Post Partial thyroidectomy blood results - Thyroid UK

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Post Partial thyroidectomy blood results

Hama102 profile image
5 Replies

Hi, I am 6 weeks post partial thyroidectomy (suspected cancer but fortunately it came back benign).

Before surgery these were my levels:

TSH - 1.250 (0.27-4.20 mIU/L

Free T4 17.98 (12-22pmol/l)

FRee T3 - 4.7 (3.1-6.8 pmol/l)

6 weeks post surgery:

TSH- 2.98

T4 - 76nmol/l free t4 14.9

Free T3 - 4

TPEX 12.8iu/L -(0-34)

TGAB 14.5iu/L (0-115)

I feel so tired but the results are still within a normal range but the TSH is much higher than pre surgery. Will the consultant actually do anything about it when I see him Wednesday? (He is private if that helps?!). I can't bear feeling like this over the summer holidays 😓

Also I don't know what my antibodies were pre surgery. Are these results normal considering I have only one thyroid lobe?

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Hama102
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SlowDragon profile image
SlowDragonAdministrator

Clearly levels Ft4 and Ft3 are dropping

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

What vitamin supplements are you currently taking

Low vitamin levels are extremely common, especially with autoimmune thyroid disease (Hashimoto’s or Ord’s thyroiditis) diagnosed either by high thyroid antibodies or by ultrasound scan

20% of Hashimoto’s patients never have high 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)

Is this how you do your tests?

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

List of private testing options

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

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

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

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

bluehorizonbloodtests.co.uk...

Thriva Thyroid plus antibodies and vitamins By DIY fingerpick test

thriva.co/tests/thyroid-test

Thriva also offer just vitamin testing

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.

Link about thyroid blood tests

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

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

List of hypothyroid symptoms

thyroiduk.org/if-you-are-un...

Hama102 profile image
Hama102

Thanks. I have had the following checked with Vitamin D and Folate coming back as low/suboptimalVit D - 61nmol/l (50-200)

Folate 9nmol/l (8.83-60.8)

Active B12 108pmol/l (37.5-188)

Ferritin (118ug/l) (44-150)

SlowDragon profile image
SlowDragonAdministrator in reply to Hama102

So you need to improve low vitamin D and low folate by supplementing

Retest again in further 6-8 weeks

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

Nanaedake profile image
Nanaedake

You need to get a blood test in about 6 weeks time to assess what's happening and ensure thyroid function is sufficient to support you. At the moment, although thyroid function has reduced, it could be a normal variation and may pick up again as your body adjusts.

You need to ensure vitamin D level is optimal as it will support better recovery.

My unscientific opinion is that if you have lost any parathyroid glands it might help your body maintain good calcium levels if vitamin D is optimal.

As you still have some thyroid volume it's worth testing for thyroid antibodies to rule out autoimmune disease.

jrbarnes profile image
jrbarnes

I had a partial and did great for two years until I developed some slight fatigue again. At that point my TSH was 5 and the endocrinologist recommended Levothyroxine. I followed his advice because I was concerned about getting another growth on my thyroid. My endo said most people who have a partial will need to go on Levothyroxine. I required a full replacement dose as anything less left me tired.

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