Daughter's blood results

[Mhaire]

Could I get some advice about my 15 year old daughter please?

She was first tested 2 years ago and T4 below range. Referred to adolescent medicine in paeds but repeatedly told Thyroid tests were normal, despite being symptomatic. Paeds wouldn't share blood results.

I am taking her privately now as paediatric endo wait lists on NHS 3 years.

She experiences severe fatigue, migraines, heavy periods, anxiety, depression. she has had to drop out of some her GCSEs due to her health.

T3 4.7 (3-7.4) 39%

T4 12.6 (12-21) 6%

TsH 6.18 (0.51-4.3)

Folate 14.8 (3.9-26.8) 48%

B12 1085 (197-771)

Can znyone advise if I should be worried about B12.

Also she us vegetarian and borderline Vitamin D. She has been on hood quality multivitamin, magnedium and Vid d and k2 spray for last few months. No additional B complex though, so alityle concerned at the B12 result. Could b12 result be linked be linked to autoimmune? Antibodies have been neg on two occasions but mind are too.

Thanks

[SlowDragon Administrator]

As a vegetarian it’s essential to test FULL iron panel test including ferritin

Looking for Ferritin at least over 70 minimum and nearer 100

High B12 will be due to multivitamins

Has she had BOTH TPO and TG thyroid antibodies tested

[Mhaire in reply to SlowDragon]

Thank you for this- just got rest of iron panel back

I am bit concerned now as Dr has flagged for call back

Ferritin 58 (13-150)Serum iron 9.6 (20-30)

Transferring saturation 14% (<55) (-repeat for haemochromatosis if under 50%)

Haemoglobin 151 (120-150)

Red blood cells 5.02 (3.8-4.8) lymphocyte count 3.02 (1-3)

[SlowDragon Administrator in reply to Mhaire]

Extremely difficult to maintain iron levels on vegetarian diet

[Mhaire in reply to SlowDragon]

SlowDragon, meant to respond to your question re TPO and TG-both done last year done last year and was told negative. Weren't repeated this time though.

[SlowDragon Administrator in reply to Mhaire]

NHS won’t retest thyroid antibodies

You could request ultrasound scan of thyroid

Or get one privately £100 Approx

20% of Hashimoto's patients never have raised antibodies 

healthunlocked.com/thyroidu...

 

Paul Robson on atrophied thyroid - especially if no TPO antibodies 

 paulrobinsonthyroid.com/cou...

[Mhaire]

14mg iron in her daily multivitamin and she does eat beans/pulses etc but it is a worry with thyroid..

[SlowDragon Administrator in reply to Mhaire]

multivitamins never recommended on here

They aren’t suitable to address any low vitamin levels

They’re for the “worried well”

 

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Will flag these iron results up to humanbean

Suggest you read many of her posts and replies on iron and ferritin

Heavy periods won’t be helping

Being anaemic can often result in heavier periods

She needs vitamin D testing twice year when supplementing

NHS easy postal kit vitamin D test £29 via

vitamindtest.org.uk

[RoboTh in reply to SlowDragon]

Would they consider tranexamic acid for first two days of period to reduce blood loss. that's what I was given

[Mhaire in reply to RoboTh]

Thanks RoboTh, Dr put her on transexemic acid. She is taking now and I think it is helping a little. I have a call logged with GP for this aft as this poor kid is getting it from every angle and barely getting through the day with fatigue.

[Mhaire]

That article on atrophied thyroid is fascinating. My own thyroid scan showed 'small volume'. They didnt explain what that meant. I have never tested positive for antibodies but definitely feel I have flares and have been very unstable on levothyroxine. Perhaps now my daughter too. Thanks in advance re iron and human bean. Will keep reading links.

[Mhaire]

Her vit d was 49 in October and 52 in January...Still low. I have her on 3000iu oral spray with k2

[SlowDragon Administrator in reply to Mhaire]

Was she taking 3000iu every day between October and January?

If so increase dose

[Mhaire]

She was Slow Dragon. I put her on it myself after first result of 49, as I wasn't happy with her result. She has been taking it everyday, so I was surprised it had only come up to 52.