I was recommended by people on here to get hold of a printed version of my blood results and I’ve managed to get it now.
Both my TSH level and T3 level were abnormal.
TSH was 0.02 mu/L
T3 was 7.4 pmol/L
what should I think with these results? I was told that I could have a blood test in 3 months (which will be in December) but I’m still having pretty bad anxiety and don’t know what the best plan of action is. Also are the measurements in the picture below, what normal range should be?
Thanks as usual,
Written by
Lilacbee
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It's surprising your GP hasn't asked you to reduce dose already with a pretty low TSH, also FT3 over range. You're probably just a bit over medicated and would feel better reducing dose slightly.
Your folate also looks on the low side so a good B complex would be recommended like Thorne Basic B.
My mistake. In that case, what SlowDragon has said is what you need to follow. It may be that you are in the very early days of Hashimoto's with bit of a hyper swing at the moment. Can't tell exactly without antibody results. Get GP to check them. Raising your folate by taking the B complex should help you feel a bit better to weather the higher thyroid level.
Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule)
IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first
Assuming test is negative you can immediately go on strictly gluten free diet
(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)
Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
thank you! I have been on a gluten free diet for around 3 weeks now, trying my best :), I’m mainly worried about the anxiety attacks I’m having which could be caused by the thyroid
Hey Lilacbee, I think the next step is to test antibodies for Hashis and Graves disease: TPO, TgAB - these two are for Hashis, and TSI, TrAB - for Graves. Your anxiety attacks are possibly caused by your FT3 and FT4 being quite high and out of range. This could potentially be due to Hashimotos or Graves. Sorry to hear about these, they can be really awful, hang in there.
If you feel really unwell with these attacks, please go and talk to someone like psychologist, psychiatrist or a even a good trusted GP, you could get temporary meds to help you in the meantime.
If you don't have antibodies for any of these, and the ultrasound is clear (as a next step after testing antibodies), then there could be other reasons for hypothyroidism or hyperthyroidism, but for now, I'd test for antibodies, because if you need treatment, this will determine what that would look like.
If you had any other tests done before these, post it here in the comment.
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