Latest results not all but some

[Polo22]

TSH 5.3 mu/L T4 19.8 pmol/L no T3 as yet,,,, PTH 5.5 pmol/L serum calcium 2.29mmol/L, no Vit D result yet, that TSH can't be right can it? Just trying to read through what has arrived, getting so confused and angry with myself

[SeasideSusie Remembering]

Polo22

You will need to add the reference ranges for your test so that members can interpret them.

Your TSH looks very high for that level of FT4. Could anything have skewed the result? Did you take Biotin or B Complex or hair/nail supplement in the week before the test? Did you drink coffee or eat before the test?

[Polo22 in reply to SeasideSusie]

Sorry don't have the reference ranges, they are from GP tests, results on my GP. Did not take any supplements for almost 2 weeks. Did not eat or drink before test

[SeasideSusie Remembering in reply to Polo22]

Does your surgery offer online access to results? If so you should find the ranges there. If not then ask the receptionist to arrange for a print out of your results, in the UK we are legally entitled to our test results without charge or question.

[jade_s]

Don't get angry with yourself, it's not your fault doctors have failed you miserably. You took initative, found this site, and are working on it, and that's all YOU Be proud of yourself! There's enough collective wisdom here to help you fix what needs to be fixed x

So the app isn't giving you ranges? At least we know that TSH is definitely too high. T4 looks ok / high in range, but again, impossible to say without ranges. Is it total T4 or Free T4? Will be useful to see what FT3 gives. Also can't say much about PTH without the range.

Are you still on 125 mcg levo? Brands?

[Polo22 in reply to jade_s]

yes still 125 mcg 100mcg is Accord 25mcg Northstar (Teva).

[jade_s in reply to Polo22]

Everything you wrote to slowdragon below looks ok at first glance (new results eg iron). Depending on what Ft3 shows - but your last one was miserably low - I think your next step might be to do a trial of T3. See what the admins say.

And definitely go back on your regular B12 jabs As often as you need them - be that daily or every other day (eod) or weekly or whatever. Don't forget folate. Your result doesn't look low but it's not super high either. You might want to add in at least 400mcg folic acid per day if you go back to daily/eod (I couldn't find back what your SI frequency was).

[Polo22 in reply to jade_s]

I had been trying to inject ever other day but sometimes fuddled head forgot but usually at least twice a week. I injected as soon as I got in from bloods appointment, again today, should I get a B complex or just folate , I certainly felt the difference when not injecting

[jade_s in reply to Polo22]

Good to hear

Yes a B complex is always a good idea! Just make sure it doesn't have more than 10mg B6 in it, as it can build up and become toxic. I personally like the "Nature Made" brand B complex but I don't know if you can get it in the UK. It doesn't have folic acid in it, which is fine for me because I take it separately. I still need 5mg folic acid per day but I guess most people don't. Trial and error, see what works

[SlowDragon Administrator]

Previous results via Blue horizon just 13 days ago….suggests TSH likely correct

TSH 8.9 0.27 - 4.20

T4 total 106.0 66 - 181

Free T4 17.2 12.0 - 22.0

Free T3 3.11 3.1 - 6.8

FT4: 17.2 pmol/l (Range 12 - 22)

Ft4 only 52.00% through range

FT3: 3.11 pmol/l (Range 3.1 - 6.8)

Ft3 really terrible at just 0.27%

Hopefully they tested vitamin D, B12, folate, full iron panel including ferritin

[Polo22 in reply to SlowDragon]

yes sample for Blue horizon was 9th May. Vit D was requested but no result as yet. B12 now 2000. ng/L no ref range, folate now 12.6 ug/L , no ref range, Ferritin 117.0 ug/L no ref range, 25.0umol/L serum iron no ref range, 2.93 g/L serum transferrin, 74.0 umol/L unsat iron binding capacity, 34.0% transf. saturation all no ref ranges FT3 was requested no result yet. same 125mcg, took no supplements since about 10th or 11th, no B12 injections,

[SlowDragon Administrator in reply to Polo22]

You are legally entitled to copies of your blood test results and ranges

Because without ranges they’re pretty meaningless

[linda96]

Hello Polo22,

I've put your blood results for TSH, FT4 and FT3 through the SPINA-Thyr algorithm.

I've done so on the basis that you only medicate with T4, and have no underlying conditions which might render the results useless.

I'm following the guidance for interpretation as given by Dr Tania Smith in this link thyroidpatients.ca/2019/06/...

As you probably already know, you are a poor converter, and its very bad at 16.72 pmols. A healthy thyroid person would be converting at around the 33 pmols. According to the 2015 paper by Dr Midgley under 23pmols is a poor converter.

Please do read through the document I've linked, and use the calculator as I've done. What is most striking is that your TTSI is 696. TTSI looks at resistance to thyroid hormone. 100-150 is considered normal level, and 308 is mild. A level of 747 is considered severe.

I have undiagnosed resistance to thyroid hormone, and your blood results caught my eye.

A recent paper suggested that the FT3 reference range for RTH may be as high as 8.0 - 8.6 although it could be higher or lower.

I am not medically trained at all, just someone who's been struggling all my life with this.

[Polo22 in reply to linda96]

Thank You so much for the information , I'll read through it all thoroughly later, might treat myself to a little glass of fizz

[Polo22 in reply to linda96]

OMG I am a complete eejit when it comes to tech and that is twisting my Tits, sorry. Have tried to read it , but trying to download the calculator is driving my potty.