Latest bloods

[sunsation1]

Specimen Type: Blood

Specimen Reference#: 1

Collected: 22 Nov 2021

Received: 22 Nov 2021

Provider Sample ID: 21B10149804

Pathology Investigations

Thyroid function test

Serum TSH level 7.1 mIU/L [0.3 - 5.5]

Above high reference limit

Serum free T4 level 18.2 pmol/L [10.0 - 22.0]

General Information

Service Type: New

Status: Unspecified

Provider Report ID: 20211122152150991_0

Report Date: 22 Nov 2021

Gp has upped dose by 25mgs from today

[SlowDragon Administrator]

Just testing TSH and Ft4 is completely inadequate

Ft4 is high

No Ft3 result

ESSENTIAL to test vitamin D, folate, ferritin and B12

Can’t see any recent results

What vitamin supplements are you currently taking

Vitamin levels frequently drop dramatically when under medicated

Recommend testing now

Which brand of levothyroxine are you currently taking

Do you always get same brand levothyroxine at each prescription

Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine

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

Very important to test vitamin D, folate, ferritin and B12

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

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 and last dose levothyroxine 24 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

When did you take last dose levothyroxine before test

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

[JAmanda]

So how much Levo are you on now? You might feel a benefit from the extra 25. But do get private tests once you’ve been on that dose a month at very least to include T3 (nhs docs never order this and we ts the only way to see how much active hormone is circulating.)

[sunsation1 in reply to JAmanda]

Tsh was tested 21 oct and was then 1.9 prior to that I had an elevated T4 of 32 and T3 was 5.4 tsh was 1.3 go has upped my dose to 150mgs from 125mgs not taking any other supplements as due an op on throat on Wed