Blood test results

[Shails]

Hi all.

I currently have under active thyroid. I was put on 50mg levothyroxine around two years ago. And I'm still struggling with many symptoms and having no luck getting any further help for my doctor who just tells me that my thyroid function is fine and within range.

From these blood tests I was also told I was slightly anemic and given 210mg ferrous fumerate. I have felt no improvement at all since taking these tablets

I am due back at my doctor at the end of this month. I was wondering if anyone notices anything untoward regarding these results which I will post here. And if anyone recommends any further tests I should ask for as it's been suggested I request Vit B12 levels for example. Or get those done privately.

I have been given some great advice already on a previous post I made so thought I'd ask for some more opinions now I have my test results to post

Thank you for reading.

[Shails]

Results 2

Results print

[greygoose]

Ask your doctor if he really spent seven years at med school just to tell a patient her levels are 'within range'? Any idiot can see that that is true, but it doesn't automatically means she's fine! Your TSH is too high for someone on thyroid hormone replacement, it should come down to 1 or under. After all, a euthyroid TSH is around 1, never over 2, and you're hypo when it gets to 3! And, that's not surprising because 50 mcg is just a starter dose, and should have been raised to 75 mcg six weeks after starting it.

And your FT4 is not even mid-range. Most hypos need it up in the top quartile to feel well. So, not surprising you still have symptoms.

Have you had your antibodies tested? Apart from that, you need vit D, vit B12, folate and ferritin tested at the very least.

[SlowDragon Administrator]

See/contact GP and request next dose increase in levothyroxine to 75mcg daily

Bloods should be retested 6-8 weeks after each dose increase or brand change in levothyroxine

Request GP do full iron panel test for anaemia including ferritin

Vitamin D, folate and B12 tested

Plus thyroid antibodies for autoimmune thyroid disease also called Hashimoto’s

As per previous post

Approx how much do you weigh in kilo

pathlabs.rlbuht.nhs.uk/tft_...

Guiding Treatment with Thyroxine: 

In the majority of patients 50-100 μg thyroxine can be used as the starting dose. Alterations in dose are achieved by using 25-50 μg increments and adequacy of the new dose can be confirmed by repeat measurement of TSH after 2-3 months. 

The majority of patients will be clinically euthyroid with a ‘normal’ TSH and having thyroxine replacement in the range 75-150 μg/day (1.6ug/Kg on average).

The recommended approach is to titrate thyroxine therapy against the TSH concentration whilst assessing clinical well-being. The target is a serum TSH within the reference range. 

……The primary target of thyroxine replacement therapy is to make the patient feel well and to achieve a serum TSH that is within the reference range. The corresponding FT4 will be within or slightly above its reference range.

The minimum period to achieve stable concentrations after a change in dose of thyroxine is two months and thyroid function tests should not normally be requested before this period has elapsed.