Hi there this is my first post on here and I have been trying to discover why I feel so awful most of the time... all the symptoms of hypothyroid. I am 61 years of age and at my wits end with having so little energy I can barely function. Here are my Thyroid Function test results from Medichecks which I just got today and they said are "normal". Any help will be gratefully appreciated. X
TSH X 9.59 mU/L (Range: 0.27 - 4.2)
Free T3 4.99 pmol/L (Range: 3.1 - 6.8)
Free Thyroxine 17.200 pmol/L
(Range: 12 - 22)
Autoimmunity
Thyroglobulin Antibodies
14.9 (Range: < 115)
Thyroid Peroxidase Antibodies
<9.0 IU/mL (Range: < 34)
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Resonates61
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Your TSH level is too high indicating hypothyroidism which can make you feel very tired. I have this and also am a certified lab scientist. Call your Dr and specifically ask them about that value.
Always test thyroid levels as early as possible in morning to get highest TSH
See GP with these results
Request second thyroid test in few weeks
Meanwhile request GP test vitamin D, folate, ferritin and B12
These are frequently low when hypothyroid due to developing low stomach acid.this leads to poor nutrient absorption and low vitamin levels as direct result
Come back with new post once you get results from GP
Wonder how many more patients with high over range TSH have been told their result is normal. We pay good money for the Medichecks and I understand thatTUK receives a small payment if it is quoted in the order. Perhaps someone at TUK needs to bring this to their attention lynmynott
shows that your TSH is higher than the top range of 4.2. You should have been diagnosed as hypothyroid and prescribed levothyroxine to begin with.
You also have to have a blood test every six weeks to check your TSH is reduce, the aim being around 1. Request GP to test Free T4 and Free T3 when next blood test is due. These two are very important but rarely prescribed.
This is the procedure:
Make your blood draw appointment weeks ahead so that you can choose the earliest time and it is a fasting test (you can drink water), Don not take thyroid hormones before test but take it afterwards. Also ask for B12, Vit D, iron, ferritin and folate to be checked too. We need everything to be optimal. The best thing is that we need our clinical symptoms to be resolved and we feel we've normal health once more. We will still have to take thyroid hormones.
Traditionally we have tended to start patients on a low dose of levothyroxine and titrate it up over a period of months. RCT evidence suggests that for the majority of patients this is not necessary and may waste resources.
For patients aged >60y or with ischaemic heart disease, start levothyroxine at 25–50μg daily and titrate up every 3 to 6 weeks as tolerated.
For ALL other patients start at full replacement dose. For most this will equate to 1.6 μg/kg/day (approximately 100μg for a 60kg woman and 125μg for a 75kg man).
If you are starting treatment for subclinical hypothyroidism, this article advises starting at a dose close to the full treatment dose on the basis that it is difficult to assess symptom response unless a therapeutic dose has been trialled.
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Help with interpretation of Vitamins please!
Help interpreting results please
Help with interpreting results please
Please help interpret. 
Help interpreting labs please
