Blood Results - Help please

[Lainey1234]

Blood taken as suffering with fatigue and joint pain, symptoms progressively worse pain in bones.

Blood shows Vitamin D normal 52.4 (50-250)

TSH 0.3

T4 16.0 Raised TPO

Am still waiting for an endocrinology appointment.

GP mentioned neck scan and notes state euthymic - raised risk to hypothyroid.

I also have a family history of pituitary tumor.

Am currently only on pain meds for joint pain.

Not sure what these mean and what I should be asking during my consultation.

Any advice appreciated

Thank you

[SlowDragon Administrator]

High TPO antibodies suggests autoimmune thyroid disease also called Hashimoto’s

Hashimoto’s frequently starts with transient hyperthyroid results and symptoms before becoming increasingly hypothyroid

About 90% of all primary hypothyroidism in Uk is due to Hashimoto’s.

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...

Please add ranges on Ft4 (figures in brackets result)

You need TSH, Ft4 and Ft3 retested again in 6-8 weeks

Low vitamin levels are particularly common with Hashimoto’s.

Gluten intolerance is often a hidden issue too

Meanwhile request B12, folate and ferritin tested

Plus coeliac blood test too

Vitamin D is low, but not low enough for GP to prescribe

GP should advise on self supplementing vitamin D if over 50nmol, but under 75nmol (but they rarely do)

mm.wirral.nhs.uk/document_u...

But with Hashimoto’s, improving to around 80nmol or 100nmol by self supplementing may be better

pubmed.ncbi.nlm.nih.gov/218...

vitamindsociety.org/pdf/Vit...

Once you vitamin D Improve level, very likely you will need on going maintenance dose to keep it there.

Test twice yearly via NHS private testing service when supplementing

vitamindtest.org.uk

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function. There’s a version made that also contains vitamin K2 Mk7

amazon.co.uk/BetterYou-Dlux...

It’s trial and error what dose we need

Vitamin D and thyroid disease

grassrootshealth.net/blog/t...

Government recommends everyone supplement October to April

gov.uk/government/news/phe-...

[Lainey1234 in reply to SlowDragon]

Thank you so much, all really helpful information