Help with results please

[Bollieforme]

I’m meeting with an Endo today and have some results below, can anyone advise if they look ok please. Going to dare ask if T3 will help!

TSH 1.07 (0.35-4.94)

Free T4 15.7 (9.0-19.00)

Free T3 4.5 (2.4-6.0)

[SeasideSusie Remembering]

Bollieforme

FT4: 67% through range

FT3: 58.33% through range

Did you do your test following our advice, ie no later than 9am, water only before test, last dose of Levo 24 hours before test, no biotin/B Complex or any other supplement containing biotin for 3-7 days before the test?

It's not how your results look, it's how you feel. Are you experiencing symptoms? If so then you could do with an increase in your Levo, there is plenty of room for your FT4 to increase, your FT3 should also increase to a certain extent. The aim of a treated hypo patient on Levo only, generally, is for TSH to be 1 or below with FT4 and FT3 in the upper part of their reference ranges.

As for asking for T3, there does't seem to be much wrong with your conversion of T4 to T3, one expects FT3 to be a bit lower through range than FT4.

Are your key nutrient levels optimal (important for thyroid hormone to work properly):

Vit D - 100-150nmol/L

B12 - top of range for Total B12, if Active B12 is tested then 100 plus

Folate - at least half way through range

Ferritin - half way through range with some experts saying the optimal ferritin level for thyroid function being 90-110ug/L.

[Bollieforme in reply to SeasideSusie]

Hi Susie

Couldn’t get a test early, so was around 11am and had fasted, knew I had an Endo appointment so had to get blood test, we are hard pushed to get any appointments at my surgery. Had blood test a month earlier and figures were quite different TSH 19.69 Free T4 15.7 & Free T3 4.5 same ranges as previous messages. Got myself in a tiz as I’d been told I have no thyroid left so hence blood tests and Endo appointment. I don’t feel very well at all. Just feel like I want my life back. Thanks for your reply. Don’t know what I’d do without the people on this site, makes such a difference x

[SlowDragon Administrator]

Couldn’t see any recent vitamin results on previous posts

What vitamin supplements are you currently taking

When were vitamin D, folate, ferritin and B12 last tested

Presumably you have Hashimoto’s

Have you had coeliac blood test done

Are you on strictly gluten free diet ….or lactose free

[SlowDragon Administrator]

Had blood test a month earlier and figures were quite different TSH 19.69 Free T4 15.7 & Free T3 4.5 same ranges as previous messages.

Presumably dose levothyroxine was increased after this result?

What dose levothyroxine are you now taking

How long since dose was increased

Do you always get same brand levothyroxine at each prescription

Which brand

[Bollieforme in reply to SlowDragon]

I’m on liquid levo brand is Teva. (Have a hernia in my stomach) Have been on liquid for 6 months. Yes increase from 75 to 100ml. Dose was increased about 7 weeks ago. I take Vit d, selenium, zinc, magnesium and s.boulardii supplements as well as a multi vitamin.

[SlowDragon Administrator in reply to Bollieforme]

Multivitamins are never recommended on here. Most contain iodine not recommended for anyone on levothyroxine and cheap poorly absorbed ingredients

Test folate, ferritin and B12 at least annually and vitamin D twice a year

[SlowDragon Administrator in reply to Bollieforme]

Do you have Hashimoto’s and are you gluten free or dairy free

[Bollieforme in reply to SlowDragon]

Yes Hashimotos and I’m gluten free and almost dairy free

[SlowDragon Administrator in reply to Bollieforme]

Then if gluten intolerant/dairy intolerance likely to need addition of T3 prescribed

[Bollieforme in reply to SlowDragon]

Thanks for the feed back x