I would like your advice over my daughters blood tests please. She has an appointment with a Hormone Specialist in 10 days. Is there any specific information she needs to bring to show the specialist?
She has very thin hair on the top of her head and still losing it. Excess hair on stomach and upper legs. Our local GP has seen her blood test and says she is basically in menopause as here oestrogen is so low.
She is only 22 years old. She had low ferritin but has been supplementing with Drs guidance.
30.05.23
Iron 152 µg/dL ( 50 - 170 )
Ferritin 94.0 ng/mL ( 5 - 172 )
T3 3.35 pg/mL ( 1.58 - 3.91 ) 75.97%
T4 0.78 ng/dL ( 0.70 - 1.48 ) 10.26%
TSH 2.63 mU/L ( 0.35 - 4.94 )
21.03.23
Estradiol E2 < 10 ( 21.0 - 251.0 )
Looking back over her results since 2018 she has had consistently low T4. Could this all be down to her thyroid? Thank you for any help and advice.
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Bubydizer
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Her TSH is above 2 which throws an element of suspicion on her thyroid. Has she ever had thyroid antibodies tested? If positive that would be a little more conclusive.
What were her other vitamin results - folate, B12 & D3? To be symptom free people need good levels, usually above 50 - 70%.
Excess hair growth is not so likely to be related to thyroid.
Recommend testing remaining vitamin levels and thyroid antibodies.
Perhaps take historic and current thyroid results to appointment.
Thank you so much for your response. She had a TSH of 3.3 in August.
August 2022
TSH 3.3 ( 0.400 - 4.2 )
Anti-Ta 17 upto 115
Anti-TPO 22 upto 34
Folic Acid 11.6 > 15.0
Vitamin B12 468 ideal value > 350
Vitamin D3 28 ( 30 - 100 )
She had a scan and Doc wrote on the report suspected PCOS so maybe thats the excess hair. Our Doc said the hair loss on her head could well be the oestrogen. My friend said there is a link between PCOS and Hypothyriodism. I just want to make sure it's not hiding away in the background as mine was for years!
I will bring the historical results, hubby will do some charts ( somebody recommended it on here, it worked so well for me and the Haematologist!) Thank you again.
Although her TPO antibodies are negative it would be good to do a private of her Thyroglobulin antibodies (Tgab) which the NHS doesn't do. There's also a small proportion of Hashi people who are seronegative.
Her FT4 is quite low and TSH higher than average so would be good to keep an eye on her levels.
Her vitamin D is deficient. Try and get this doctor to test it or GP and they should prescribe a loading dose.
B12 is too low. The reference range is too wide and cut off too low. Also folate is deficient by that range. Again you could get GP/consultant to recheck and if deficient they should prescribe 5mg folic acid.
Depending on GPs tests she would benefit from a good qulity B complex to keep all the Bs in balance. This B complex has all the right vitamins at a not unreasonable cost for 90 days supply. amazon.co.uk/Liposomal-Soft...
Ok, we are not in the UK so this is the translation "endocavitary ultrasound", maybe pelvic ultrasound? wasn't pleasant that's for sure!
Yes we will try to get the Tgab blood test before we see the specialist.
I was aware the vitamin D was low and we will get some good tablets. I didn't realise the others were low though , thank you so much for highlighting this. We will address them.
Thank you for the link, our friends bring things when they visit, so I will get some.
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