Latest nhs thyroid results

[Macey2009]

These are my 6 monthly thyroid bloods next.

Taken at 8.20am with water only.

No diagnosis just 6 monthly tests due to tpo antibodies >1000

TSH 2.3 (0.20-4.50)

Free T4 17(9-21)

Thanks.

[Jaydee1507 Administrator]

So your FT4 is at 67% of its range which actually isn't too bad. NHS doesn't test FT3 which is the active hormone so this isn't a totally full result. Your TSH is just above 2 so your Hashi's is in the very early stages.

Have you had key vitamins checked - ferritin, folate, B12 & D3? When hypo we get low stomach acid so cannot absorb vitamins well.

[Macey2009 in reply to Jaydee1507]

Hi Thanks for the reply.

I haven't had them tested via my gp lately.

These are the most recent private results although they are outdated now.

Vitamins were optimal i think.

March 2020

Ferratin 82 (13-150)

VIT d 92 (50-175)

VIT b12 464

Tsh 3.52

T4 18.3

T3 5.09

Tpo antibodies 85 <34

TG ANTIBODIES 90 <115

[Jaydee1507 Administrator in reply to Macey2009]

They are almost 3 years old. Are you supplementing? Time to get them retested?

[Macey2009 in reply to Jaydee1507]

I know I need to get them retested. I supplement vit d spray and igennus super b complex.

[Jaydee1507 Administrator in reply to Macey2009]

D should be tested twice a year to allow for seasonal changes. The B complex is good.

Ferritin alone can plummet very fast. Best get them retested. 🙂

[Macey2009 in reply to Jaydee1507]

I only got told that I am at risk of developing autoimmune thyroid disease in future. Do you think I already have it with the high tpo antibodies?

[Jaydee1507 Administrator in reply to Macey2009]

Yes you do already have Hashimoto's, BUT it can take a very long time, think years, to progress to treatable hypothyroidism. Mean time you can be suffering many symptoms. Keep retesting and on top of your vitamin levels mean time.

This article by Isabella Wentz explains the progression of Hashimoto's with positive antibodies that will explain the process more fully.

thyroidpharmacist.com/artic...

[Macey2009 in reply to Jaydee1507]

Yes i will. My ferratin has been very low in the past 15(15-300)So it has improved a lot.

[SlowDragon Administrator]

If not already on gluten free diet

Have you had coeliac blood test

If not request testing

As per NICE guidelines

nice.org.uk/guidance/ng20/c...

1.1.1 Offer serological testing for coeliac disease to:

people with any of the following:

autoimmune thyroid disease, at diagnosis

Any gut issues or hypothyroid symptoms

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. 

 A trial of strictly gluten free diet is always worth doing

Only 5% of Hashimoto’s patients test positive for coeliac but a further 81% of Hashimoto’s patients who try gluten free diet find noticeable or significant improvement or find it’s essential

A strictly gluten free diet helps or is essential due to 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 may 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

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

drknews.com/changing-your-d...

Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease

pubmed.ncbi.nlm.nih.gov/296...

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

nuclmed.gr/wp/wp-content/up...

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

restartmed.com/hashimotos-g...

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.

Similarly few months later consider trying dairy free too. Approx 50-60% find dairy free beneficial

Hashimoto’s and leaky gut often occur together

Both dairy and gluten can cause inflammation

[Macey2009 in reply to SlowDragon]

Hi Yes already negative for coeliac.

[SlowDragon Administrator in reply to Macey2009]

and now gluten free?

Tried dairy free?

[Macey2009 in reply to SlowDragon]

Gluten free yes. Not tried dairy free.