My tsh is 2.8 doctor says that's normal
My iron is 09.09 mmol
Ferritin 40 ugl
Vitamin D 23
Tibc 23 umol
Doctor says all normal but had extreme tiredness for 2 months.
Does anyone know if TSH indicates underactive thyroid?
Any help be great thank you.
Happyxx
Just testing TSH on it's own is not enough, we also need to test FT4 because one can have a normal TSH but low FT4 which would suggest Central Hypothyroidism (which is where the problem lies with the pituitary rather than the thyroid ).
Please add reference ranges for all your results so that we can interpret them, ranges vary from lab to lab .
Iron panel looks low, was saturation percentage also done?
Vit D is likely to be low, is the unit of measurement nmol/L or ng/ml?
Were B12 and Folate also tested ?
23nmol (35-120)
Told results normal……unbelievable
Do you understand very low TIBC …..but low iron and ferritin?
How long since these tests were done
Was test done early morning?
Ideally around 9am to get highest TSH?
Are you currently taking any medications or vitamin supplements?
Request GP retest thyroid 6 weeks after first test
Request including thyroid antibodies and Ft4 (very unlikely to get Ft3 so not worth asking )
Plus B12 and folate
Thank you 🤗
Tsh 2.9 range (0.2-4.2)
Iron 09.09 range (09.00-60)
Ferritin 45 ugl range ( 40-120)
Tibc 23 umol range ( 48-89)
Vitamin D 23 umol. ( range 35-120)
Tests were done early morning.
I've just started wellwomans vitamins to see if helps tiredness. Doctor said all results normal. On no medication except sertraline slowly cutting down.
My symptoms are tiredness dry eyes hair loss brain fog.
Thank you for reply.
Iron 09.09 range (09.00-60)
 Ferritin 45 ugl range ( 40-120)
Tibc 23 umol range ( 48-89)Â
Vitamin D 23 umol. ( range 35-120)
Multivitamins are never recommended on here
Don’t take anything until seen different GP
TIBC very low
Iron low
Ferritin low
With ask radd and humanbean to comment
I think low TIBC might be possibly indicative of high iron
Hemochromatosis
So results are odd
   Happyxx
Iron 09.09 range (09.00-60)
Ferritin 45 ugl range ( 40-120)
Tibc 23 umol range ( 48-89)
Serum iron is bottom of range and ferritin at 6.25%. TIBC measures the transferrin proteins available for binding free iron in the body and is way under range.Â
SlowDragon refers to the usual lab presentation where elevated TIBC may indicate iron deficiency anaemia (too many proteins available for iron to bind to) and low TIBC may indicate iron overload (too few proteins available for iron to bind to). However, when we are long term ill iron mechanisms can go askew and usual patterns don’t always follow through. Low iron and low TIBC could be due to conditions such as haemolytic anaemia where RBC are destroyed too quickly or protein levels become low through inflammation.Â
Again a usual presentation of inflammation would be for ferritin to raise to secure iron from feeding pathogens but if you don’t have any iron or proteins are low due to other conditions, then ferritin isn’t going to raise. There are many forum members with high inflammation evidenced by swellings, aches & pains, elevated auto antibodies, etc but low ferritin.
There is also thought when iron behaviours are left long term as in the case of too little, then the amount of transferrin protein carriers will naturally reduce to correlate with the low level of iron and in which case you would end up with low iron and low transferrin.
Haemolytic anaemia presents as primary, secondary and autoimmune with the cold temps common in hypothyroidism impairing the production of RBC’s (as explained by Dr P in his book).Â
Definitely no haemochromotosis as you are deficient in iron. Have you had a FBC to assess RBC health and haemoglobin levels?
Also a WellWomen multivitamin will not address deficiencies. As you are low in iron and Vit D it would be prudent to assume malabsorption issues and a need for further nutrient testing/monitoring.
What is FBC? The doctor suggested wellwomans vitamins 🙈😬 I've tried two months now with doctor so tricky when they keep saying all ok x
FBC= "Full Blood Count ",, it's the name for a standard bunch of blood tests GP's run together .
Low iron and low TIBC could be due to conditions such as haemolytic anaemia where RBC are destroyed too quickly or protein levels become low through inflammation.Â
Another possible cause for low iron and low TIBC in the same person is internal or GI bleeding. My iron and TIBC ended up below range thanks to a bleeding polyp.
vitamin D is deficient
GP should prescribe LOADING Dose on NHS
That’s total of 300,000iu over 6-8 weeks
Not acceptable to say it’s fine
NHS Guidelines on dose vitamin D required - see here
ouh.nhs.uk/osteoporosis/use...
Vitamin D levels should be retested again at end of the vitamin D prescription
GP will often only prescribe to bring vitamin D levels to 50nmol.
Some areas will prescribe to bring levels to 75nmol or even 80nmol
leedsformulary.nhs.uk/docs/...
GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)
mm.wirral.nhs.uk/document_u...
But improving to around 80nmol or 100nmol by self supplementing may be better
pubmed.ncbi.nlm.nih.gov/218...
vitamindsociety.org/pdf/Vit...
Once you Improve level, very likely you will need on going maintenance dose to keep it there.
Test twice yearly via NHS private testing service when supplementingÂ
Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.
There’s a version made that also contains vitamin K2 Mk7.Â
One spray = 1000iu
amazon.co.uk/BetterYou-Dlux...
Another member recommended this one recently
Vitamin D with k2
amazon.co.uk/Strength-Subli...
It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average
Vitamin D and thyroid diseaseÂ
grassrootshealth.net/blog/t...
Vitamin D may prevent Autoimmune diseaseÂ
newscientist.com/article/23...
Web links about taking important cofactors - magnesium and Vit K2-MK7
Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine
betterbones.com/bone-nutrit...
medicalnewstoday.com/articl...
livescience.com/61866-magne...
sciencedaily.com/releases/2...
Interesting article by Dr Malcolm Kendrick on magnesiumÂ
drmalcolmkendrick.org/categ...
Vitamin K2 mk7
betterbones.com/bone-nutrit...
healthline.com/nutrition/vi...
Thank you for reply. I've got autoimmune diesese in the family.
My main symptoms are extreme tiredness dry eyes look pale tiny bit hair loss x
politely request that B12, folate and thyroid antibodies are also tested including TSH, Ft4 and Ft3
Yes will do it's so hard isn't it doctor tends keep saying all ok so hard keep bothering them.Do you know is my tsh seemed high 2.8 x
Happyxx
Vitamin D 23 umol. ( range 35-120)
Please double check this. As far as I know there are two units of measurement for Vit D
ng/ml and the range is often given as 30-100 and the recommended level 40-60ng/ml
nmol/L and the range is usually something like >50 or >75 = adequate and the recommended level is 100-150nmol/L
Sorry yes 23 nmol xx
So vitamin D is deficient at under 25nmol
GP should prescribe LOADING dose vitamin D on prescription for 6-8 weeks and retest vitamin D at end of the course
That’s 300,000iu in total over the prescription
Print out these NHS Guidelines on dose vitamin D required and be ready to quote them
ouh.nhs.uk/osteoporosis/use...
You will then require ongoing daily vitamin D
Trail and error what that dose is
Likely at least 2000iu per day minimum
Test twice yearly via NHS private testing service when supplementingÂ
Thank you x
hello Happy
Your results show you need further investigation.
What is your diet like?
Do you have any stomach / bowel issues?
My diet is mixture of things have meat twice a week. Tend to skip breakfast 🙈 sometimes bowels go from one extreme to another but not too bad.Do get bloating.
My main symptoms are tiredness, dry eyes, brain fog. It's so hard isn't it when doctor says all ok. But hard to keep going back x
you must keep going back until you are satisfied.
bowels go from one extreme to another but not too bad.
Do get bloating.
Very common with autoimmune thyroid disease
Come back with new post once you get Thyroid antibodies, B12 and folate results
Thank you 🤗😊
Push GP to test…..but if they won’t …..private testing here
Used by 1000’s of U.K. patients, either for diagnosis or ongoing management
all thyroid blood tests should be early morning, ideally just before 9am
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Private tests are available as NHS currently rarely tests BOTH thyroid antibodies, 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...
Only do private testing early Monday or Tuesday morning.Â
Watch out for postal strikes, probably want to pay for guaranteed 24 hours deliveryÂ
Link about thyroid blood tests
thyroiduk.org/getting-a-dia...
Link about Hashimoto’s
thyroiduk.org/hypothyroid-b...
Symptoms of hypothyroidismÂ
thyroiduk.org/wp-content/up...
If doing private testing……suggest you wait until completed vitamin D loading dose in 6-8 weeks time
Do you know roughly how much private blood tests are for thyroid?Be so great to get to the bottom of it so hard to know if vitamin D causing tiredness or iron or autoimmune diesese 😬 so hard keep ringing doctor especially when says all normal x
prices are on the links
Thyroid U.K. has general money off codes here
thyroiduk.org/help-and-supp...
Often extra money off on Thyroid Thursdays via Medichecks
Medichecks £86
medichecks.com/products/adv...
Only do private testing early Monday or Tuesday morning
Double check when postal strikes are
Ideally…….Get vitamin D sorted and improved FIRST
Low vitamin levels tend to lower TSH
Low vitamin D tends to lower B vitamins too
Thanks for all your help. Do you know if thyroid can cause low vitamin D.
Low vitamin D common with all autoimmune diseases, but especially thyroid disease
pubmed.ncbi.nlm.nih.gov/286...
Vitamin D deficiency is frequent in Hashimoto's thyroiditis and treatment of patients with this condition with Vitamin D may slow down the course of development of hypothyroidism and also decrease cardiovascular risks in these patients. Vitamin D measurement and replacement may be critical in these patients.
pubmed.ncbi.nlm.nih.gov/273...
Vitamin D insufficiency was associated with AITD and HT, especially overt hypothyroidism. Low serum vitamin D levels were independently associated with high serum TSH levels.
pubmed.ncbi.nlm.nih.gov/300...
The thyroid hormone status would play a role in the maintenance of vitamin D sufficiency, and its immunomodulatory role would influence the presence of autoimmune thyroid disease. The positive correlation between free T4 and vitamin D concentrations suggests that adequate levothyroxine replacement in HT would be an essential factor in maintaining vitamin D at sufficient levels.
That's so much for all the information 😃 x
Do u all think i need t3? Will i be able to tolerate levo with a little t3?
Help with optimal blood results
Newbie to this - is anyone able to help with test results?
I'm hoping someone will be able to help with all my results. 
