test results, any advice please .

[Spoticus]

just received my daughters test results?

Haemoglobin. 153 g/L. 120-150 g/L

Total White cell 7.94. 10*9/L. 4.00-10.00

Platelet count. 472. 10*9/L. 150-410

Haematocrit 0.454 0.36-0.46

RBC count. 5.05. 10*12/L. 380-480. 10*12/L

MCV. 89.9 fL. 83-101. 00fL

MCH 30.3. Pg. 27.00-32.00

MCHC. 337 g/L. 315.00-345.00

Neutrophil. 3.24. 10*9/L. 2.00-7.00

Lymphocyte 3.69. 10*/9L. 1.00-3.00

Monocyte. 0.61. 10*/9L. 0.20-1.00

Eosinophil. 0.34. 10*/9L. 0.02-0.50

Basophil. 0.06. 10*/9L. 0.00-0.10

Serum vitamin B12 316. pmol/L. 145.00-569.00

Serum Folate. 8.2. nmol/L. 8.80-60.80

Serum 25-HO Vitamin D3 36 nmol/L

Serum TSH 2.2 mu/L. 0.27- 4.20

Ferritin 93 ug/L. 13.00-150.00

She had a telephone conversation & the Gp said he wants her to take folic acid & vitamin D for 4 weeks, have another Blood test and see whether he should refer her to haematology as her Platelets are high and Apparently they have been for the last 4 Years ( Which concerns him ) . No one has mentioned that before ,although her daughter is 4 years old now and Folic acid was mentioned during her Pregnancy . She has been exhausted for some time now & there is PMDD in our Family My Mum & Sister suffered terribly with it & we have been looking at that as a reason for her problems & how best to treat that . Would seem though that she has much more going on . Can anyone give me some advice as to what we need to push for . Thankyou

[Jaydee1507 Administrator]

What time was this test taken?

Is she on Levo, if so how much and when did she last take it before the test?

There is no FT3 result. Many here pay privately to get that which the NHS doesn't provide.

She will likely need ongoing vit D replacement, most people do. It should also be taken with vit K2 to help it go to the bones.

A TSH of 2.2 on replacement is far too high so she likely needs a 25mcg dose increase.

[SlowDragon Administrator]

she needs FULL thyroid levels tested

TSH, Ft4 and Ft3 plus both TPO and TG thyroid antibodies

Always test thyroid levels early morning for highest TSH, ideally around 9am

How much vitamin D has GP prescribed

What’s her diet like

Vegetarian or vegan

Gluten free or dairy free

B12 is also too low…..but as it’s “within range” GP won’t treat

About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high thyroid antibodies 

Autoimmune thyroid disease with goitre is Hashimoto’s

Autoimmune thyroid disease without goitre is Ord’s thyroiditis. 

Both are autoimmune and generally called Hashimoto’s.

Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease (Hashimoto’s or Ord’s thyroiditis)

20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis 

In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)

Recommended on here that all thyroid blood tests early morning, ideally just before 9am and last dose levothyroxine 24 hours before test 

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

List of private testing options and money off codes

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

If you can get GP to test vitamins then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

Monitor My Health also now offer thyroid and vitamin testing, plus cholesterol and HBA1C for £65 

monitormyhealth.org.uk/full...

NHS easy postal kit vitamin D test £29 via

vitamindtest.org.uk

Only do private testing early Monday or Tuesday morning. 

Watch out for postal strikes, probably want to pay for guaranteed 24 hours delivery 

Link about thyroid blood tests

thyroiduk.org/getting-a-dia...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

Symptoms of hypothyroidism 

thyroiduk.org/wp-content/up...

[SlowDragon Administrator]

High platelet count linked to autoimmune thyroid disease (hashimoto’s)

endocrine-abstracts.org/ea/...

Has she had cholesterol levels tested

High cholesterol levels linked to being hypothyroid

[Spoticus in reply to SlowDragon]

Hi Slow dragon, it was her platelet levels I was concerned about as they were not testing for a Thyroid problem. We shall ask for Cholesterol levels to be checked, I’m not sure what strength of Vitamin D he’s prescribed as the Pharmacy didn’t have any in stock & we will pick up tomorrow. Unfortunately she couldn’t hear him well on the phone as he was quiet & had an accent. He said her B12 was ok , she has been so tired & can sleep day & night ..

[Regenallotment]

If she has Hashi’s it’s likely methyl folate will be absorbed better than folic acid. I think I read that here in another post and in Izabella Wentz.

[Spoticus in reply to Regenallotment]

thankyou I’m glad you mentioned that, I knew there was a different form you could take but couldn’t remember what it was.