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.
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.
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
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.
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.
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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