Need help with readings: Hi there! Over the last... - Thyroid UK

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Need help with readings

Smiekie_t profile image
9 Replies

Hi there! Over the last year I've been experiencing lots of weird health issues which may be related to hormones. Hot flushes on my cheeks, but very cold hands and feet, extremely dry hair. I've also had shingles many times and very low cholesterol. Because my GP ran a few blood tests but nothing unusual came out of it, I've been trying to figure stuff out by myself, or at least ruling things out one by one. I did a thyroid blood test, these are the results. The lab says they're normal, but just checking with you to verify. Thanks!

T3 Free: 4.56 pmol/l ref 3.08-6.78

T4 Free: 18.03 ref 11.60-21.90

TSH 1.20 ref 0.27-4.20

I also had an ANA test which came out as 1:80 with speckled pattern, which they also said was slightly higher for autoimmune, but not conclusive.

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Smiekie_t
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SlowDragon profile image
SlowDragonAdministrator

Recurrent shingles can suggest immune response issues

newsnetwork.mayoclinic.org/...

Thyroid levels look normal but ideally you would have included thyroid antibodies in test

Is there any autoimmune disease in close family members

Looking at previous posts

You’re male?

Approx how old

What’s your diet like, are you vegetarian or vegan

Have you had vitamin D, folate, ferritin and B12 levels tested

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested.

ESSENTIAL to also test vitamin D, folate, ferritin and B12

Low vitamin levels are extremely common, especially with autoimmune thyroid disease (Hashimoto’s or Ord’s thyroiditis) or with Graves’ disease

Low vitamin levels common as we get older too

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...

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). Ord’s is autoimmune without goitre.

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 too

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...

Link about Graves’ disease

thyroiduk.org/hyperthyroid-...

Smiekie_t profile image
Smiekie_t in reply to SlowDragon

Hi, thanks for your reply. I'm a 38 year old female. I had normal vitamin levels, but was extremely low on vitamin D a year ago. Have been taking high dosage ever since.

I'm currently doing low carb high fat diet, nothing with gluten, sugar or alcohol and limited coffee. My aunt had all sorts of autoimmune issues, but other than that nobody in my family.

I'll see if I can get the antibodies test for some more clarity. Was also considering lupus as a possible autoimmune issue as have some symptoms of that too.

SlowDragon profile image
SlowDragonAdministrator in reply to Smiekie_t

I had normal vitamin levels, but was extremely low on vitamin D a year ago.

How low was vitamin D

Test twice yearly via NHS private testing service when supplementing vitamin D

vitamindtest.org.uk

What were actual results and ranges on folate, ferritin and B12

Results are considered “normal “ if within range ….but that can be far from optimal, if at bottom of range

SlowDragon profile image
SlowDragonAdministrator

Looking at other posts you have ongoing issues with acid reflux

LOW stomach acid is common hypothyroid symptom

Thousands of posts on here about low stomach acid…frequently misdiagnosed as high stomach acid

healthunlocked.com/search/p...

Web links re low stomach acid and reflux and hypothyroidism

nutritionjersey.com/high-or...

articles.mercola.com/sites/...

thyroidpharmacist.com/artic...

stopthethyroidmadness.com/s...

Tests for low stomach acid

healthygut.com/articles/3-t...

naturalendocrinesolutions.c...

meraki-nutrition.co.uk/indi...

huffingtonpost.co.uk/laura-...

lispine.com/blog/10-telling...

Protect your teeth if using ACV with mother

healthunlocked.com/thyroidu...

Ppi like Omeprazole tend lower vitamin levels

gov.uk/drug-safety-update/p...

webmd.com/heartburn-gerd/ne...

pharmacytimes.com/publicati...

PPI and increased risk T2 diabetes

gut.bmj.com/content/early/2...

Iron Deficiency and PPI

medpagetoday.com/resource-c...

futurity.org/anemia-proton-...

onlinelibrary.wiley.com/doi...

sciencedirect.com/science/a...

Lizzo30 profile image
Lizzo30

Hi Smiekie_t looking at your previous posts and your heartburn and anxiety issues I think you should look into the benefits of apple cider vinegar and magnesium to acheive a good alkaline ph balance but make sure it is a good quality magnesium Holland and Barrett do a liquid magnesium which is good quality and easily absorbed have you had your estrogen and progesterone levels checked ?

Smiekie_t profile image
Smiekie_t in reply to Lizzo30

Thanks. The funny thing is is that I don't have heartburn anymore. I keep getting symptoms of something for a couple of months and then it passes on to the next thing. The chronic shingles is really bothering me now and the hormones. My GP said getting estrogen and progesterone checked is useless because it fluctuates so much. Do you have other experiences?

Pixielula profile image
Pixielula in reply to Smiekie_t

When I started the LCHF diet I was able to stop the PPI I had been on for 15+ years. My gastro told me carbs are harder to digest than proteins and fats. I have been off PPI’s now for 4 years with no issues. I also take the betaine HCL with pepsin, a digestive supplement

Smiekie_t profile image
Smiekie_t in reply to Pixielula

Good to hear. I've been feeling quite well on this diet. I don't do strict keto, because that left me feeling quite faint. But lower carb, no processed foods is working for me.

NWA6 profile image
NWA6

Be careful of a low carb diet with thyroid issues.

dietvsdisease.org/low-carb-...

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