Hi new here: Can someone pretty please look over... - Thyroid UK

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Hi new here

gettingbetter09 profile image
11 Replies

Can someone pretty please look over my results. I recently got these done and would love if someone could double check. I'm going through alot of testing at the minute for a few things and I'm also b12, folate and vitd deficient.

These are my results:

TSH 3.01 (range 0.27 - 4.2)

Ft4 14.1 pnmol/l (range 12-22)

Ft3 4.3 pnmol/l (range 3.1-6.8)

T4 82 nmol/l (range 66-181

TPoAb 11.4 (range 0-34)

TgAB 12.5ku/l (0-115)

Tia X

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gettingbetter09
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11 Replies
SeasideSusie profile image
SeasideSusieRemembering

gettingbetter09

Are you diagnosed with a thyroid condition and on any thyroid meds? Knowing this will help us to interpret your results accurately, interpretation will be quite different depending on whether or not you take thyroid meds.

gettingbetter09 profile image
gettingbetter09 in reply toSeasideSusie

No not on meds or have a diagnosis X

SeasideSusie profile image
SeasideSusieRemembering in reply togettingbetter09

gettingbetter09

OK, so your results are classed as euthyroid (normal). You will not get a diagnosis of Primary Hypothyroidism until TSH goes over 10.

A normal healthy person tends to have a TSH of no more than 2, often around 1, with FT4 mid-range-ish. Your TSH seems high for a healthy person and your FT4 is only 21% through range, but as we're not tested for a baseline in health none of us know where our normal levels lie. In some countries hypothyroidism is diagnosed when TSH goes over 3 but I'm afraid not here.

Your thyroid antibodies are nice and low and don't suggest autoimmune thyroid disease (Hashimoto's).

What are the results for your vitamin tests? Are your deficiencies being addressed by your GP?

Did you have ferritin tested? The optimal ferritin level for good thyroid function is 90-110ug/L according to some experts.

gettingbetter09 profile image
gettingbetter09 in reply toSeasideSusie

My ferritin is at 112. CRP 6.56mg/l (range 1-3)

Active b12 is 66 (range 37-150)

Serum in 2018 was 311 and in 2014 180 only found out last week about that.

Folate 4.7 (range 8.83-30) (taking folic acid now)

Vitamin D 15nmol/l (on a vitamin D protocol now for that)

Homocysteine 26 (range 4-13)

MMA all normal.

They won't give me b12 until I get tested again in 6 weeks. And said only tablet form so will have to source injections.

SeasideSusie profile image
SeasideSusieRemembering in reply togettingbetter09

Gettingbetter09

Your CRP is raised. This is a non-specific inflammation marker.

Your Ferritin level looks good at first glance but Ferritin can also be raised due to inflammation so your true level may be lower.

It may be worth retesting everything in about 3-4 months, see if your nutrient levels are anywhere near optimal and whether it it changes your thyroid levels.

Optimal nutrient levels are:

Vit D - 100-150nmol/L

B12 - top of range for Total B12, and for Active B12 over 100

Folate - at least half way through range

Ferritin - half way through range

When testing thyroid we always advise :

* Test no later than 9am

* Nothing to eat or drink except water before the test

This ensures the highest possible TSH which is needed for diagnosis.

gettingbetter09 profile image
gettingbetter09 in reply toSeasideSusie

Thank you I have another test due in October with Thriva.

SlowDragon profile image
SlowDragonAdministrator

First step is to improve vitamin D, folate and B12

These are all deficient

This could be masking cause, which could be hypothyroidism

When hypothyroid we frequently have low stomach acid, this leads to poor nutrient absorption and low vitamin levels as direct result

Low vitamin levels tend to lower TSH (which is all most medics look at)

What’s your diet like

Are you vegetarian or vegan?

Taking any medications? Or PPI like omeprazole?

So GP has prescribed folic acid for folate deficiency

How much vitamin D have you been prescribed?

B12 you could try sublingual drops

Have you had full testing for Pernicious Anaemia, if not you should do

gettingbetter09 profile image
gettingbetter09 in reply toSlowDragon

Hey thank you for the reply, very informative.

Ok so I'm taking vit d 5,000 units, 100mcg of K2 and 500mg of magnesium at night. GP prescribed 800mcg I think and it has a weird name. Was advised not to take them by another vit d group.

I tried high dose b12 tablets at one stage and it doesn't work. I'm not vegan or vegetarian. Eat pretty much anything.

I have been taking ppis lately and that's due to frequent vomiting and severe stomach pain. But only started recently, I had low numbers before taking them.

Yes I'm now on 5mg folic acid.

I haven't had the testing for PA but will do in six weeks when doctor tests my b12 again to see if it's dropped any due to the folic acid.

Thank you 😊

SlowDragon profile image
SlowDragonAdministrator

Suggest you get FULL thyroid and vitamin testing redone, privately if necessary in 3 months once you have been working on improving low vitamin levels

Remember to stop taking vitamin B complex or any supplements that contain biotin a week BEFORE all blood tests

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)

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

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

List of hypothyroid symptoms

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

gettingbetter09 profile image
gettingbetter09 in reply toSlowDragon

Yes I use Thriva. X

Marz profile image
Marz

Taking a good B Complex with additional B12 may help your Homocysteine levels. They are good/better in single figures.

Was your Homocysteine tested privately or NHS ?

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