Anyone had recent issues with GP refusing to do... - Thyroid UK

Thyroid UK

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Anyone had recent issues with GP refusing to do T3 tests who did them before?

HyHashi profile image
9 Replies

Hello,

I am facing a new brick wall - have been on combined T4/T3 medication for 10 years, sourcing my T3 privately (from Germany, with the help of my private endo). Recently the T3 menu has completely disappeared from my NHS surgery and my GP says it is not a test available in primary care anymore. Calling the NHS they say it's up to the surgery but the GP isn't helpful at all. I am feeling like it is yet another mountain to climb, it is already so hard for patients on the combined meds, sourcing and paying for it privately, but now the denial of T3 is going further rather than improving! There has been so much work done on awareness, the NICE guidelines have been updated, there is a motion in Parlament about this (parliament.scot/chamber-and...

and yet things appear to be further deteriorating. Has anyone else been in the same situation, and is there a way to redress it and convince my GP to do these tests? this is not just for me, obviously it means others would find it even harder than I did!

Thank you

#t3 #nhstests

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HyHashi profile image
HyHashi
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9 Replies
SlowDragon profile image
SlowDragonAdministrator

Widespread issue

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/

Or test thyroid and vitamins annually via Medichecks or Blue horizon

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

On T3 or NDT - day before test split daily dose into 3 smaller doses, spread through the day at approx 8 hour intervals, taking last 1/3rd of daily dose 8-12 hours before test

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...

DippyDame profile image
DippyDame

I'm afraid very many of us resort to having private tests...and purchasing T3..

It is very far from ideal and totally rediculous but this is the lot of many thyroid patients.

The powers that be appear to think we should respond via TSH labs and levothyroxine, which is not the case...as you know!

Some are lucky and have limited doses of T3 prescribed.

Many of us, myself included, have to buy our T3.

I need high dose T3, without it I cannot function

I won't bore you with the details but they are in my profile!

So yes, I unequivocally agree with you...change is absolutely.

But right now, trying to be heard is tantemount to whistling into a 100mph gale!

You probably already have this info but I'll add incase not

thyroiduk.org/help-and-supp...

Sometimes, when medics cannot help, we just need to take control and look after ourselves!

It beggars belief!

Rant over!

Good luck

HyHashi profile image
HyHashi in reply to DippyDame

thank you DippyDame, i purchase T3 privately (from Germany) after a private endo prescription. I am supporting thyroid.uk, and am aware of their long fight on this issue. Which is precisely why I won't let it go, especially with things going in the wrong direction, and my Surgery / GP offering even less support and understanding of the issue now than they did 8 months ago.

Rocky profile image
Rocky

I have had the same problem after being prescribed T3 by a private Endocrinologist last year, and I am now under an NHS one. I had to do my own private blood test the first time, as the surgery messed up my blood test form. It was suggested to me by someone that I phone my local Hospital and ask the lab if they tested T3 and they said that they did and it was up to my GP to write it on the blood test form. I spoke to my GP and he was absolutely furious that the lab had told me that they did it and he tried to say that he couldn't write it on my blood test form. I even got sent a blood test label from my NHS Endocrinologist and my Surgery still said they couldn't use it. My GP eventually agreed to have it written on my blood test form and that if it came back and they hadn't tested it that someone at the surgery could phone the lab and ask for it to be done. Apparently the lab can keep your blood for up to 5 days. I told my GP that I was sick of being the patient stuck in the middle of him and the testing lab, while they argued between them about who was supposed to do it. I told him that my Endocrinologist needed all my thyroid test results so that they could change my doses if needed. Up to now I have finally had 2 full thyroid blood tests done for TSH, T4 and T3. I have still had to phone the surgery to make sure it has been done. GP's are very good at blaming other people for things that they can't be bothered to check out, and can actually do for you

Batty1 profile image
Batty1 in reply to Rocky

I don’t understand why you can’t have blood test form given to you by the Endo thats treating you and just leave GP out of your thyroid issues completely .

Rocky profile image
Rocky in reply to Batty1

I was sent a blood test form by my NHS Endocrinologist but still told by my Nurse doing the blood test at the surgery that they don't accept or use them. I chose to see an NHS Endocrinologist out of my area to get a better chance of them being a decent one. I am now allowed to have online appointments with her to save travelling, which means I won't get my blood test done at the hospital for my appointment. My GP still wouldn't take this into account. I am afraid that what is common sense to us doesn't seem to have been triggered in some GP's brains yet

Batty1 profile image
Batty1 in reply to Rocky

Im sorry but if you see an Endo for thyroid issues and he gives you a lab test form and prescription can you fill the Endo’s prescription and get your labs done with Endo’s form or must you see your GP in order to get prescription filled and lab form approved?

Rocky profile image
Rocky in reply to Batty1

I am new to this as my private Endocrinologist prescribed my trial of T3. I am now under an NHS Endocrinologist for the first time and am waiting for my next appointment to discuss who will be funding my T3. I was told by my GP that the hospital where my NHS Endo is should fund it, or it might be a shared care arrangement where my Endo pays half and my surgery pay half. In the meantime I have been having to have 6 weekly blood tests after my dosage changes. It has been very frustrating trying to get my full thyroid blood tests done. It is something I will be sorting out at my next Endocrinologist appointment

HyHashi profile image
HyHashi in reply to Batty1

hi yes of course I can do that - will probably have to do that. But i still think i should fight for this and for a more general awareness - especially as my GP did the complete tests for me until 8 months ago!

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