Thank you

[Health-care]

Thank you for all your help in interpreting results for many of us

I have nee results and been asked to take alternative days of medication instead of 100mg daily ?

Serum TSH level 0.22 mIU/L [0.3 - 4.5]

Serum free T4 level 13.9 pmol/L [10.0 - 22.0]

[PurpleNails Administrator]

TSH is low so GP likely will consider you over medicated.

You’ll need to point out that your FT4 is still low in range & resist a reduction.

FT3 not tested ask GP to test and nutrients. May have to consider private test if they refuse.

You say alternate 100mcg dose but you don’t say how? do you mean 75mcg or 125mcg? on 2nd day?

[Health-care in reply to PurpleNails]

Thank you x

[SlowDragon Administrator]

Ft4 is low

Was test done as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test

Just testing TSH and Ft4 is completely inadequate

Strongly recommend getting full thyroid and vitamins tested

What vitamin supplements are you currently taking

When were vitamin levels last tested

Do you have Hashimoto’s

Do you always get same brand levothyroxine

How much levothyroxine are you currently taking

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 with autoimmune thyroid disease (Hashimoto’s or Ord’s thyroiditis)

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)

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...

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 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

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...

[Health-care in reply to SlowDragon]

Thank you x