interpretating test results

[Carsey2411]

hi,

I have had 3 test results now my last ones. Dr said there are abnormal and to treat in 6-8 weeks. I feel pretty rubbish.

I used the calculator.

They all fall within normal range.

TSH 0.35 mIU/L (0.35 - 4.94) 0.0%Free T4 (fT4) 11.1 pmol/L (9 - 19.10) 20.8%Free T3 (fT3) 3.8 pmol/L (2.4 - 6) 38.9%T4:T3 Ratio 2.921 

[SlowDragon Administrator]

Welcome to the forum

Do you mean this is the first thyroid test you have done or that this is the 3rd time testing

ALWAYS test thyroid levels early morning, ideally around 9am

Request GP test thyroid antibodies for autoimmune thyroid disease, also test vitamin D, folate, ferritin and B12 levels now

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

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 

(Doesn’t include thyroid antibodies) 

monitormyhealth.org.uk/full...

10% off code here 

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

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...

[Carsey2411 in reply to SlowDragon]

thanks third time testing and results are all results consistently low.

[Carsey2411 in reply to Carsey2411]

all bloods have been taken in the morning the last one 8.40am

[Carsey2411 in reply to Carsey2411]

ferritin 90 range (35-200)

If it’s the antibiotics hypo does that need treatment?

Could this be why I feel rubbish?

[Carsey2411 in reply to Carsey2411]

sorry would this also impact my oestrogen levels which are 190 not sure what bottom range is but too is over a 1000

And LH serum is below range?

Sorry for all the questions this is all new to me and trying to get to the bottom of why I’m feeling as I do.

Thank you so much for replies

[SlowDragon Administrator in reply to Carsey2411]

so you need vitamin levels and antibodies tested now

Not in 6 weeks

Approx how old are you

TSH is not reflecting the low Ft4 and Ft3

What’s your diet like

Are you vegetarian or vegan

Gluten free or dairy free

[Carsey2411]

I’m 42 I’m not vegetarian I eat chicken and fish probably 5 times a week. Not gluten or dairy free healthy diet and I try and exercise most days. Thank you

[Carsey2411]

what is do my results reflect?

[SlowDragon Administrator in reply to Carsey2411]

Ferritin looks reasonable. Adding red meat couple of times a week and liver or liver pate would help maintain good iron/ferritin

No vitamin D, folate or B12 results

Or thyroid antibodies tested

Low vitamin levels affect thyroid

So getting these tested next step

Your TSH is low. Normally if thyroid levels are low (Ft4 and Ft3) then TSH rises

TSH is the message from pituitary telling the thyroid to work

Higher the TSH the more pituitary is asking thyroid to work

Your GP is perhaps considering some degree of central hypothyroidism

Have you had whiplash, head trauma or concussion or lost lot of blood after giving birth (Sheehan syndrome)

Central hypothyroidism 

academic.oup.com/jcem/artic...

[Carsey2411]

No head injury, I lost normal amount of blood in my labours ( I have 3 children, youngest 4)

I take multivitamins and high dose of vitamin d and eat the rainbow.

Thanks for your responses.