Blood test results

[patez]

Hi everyone.

Could you take a look at my test results and advise accordingly?

I am not taking any thyroid medication.

T3 97.3 (97 - 169)

T4 4.98 (5.53 - 11.00)

FT3 4.00 (2.77 - 5.27)

FT4 1.09 (0.78 - 2.19)

TSH 1.332 (0.4001 - 4.0490)

Thanks

Patez

[Lalatoot]

Patez you should also get antibodies and vitamins tested. Antibody results might indicate an autoimmune thyroid problem. Also vitamins need to be optimal for our bodies to work efficiently.

[SlowDragon Administrator]

Looking at previous posts

You need FULL thyroid and vitamin testing done

How long ago did you stop taking NDT or levothyroxine

When were iron and ferritin levels last tested

Ferritin was extremely high approx 2 years ago at around 700

Are you male or female, and approx age?

Iron overload also called hemochromatosis can cause hypothyroidism

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 at least annually

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 .

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 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...

Hashimoto’s and hemochromatosis can be linked

redriverhealthandwellness.c...

pubmed.ncbi.nlm.nih.gov/182...

britishlivertrust.org.uk/in...

[patez in reply to SlowDragon]

Thanks for your reply.

I am male, aged 63.

I had ferritin tested again a year ago, after stopping taking iron supplements, and levels were fine.

I stopped taking the NDT 2 years ago, after a short trial which made my symptoms worse when I got to only 3/4 grain.

Vitamin D should not be a problem as I get at least 4 hours a day in the sun.

B12 should also not be a problem because I SI 2 to 3 times a week.

You may wonder why I am reluctant to actually take tests for vit D, B12, ferritin, folate? The answer is that it is too expensive here in Thailand where I now live, costing approximately £800 for all 4. Even just the thyroid panel test cost £60! It would be nice if medichecks was available!

I did have tpo and tg tested 2 years ago, which was negative.

I actually posted on here again, following the thyroid panel test done 2 days ago, when I was concerned with the low t3 and under range t4, but on reflection, I believe that those are not indicators? I note that my tsh and ft3 and ft4 are all in range?

But I do struggle with hypo symptoms. I sweat profusely when exercising (I usually go kayaking for 1 to 2 hours a day), or just walking! Insomnia is pretty bad. Feeling nervous and irritable, with a lack of concentration. Unsteady gait. Dry and irritated eyes. Itchy skin, mostly on my back and forearms. Dry and peeling skin on my fingers and palms. Joint pain, mostly right hip, left knee and left shoulder and elbow.

As I have mentioned, I do get plenty of exercise, but I am shattered afterwards!

Anyway, I guess I just have to struggle on!

Thanks again.

Patez

[SlowDragon Administrator in reply to patez]

I am sure other members have mentioned getting very cheap testing in Thailand

Ft3 is most important result, always

[patez in reply to SlowDragon]

Hi.

As my ft3 is good, and tsh and ft4 are all in range, I guess I have to rule out thyroid problems.

The official quote for a tsh, ft3, ft4 and antibody test here in Thailand is 3,800 baht (£86.95). I paid 2,000 baht (£45.76) for the thyroid panel test only that I had done at a local cheap clinic. Vit d (25-OH) is quoted at 6,500 baht (£148.74).

I actually bought some eurthyrox tonight, intending to trial it from tomorrow, but that is probably a bad idea!

I keep on coming back to my primary reason for suspecting a thyroid issue, and that is my excessive sweating, insomnia and anxiety. Of course I do know that excessive sweating is a common symptom of being hyperthyroid, along with the insomnia and anxiety, but graves is very uncommon! And neither ft3 or ft4 is over range.

Clutching at straws eh!

Thanks again for all your helpful advice.

Patez

[Incoguto]

Hey patez, came across your post here, it's been a while since you posted, but I have decided to add my 2 cents.Ft3 and ft4 are below midrange, this can certainly cause issues, it did for me, at the time of my diagnosis my ft3 and ft4 were both below midrange at 40% mark, TSH was about 2 so still in range, I had symptoms. My TPO antibodies were also very high, suggesting Hashimotos.

If you look at your storage T4 and storage T3 (not free FT3 FT4) they are just right at the bottom, some people ignore these, but they could indicated your thyroid is struggling if you have symptoms. And you did mention many symptoms.

Not sure you have done anything about this since, but levels below midrange for FT3 FT4 could suggest hypothyroidism, underactive thyroid. Have you ever had an ultrasound on your thyroid, when you tested negative for antibodies?

You can have sweating, insomnia and anxiety with underactive thyroid.