Can anyone help read results

[Happyxx]

Got blood results back but not appointment with doctor yet.

Thyroid TSH

3.9 muL ( range 0.27-4.2)

Thyroxine

13.7 pmol/l

Range 12-22

Triodothroine

4.6 pmol/l

Range 3.1-6.8

Vitamin D gone from 23 umol to 42.

And something about my high density lipoprotein being low of 1.12

Any help be great thank you.

🤗

[Jaydee1507 Administrator]

Was this test done at 9am with no levo for 24hrs?

You are still under replaced and need a 25mcg dose increase. TSH is well above 1, FT4 17% and FT3 40% so you seem to be converting well.

Do you have any results for folate and B12?

[Happyxx in reply to Jaydee1507]

I'm not on any medication for thyroid never have been does that mean looks like I should be Thank you 😊

[Jaydee1507 Administrator in reply to Happyxx]

Sorry, that's my mistake, it's helpful when you post to say your situation.

Reading blood results is a bit different if you're not diagnosed and on Levo. Definitely your thyroid is struggling, but as things stand you wouldn't be able to get an official diagnosis as doctors won't start treatment until your TSH is above 5 on 2 separate occassions (by their own tests, not privately). Try and restes at 9am fasting in 4 months.

Have you had a positive antibody test as that's anothe rindicator that your thyroid is an issue.

[Happyxx in reply to Jaydee1507]

Thank youNo I have asked is that an ANA test? Is it struggling as in hyperthyroidism or hypothyroidism?

My main symptoms are tiredness ringing in ears dry ears. Doctors mentioned could be lupus but no tests.

Thanks so much for replying on private test said all with range something called euthyroid?

[Happyxx in reply to Jaydee1507]

Test was done 8am and not on any medication for thyroid only medication I'm on is sertraline 50 mg and vitamin D 25000 one a week

[SlowDragon Administrator]

looking at previous posts

You had loading dose vitamin D prescribed by GP

Have you finished the prescription?

Vitamin D is still nowhere near high enough

You need B12 and folate levels tested too if not tested yet

Have you had thyroid antibodies tested via GP ?

TSH rising

Ft4 is extremely low at just 17% through range

Suggests your thyroid is struggling

[Happyxx in reply to SlowDragon]

Got another 8 weeks on loading dose of vitamin d 👍🙂 doctor didn't seem to want to test vit b12 may get that privateWould that suggest thyroid hypo or hyper? Thank you x

[Happyxx in reply to SlowDragon]

Sorry forgot add private thyroid blood test not seeing doctor for two weeks. On private report said results all within range?

[SlowDragon Administrator in reply to Happyxx]

Suggest you get full thyroid and vitamin testing done week after you finish vitamin D prescription

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)

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested.

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

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)

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...

currently on offer at £68

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. 

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...

[Happyxx in reply to SlowDragon]

Thank you so much for reply great help. Do you know if I did have auto immune thyroid would the loading dose vitamin D helps the vitamin D deficiency or would the thyroid need sorting first?Also do you know what my cause low ( high density lipoprotein)

Thank you x

[SlowDragon Administrator in reply to Happyxx]

Struggling thyroid frequently causes low vitamin levels

Low vitamin levels frequently need improving first in order to get diagnosed with thyroid issue

Low vitamin levels tend to lower TSH

As your vitamin D levels are rising …..TSH is going up

with two blood test results with TSH over 5 ….and symptoms…..especially if have high thyroid antibodies you should be started on levothyroxine

Starting levothyroxine - flow chart 

gps.northcentrallondonccg.n...

[Happyxx in reply to SlowDragon]

Great thank you when would you recommend testing thyroid again? Is the antibody test called ana? X

[ICE187 in reply to Happyxx]

TPO and TG thyroid antibodies. ANA is generally for Systemic lupus.

[Happyxx in reply to ICE187]

Thank you 🤗

[ICE187 in reply to Happyxx]

You're welcome.

[csj113]

ANA test is used to detect antibodies which if positive can sometimes (but not always) indicate autoimmune disease. I suspect GP ordered it to test for Lupus. It is not a test for specific thyroid antibodies- these can be tested separately and would be TPO and TG.

[Happyxx]

Do you think the fact that tsh 2.9 to 3.9 more of a sign of hypothyroidism. Worry abit where my HDL was low as well not sure how to help that 🙈 all so hard keep asking doctors xx

[tattybogle in reply to Happyxx]

if both the TSH tests were taken at a similar time of day then yes , TSH rising from 2.9 - 3.9 could be a sign of hypothyroidism developing/ worsening ~ as a rising TSH trend indicates worsening / lowering T4 levels (it goes up to 'ask' your thyroid to make more thyroid hormone T4)

BUT if the 2.9 was taken in afternoon and 3.9 was taken early am then it may not 'really' be rising ( as the TSH has a circadian rhythm it is highest middle of the night and lowers throughout the day , until its lowest around12-3pm , then slowly rises again)

However 2. 9 / 3.9 are already a bit higher than 'most people' would have. it is most common for TSH to sit around 1 ish and much less common to have it around 3/4.

Diagnosis of hypothyroidism won't be considered unless it keeps going up though ... you need 2 TSH result that are over the lab range , (taken 3 months apart to rule out transient/ temporary raise) before NHS can diagnose and treat hypothyroidism .

[Happyxx in reply to tattybogle]

Brilliant thank you so helpful 🤗 I will try and get another test so tricky when doctors tend to say all ok hate to keep bothering them

I feel like I have so many signs of hypothyroidism get cold easily cold hands and feet tired dry eyes . Doctor thought more towards lupus as get little rash on face and low vitamin D.

Could the low vitamin D have caused thyroiditis? Or is it thryroid problem cause low vitamin d

😊

[tattybogle in reply to Happyxx]

has your GP ordered an ANA test ? ...see what result of that are .

And see what happens to thyroid bloods after your vit D is sorted .

Your GP will probably not be able to order another TSH for about 3 months if the last NHS one was within range. ( the lab would not do it )

[Happyxx in reply to tattybogle]

Thank you 🤗

[Happyxx]

Is there an online private test any of you would recommend maybe to test antibodies? Xx