blood test results Graves’ disease

[Yoga54]

Hi everyone, here are my latest blood test results from the hospital, the endocrinologist said I would remain on block and replace for another 4 months, I’m fine with that but I just wondered what the TSH suggests as it’s nowhere near normal to me, can anyone explain what it all means, I’d really appreciate it. Thanks

[PurpleNails Administrator]

TSH unreliable and can remain low after period of hyper.

My TSH never recovered and is still undetectable, - I’ve been on carbimazole over 4 years. 

Your FT4 & FT3 are in range but your FT4 is top of range & FT3 very low in range.   

The low FT3 might be making you feel hypothyroid symptoms. 

Have you had nutrients tested?  Folate,ferritin, B12 & vitamin D.  

How much carbimazole/ levo are you currently taking? 

Why is carbimazole & Levo “block & replace/ add back” being used. 

Was tritration (carbimazole alone) tried & unsuccessful? 

Your Trab Graves marker is negative. What is the cause of your hyper? 

[Yoga54 in reply to PurpleNails]

Thank you for replying to me, I started on 40mg carbimazole 12 months ago after testing positive for Graves’ disease then after about 6 weeks it was decided I would be on block and replace so I take 40mg carbimazole in the evening and 100 levothyroxine in the morning and a selenium supplement during the day. I was told I had hyperthyroidism and positive antibodies for Graves’ disease last March. I’m not aware of having any nutrients tested. Thanks for reading though my results.

[PurpleNails Administrator in reply to Yoga54]

might be worth arranging a private test to check nutrients.

Usually block & replace is reserved for those who are unstable on carbimazole alone. Or if you have T3 driven hyper, and FT4 drops below range before FT3 becomes in range.

What were results showing TRab positive, doctors will say graves or hyper based on low TSH & high FT4 & FT3. It may have been transient,

Being on block & replace will conceal natural levels. You may not need carbimazole & you may manage on a lower dose carbimazole & no levo. That might balance FT4:FT3.

[Yoga54 in reply to PurpleNails]

Hi, I will send you the very first set of blood results this evening as I have them at home, I thought I was slightly under active because I’ve lost my buzz and feel like I’ve slowed down a bit but they said that was my body adjusting back to normal. Thanks for your time and advice

[pennyannie in reply to Yoga54]

I think this print out shows you negative for Graves Disease :

[Yoga54 in reply to pennyannie]

wow thank you for replying, could they have missed it or made a mistake, I’ve just found my first blood test results and here they are ……….

Small letters

[pennyannie in reply to Yoga54]

That's ok - if you look and compare you will see that your TR ab were then 3.80 and well over the marker of 1 - now you are under the marker of 1 with that < sign :

[SlowDragon Administrator]

was test done early morning and last dose levothyroxine 24 hours before test

Recommend getting vitamin D, folate, ferritin and B12 levels tested

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...

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...

[Yoga54 in reply to SlowDragon]

Hello, thanks for replying, I took my levothyroxine at 7.00am and had the blood test at 11.30am the same day. I wasn’t sure whether to take it or not and the doctor didn’t tell me I shouldn’t.

[SlowDragon Administrator in reply to Yoga54]

So Ft4 is falsely high result

only do private testing early Monday or Tuesday morning