne Basic B. Taking a B Complex, rather than methylfolate alone, will help keep all the B vitamins in balance.

Active B 12 106 Normal (37.5 - 188)

This is a good result.

Vitamin D 82 (50 - 175)

The Vit D Society and Grassroots Health recommend a level of 100-150nmol/L. Hers isn't a bad result but she could improve this if she wished by taking a lowish dose D3 supplement (say 2,000iu) along with D3's important cofactors - Vit K2-MK7 and magnesium.

JAE69 profile image
JAE69 in reply toSeasideSusie

Thank you once again for your help Seaside Susie this is a reply I made to Slow Dragon which applies to you too: I can’t thank the forum enough for the support/advise we get from you all. My daughter has lots of mental health problems and not always able to look after herself fully. As you know, with psych problems often the emphasis is only on antipsychotics & antidepressants. Because my daughters recent results (which you kindly ‘sorted out’ for me) indicate the possibility of hypothyroidism, I feel we can now approach her GP and hopefully get help to treat her. I feel there’s hope to cling to now to get help for her. The advice on supplementation as well the big possibility of my daughter being hypothyroid gives me lots of scope to act upon to help her get the help she needs.

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