On lansoprazole, furosemide,ramipril,atorvastatin, vitamin d.
Dec 2020 had a mild heart attack, was put on aspirin, bisoprolol and amiodarone.
Amiodarone was stopped in jan2022.
Double bypass sept 2021.
2 weeks ago had booster and flu jab. 3 days later was violently shaking as cold , then hot. Drs took bloods.
As i felt worse the next day drs sent me to hospital. They said i had a urine infection.
Dr at hospital looked at my blood results and said my thyroid had come back high.
He said to re test bloods in a month incase it was the urine infection that had caused the high result.
My own gp got in touch with an endocrinologist and they said it was highly unlikely caused by a urine infection and didnt want to wait another 2 weeks to test and have given me carbimazole 10mg once aday.
I havent started them yet as dr was saying about to look out for sore throat, high temp etc, and it worried me.
Also bloods showed low folate , so am taking 5mg aday for 4 months.
My blood results are
Vit b12 =265
Ferritin =98
Folate=3
TSH=0.01
FREE T4=34.3
FREE T3=4.1
Sorry for the long post but i dont know anything about over active thyroid. I feel fine except i do get tired and breathless but i have been like that since the open heart surgery.
Im scared.
Thanks in advance for any replies.
Barbara x
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Barb6374
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Hello purplenails , thank you so much for replying .
The TSH range is 0.27-4.2 mine is 0.01
T4 range is 12-22 mine is 34.3
T3 range is 3.1-6.8 mine is 4.1
I dont think i have been tested for thyroid antibodies , on my test results would it say thyroid antibodies or something else ?.
On my health record it says thyrotoxicosis.
I did say to my gp wouldnt it be better to wait another 2 weeks to repeat the test but he said that the endocrinologist said its highly unlikely the urine infection caused the high t4 and to start the carbimazole straight away.
When i picked up the tablets yesterday they didnt have enough and had to give me two brands. They were put into a bottle with no patient info leaflet !!.
So while your FT4 is just over double normal range your FT3 is 27% of range and some would report feel ping hypothyroid (under active) at that level.
When is your next test? Contact doctor & ask is they will test.
TSH
FT4
FT3
Thyroid antibodies:
TPOab (Thyroid Peroxidase antibodies)
TGab (Thyroglobulin antibodies)
TPO & TG are “autoimmune markers” - & appears with BOTH Hashimoto’s & Graves. Hashis causes transient hyper prior to under active. Graves continuous Hyper.
You order a test online - the kits arrives via post sample taken by finger prick (extra fee for private venous draw). Post back and results available online quite quickly.
There’s lots of options, some packages include thyroid function, key nutrients and thyroid Antibodies. Others basic function only.
Is that something you think you could manage?
“When i picked up the tablets yesterday they didnt have enough and had to give me two brands. They were put into a bottle with no patient info leaflet !!.”
pharmacist obligated to supply Patient Information Leaflet (PIL) for both brands at time of dispensing. Even if it were a subsequent prescription. some patients need to know specific manufacturers ingredients due to allergies.
Contact chemist, say this is a new medication & you require the manufacturer patient information leaflet for all the brands you have been given.
MMH has test for Thyroid function. (TSH FT4 & FT3) or a pack with Diabetes, Vitamin D, Cholesterol & Thyroid - TSH, FT3, FT4. Or separate vitamin D - but does not offer thyroid antibodies or folate, ferritin & B12.
There is discount code available for MMH on the thyroid uk list of companies.
The other important co factor is K2 MK7 this will direct dietary calcium to teeth and bones where you want it and away from tissues and vessels where you don’t. Calcium supplements are rarely needed and can harden vessels if taken unnecessarily.
“Better you” brand do a mouth spray which contains both D3 & K2 (red one) also offer In separate (green) for vitamin D, (purple) for K2 only.
I’m assuming doctors explained to you at the time amiodarone is known to trigger complex affects on thyroid (both hyper & hypo)
Partly it’s due to high iodine content. This may be a delayed consequence.
Type 1 diabetes is autoimmune having any autoimmune conditions predisposes you to others. Being hyper can have affect on blood glucose, are you finding they are becoming raised with high FT4.
On lansoprazole, furosemide,ramipril,atorvastatin, vitamin d.
With that list of drugs you're taking, I'd put my money on you have Hashi's, rather than Graves':
Lamsoprazole: a PPI. Used to treat high stomach acid. Problem is, the symptoms of high stomach acid are the same as the symptoms of low stomach acid, and doctors don't bother to check which you have. If you do have Hashi's, you will have been hypo for a while, which would cause production of stomach acid to drop, causing acid reflux, etc.
Atorvastatin: presumably you have high cholesterol? High cholesterol is usually caused by low T3. Well, we can see your T3 is low, and probably has been for some time to cause the high cholesterol.
Your FT4 is high, yes, but more like Hashi's high than Graves' high. And taking that together with the low FT3 makes me doubt very much that you have Graves'.
Problem is, your TSH is suppressed - with it would be, with that much T4 in your system! But, doctors only tend to look at the TSH and gallop to conclusions without doing the proper testing first. Most unprofessional of them, but there you are. So, if it were me, I would on no account take the carbi until the proper testing has been done. If you do have Hashi's, you will rapidly become hypo, and that's not good, either!
I honestly don't think you're in any immediate danger. T4 is basically a storage hormone that doesn't do much until it's been converted into the active hormone, T3. And, it's obviously not doing that! In fact, most of it is probably being converted to rT3 at the moment, which is inert.
Your decision, of course, but I don't think there's any harm in waiting to get the correct testing done.
A diabetic dr said to start them to protect me in the future.$$
I don't know about the rampiril but the atorvastatin won't protect you from anything. Could just make things worse. That is a very unprofessional thing for a doctor to say! Where's the proof? You cholesterol is now too low and putting you in danger of a heart attack. Low cholesterol is far more dangerous than high. I think you ought to do a bit of your own research on these things. Just because a doctor tells you to take something doesn't mean he's right.
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