Test results ok, so why do I have a goitre?

[Insomania]

Thanks to help here, I’m feeling happier that my thyroid test results really are within normal range.

I’m focusing efforts on improving my low iron and vitamins, hopefully getting an iron infusion soon. Then will try HRT if needed.

However, I’m still confused as to why I have developed a goitre?

And is there anything I can do to prevent the goitre worsening please?

With thanks.

[SlowDragon Administrator]

Looking at previous post you have low vitamin levels

This is likely due to thyroid

Being hypothyroid frequently causes LOW stomach acid, leads to poor nutrient absorption and low vitamin levels as direct result

Getting all four vitamins OPTIMAL is first step

It takes many months to improve low ferritin

What were most recent vitamin D, folate, ferritin and B12

Exactly what vitamin supplements are you currently taking

[Insomania in reply to SlowDragon]

Hi there, I’m slowly introduced all the ones you recommended

Triple Magnesium complex by igennus

D3 2000iu by Doctors Best

Vitamin B complex by Thorpe

I continue to take spatone with orange juice daily as it’s all I can’t tolerate tabs without gastric issues. I am trying to arrange a private iron infusion

Will add in the Vitamin K2-MK7 this week.

Last week’s blood test was:

Test result - Full blood count;IRON OVERLOAD STUDIES;FERRITIN;25OH VITAMIN D (GP ONLY);TSH (USE FOR TFT);VITAMIN B12;FOLATE (SERUM) Report, Abnormal, but expected, Other (await contact from haematology)

Coded entry - Monocyte count - observation (42N..) 0.5 10^9/L [0.1 - 0.9]

Coded entry - Lymphocyte count (42M..) 2.18 10^9/L [1.1 - 4.5]

Coded entry - Neutrophil count (42J..) 5.01 10^9/L [1.5 - 7.7]

Coded entry - Eosinophil count - observation (42K..) 0.53 10^9/L [0.02 - 0.5]

Coded entry - Serum ferritin level (XE24r) 8.6 ng/ml [10 - 291]

Coded entry - Serum C reactive protein level (XaINL) < 4 mg/L [0 - 6]

Coded entry - Basophil count (42L..) 0.05 10^9/L [0 - 0.2]

Coded entry - Red blood cell distribution width (XE2mO) 14.5 % [11 - 16]

Coded entry - Mean cell haemoglobin level (XE2pb) 26.2 pg [27 - 33.5]

Coded entry - Mean cell volume (42A..) 82.1 fL [80 - 99]

Coded entry - Platelet count - observation (42P..) 314 10^9/L [150 - 370]

Coded entry - Platelet distribution width (X76vp) 42 %

Coded entry - Mean platelet volume (42Z5.) 10.2 fL [0 - 99]

Coded entry - Plateletcrit (X76vq) 0.3 10*9/L

Coded entry - Haematocrit (X76tb) 0.379 [0.355 - 0.455]

Coded entry - Serum folate level (42U5.) 16.85 ng/ml [> 5.38]

Coded entry - Serum vitamin B12 level (XE2pf) 532 ng/L [211 - 911]

Coded entry - Haemoglobin concentration (Xa96v) 121 g/L [120 - 156]

Coded entry - Full blood count (424..)

Coded entry - Total white blood count (XaIdY) 8.4 10^9/L [3.9 - 10.2]

Coded entry - Red blood cell count (426..) 4.62 10^12/L [3.9 - 5.2]

Coded entry - Percentage iron saturation (XaJm0) 14 % [16 - 50]

Coded entry - Transferrin level (X76tI) 3.34 g/L [2.5 - 3.8]

Coded entry - Serum iron level (X76tH) 10.4 umol/l [10 - 30.4]

Coded entry - Serum C reactive protein level (XaINL) < 4 mg/L [0 - 6]

Coded entry - Serum TSH level (XaELV) 0.44 miu/L [0.35 - 5.5]

Coded entry - Serum total 25-hydroxy vitamin D level (Xabo0) 86.9 nmol/L

Coded entry - Serum ferritin level (XE24r) 8.6 ng/ml [10 - 291]

[Insomania in reply to Insomania]

Have compared against previous results and found…Serum iron is now 10.4 from 4 in May21 [range 10-30.4]

Ferritin is now 8.6 from 10.4 in August21 and 7.8 in May21 [range 10-291]

Folate is now 16.85 from 20.2 in August21 [range 5.38+]

Vit D is up from 47 in May21 to 86.9 [50+]

B12 also going up from 451 in May21 to 492 in August21, now at 532 [range 211-911]

All going up except ferritin 🤔

[diogenes Remembering]

I'd suggest getting an iodine test in case iodine deficiency is causing the goitre. Even with deficiency, your thyroid is doing all it can to keep you healthy. So if you take in low iodine the gland will grow to try to compensate .And it might be able by enlarging to keep your T4 levels steady. This is called a benign goitre. Otherwise it will require surgery.

[Insomania in reply to diogenes]

I haven’t had an iodine test. Would a GP arrange? Or private? Thank you for your help.

[SlowDragon Administrator]

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

[Insomania in reply to SlowDragon]

No, I’m a meat eater. I never diet, I weigh 8st (5ft tall).

I’ve always had to eat three meals regularly or I’m faint/nauseous.

My appetite is poor atm.