Hi sorry forgot how to get thyroid calculatorTSH 0.10 range 0.38-5.34
T4 17.8
T3 4.3 range 4.0-6.6
Feeling irritable, looking up says clinical depression, definitely hope not.
Gp won't refer me back to endo.
November 2022 TSH was 8.05
So feeling abit like emotional rollercoaster
Many thanks Lisa
No range on Ft4
Was test done early morning and last dose levothyroxine 24 hours before test
How much levothyroxine are you taking
Do you always get same brand at each prescription
Ft3 obviously low
Likely low vitamin levels
Do you have autoimmune thyroid disease - Hashimoto’s
what vitamin supplements are you taking
When were vitamin levels last tested
Recommended that all thyroid blood tests early morning, ideally just before 9am and last dose levothyroxine 24 hours before test
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 and includes BOTH TPO and TG antibodies -£29
randoxhealth.com/at-home/Th...
Only do private testing early Monday or Tuesday morning.
Link about thyroid blood tests
thyroiduk.org/getting-a-dia...
Link about Hashimoto’s
thyroiduk.org/hypothyroid-b...
Thank you, bloods taken 9.00, last thyroxine 24 hours before150 mg daily
Vit levels were all okay in last 3 months.
Accord
Evening primrose oil 2000 mg
Multi _max woman from natures best has vit b12, magnesium, b6 and mult b complex
51 this year, so close menopause
Have fibromyalgia and osteoarthritis, positive rheumatoid factor
Home working
Many thanks Lisa
Lisajane747
Calculator here: thyroid.dopiaza.org/
T4 17.8
T3 4.3 range 4.0-6.6 = 11.54% - is this Free T3 or Total T3? Whichever it is it's very low. You may be looking at poor conversion of T4 to T3 but need to know if FT4 and FT3 were tested (rather than Total T4 and T3) and the range for the T4 result.
You haven't given a range for T4 so you'll have to work that out yourself with the calculator.
Feeling irritable, looking up says clinical depression, definitely hope not.
Where have you looked that up? Don't rely on Dr Google, there are many reasons for being irritable.
Gp won't refer me back to endo.
If results in range then endo would very likely refuse referral anyway.
In a previous post you said your TPO antibodies were 444, this confirms autoimmune thyroid disease aka Hashimoto's and it's common for levels and symptoms to fluctuate with Hashi's.
Thank you so much for getting back to me, yes dr Google.Thank you, at least I know i am not going mad.
What is the treatment for hashimoto disease please
No the GP never tests anything but the basics The T4 no range on the results on patient access.
Not had any feedback on the results, just looking on my patience access.
I take it i wait a year for another blood test
Thank you so much for your help
Many thanks Lisa
What is the treatment for hashimoto disease please
Hashi's is the most common cause of hypothyroidism. There is no treatment for Hashi's, it's the resulting hypothyroidism that's treated.
Some people find a gluten free diet helps but there's no guarantee. Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks.
You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.
Gluten/thyroid connection: chriskresser.com/the-gluten...
Some information about Hashi's:
stopthethyroidmadness.com/h...
stopthethyroidmadness.com/h...
hypothyroidmom.com/hashimot...
thyroiduk.org.uk/tuk/about_...
Supplementing with selenium l-selenomethionine 200mcg daily is said to help reduce the antibodies, as can keeping TSH suppressed.
Some people find cutting out dairy can help.
No the GP never tests anything but the basics The T4 no range on the results on patient access.
Not had any feedback on the results, just looking on my patience access.
I take it i wait a year for another blood test
You need to know if your conversion is poor. Contact the surgery and find out the range for the T4 and please confirm that these tests are FT4 and FT3 and not Total T4 and T3. I imagine they are FT4/FT3 but we need to know for certain to know that we are giving you the correct advice, the devil is in the detail!
Come back with this information and we may be able to help further.
HiIt Is a free T3
Free T4 range 11-26
so you have room for increase in Levothyroxine
Suggest increasing by 12.5mcg initially
Accord don’t make 25mcg tablets
Cut 50mcg in 1/4 to add 12.5mcg
Easy to cut with sharp craft scalpel
Store remaining 1/4’s for next days
Get coeliac blood test (about £10 online) before cutting gluten out completely
Retest thyroid levels 6-8 weeks after any dose change or diet change
5% test positive for coeliac…..but further 81% find gluten free diet significantly improves symptoms or is essential
About 50% find dairy free diet helps too
Thank you, my coeliac blood test in last 6 months was negative
Thank you i will definitely do this
Thanks again
Lisa
Lisajane747
TSH: 0.10 (0.38-5.34)
FT4: 17.8 (11-26)
FT3: 4.3 (4.0-6.6)
So we have FT4 at 45% through range with FT3 at 11.54% through range.
To know how well we convert we need TSH to be 1 or below then look at the FT4 and FT3. Your TSH is low yet your FT4 is still below half way through range. This suggests you could increase your Levo but getting your GP will agree with such a low TSH might be difficult, they don't like seeing TSH below range.
Your FT4/FT3 does show poor conversion and even if you increase your Levo and get a higher FT4 it's very likely that your FT3 wont increase much. Ideally they would be reasonably well balanced on Levo only.
Vit levels were all okay in last 3 months.
What exactly were the results/ranges? Optimal levels are:
Vit D: 100-150nmol/L
B12: top of range for Total B12, if Active B12 tested then over 100
Folate: at least half way through range
Ferritin: some experts say the optimal ferritin level for thyroid function is 90-110ug/L
If these aren't optimal then it can affect conversion of T4 to T3.
Multi _max woman from natures best has vit b12, magnesium, b6 and mult b complex
Multi-max Woman or Multi-max Woman 50+?
I would ditch this. Multi's aren't recommended here. They contain too little of active ingredients to help low levels or deficiencies, they often use the wrong form of the vitamins, and they also often contain things we shouldn't supplement unless tested and found to be deficient. Also too many different vitamins/minerals taken together means that not all can be absorbed and some should never be taken together.
The Multi-max Woman contains Vit K1 - this is the wrong form. This is the blood clotting form and should never be taken by anyone on blood thinners or at risk of blood clots. I expect they don't caution about this. It is Vit K2 that is the form more suited to a multi.
They both contain folic acid and cyanocobalin (B12), these are the wrong forms, the better bioavailable forms are methylfolate and methylcobalamin.
The magnesium they contain is the oxide form which is for constipation.
They contain iron which must be taken 2 hours away from any other supplement as it affects their absorption.
They contain zinc and copper. We hypos are often high in one and low in the other, so we should test before supplementing to find out what we need.
They include the selenite form of selenium which should be avoided, the recommended form is selenium l-selenomethionine.
They contain iodine at the recommended daily amount. We should not supplement iodine without first testing to see if we need it. Iodine is easily obtained from a UK diet from milk, yogurt, cod, haddock, scampi, etc. Iodine solution used to be used to treat overactive thyroid so can make hypothyroidism worse or cause hypothyroidism. It's said that when Hashi's is present it should not be used.
Best to test key nutrients and only supplement with what is needed to bring up to optimal levels then dose to maintain.
Thank youSerum B12 391 ng/l range 145-914
10/01/23
Serum total 25-oh vit D level
79nmol 14/10 /23
0.0 says normal 10/1/23
I only take these supplements for age and mood and taken for years
Thank you for your information and will definitely look at my supplements
Many thanks Lisa
Hi, I would suggest getting your sex hormones checked as these start dropping well before menopause and can make you feel utterly awful with many crossover symptoms with hypo
"Have fibromyalgia and osteoarthritis, positive rheumatoid factor"
I think there is a strong link with all of these conditions and low estrogen?
Thank you, didn't know fibro and low hormonesGonadotropin fsh 13.9 normal 14/10/24 FSH 62.8 normal 14/10/23
LH 7.8 normal 6/9/24
LH 38.8 normal 14/10/23
Many thanks Lisa
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 and includes BOTH TPO and TG antibodies -£29
randoxhealth.com/at-home/Th...
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...
NHS easy postal kit vitamin D test £31 via
Only do private testing early Monday or Tuesday morning.
Link about thyroid blood tests
thyroiduk.org/getting-a-dia...
Link about Hashimoto’s
thyroiduk.org/hypothyroid-b...
Symptoms of hypothyroidism
Thank you
My thyroid results(help) I have calculated the range percentage 
New English version of the % Calculator for Thyroid Results
How to calculate optimal levels?
TSH and T4 range calculator thingy
