son’s blood test results

[Bean101]

Hello

I have just received my son’s blood test results I like to keep an eye on them as I have Hashimotos

He is Not on any thyroid meds

Vitamin D. 72 nmol

TSH. 4.11. Range. 0.27. 4.2

FT4. 17.1. Range. 12-22

FT3. 5.78. Range. 3.1 -6.8

Thyroglobulin 22.7. 0.115

Thyroid Peroxidase 12.2. 0-34

Active B12. >130

Ferritin 81.9

Folate 14.9. Range 8-60

My son is 20 years old and over the last couple of years his TSH has gone from 1.5 to 4.11

[SeasideSusie Remembering]

Bean101

Did he do the test as we advise:

* No later than 9am when TSH is highest (TSH needs to be as high as possible when looking for a diagnosis)

* Water only before the test to avoid any food or drink interfering with TSH level

* No biotin or other supplement containing biotin (eg B Complex) for 3-7 days before the test

If so then his TSH is rising and he could well be on his way to hypothyroidism. However, with a TSH still in range, a mid-range FT4 and fairly decent FT3 nothing points to a diagnosis at this stage. A normal healthy person with no thyroid problem would generally have a TSH no higher than 2, often around 1, with TSH around mid-range-ish.

Vit D is recommended to be 100-150nmol/L. As summer is coming his level may naturally rise if he goes out in the sun. Maybe retest end of October as he may need to supplement during the winter months.

B12 is good but folate is low and needs improving. Folate is recommended to be at least half way through range so around 35 plus with that range. Maybe consider supplementing with a good quality bioavailable B Complex. Popular here are

Thorne Basic B if available at an acceptable price

Vitablossom - hempoutlet.co.uk/vitablosso...

Also available on Amazon branded as Yipmai but is the same supplement ( I recently bought those and Vitablossom was the brand on the bottle):

amazon.co.uk/Yipmai-Liposom...?

Another similar one on Amazon is Pink Tribe.

B Complex is best taken in the morning, no later than lunchtime, as it can be stimulating and disturb sleep if taken later in the day.

B Complex should be left off for 3-7 days before any blood test as it contains biotin which causes false results.

[Bean101 in reply to SeasideSusie]

Thank you. He did the test at 9 am fasting and no B complex. Any thoughts on getting TSH down?

[SeasideSusie Remembering in reply to Bean101]

Any thoughts on getting TSH down?

No idea how you can do that but why would you want to? If he's on his way to hypothyroidism you need it to rise to get a diagnosis.

[joey82]

Good idea to keep the test results for future reference. If he goes into a hypothyroid symptomatic state then these test results will give you a good place to aim for.

If he ends up with a Hashimotos underactive thyroid then keeping the TPO & Tgab antibodies low will be a good idea so you can preserve as much thyroid gland tissue as possible. This will help with any conversion of levothyroxine.

[Bean101]

Thank you, he’s just back from university so I can keep an eye out for any changes in him

[waveylines in reply to Bean101]

They won't treat at the moment but keeping copies of blood tests is a good idea. If it shows a continuous rise in TSH and a declining ft4 & Ft3 they may be allowed to treat before the TSH goes over the highest threshold. Generally though they won't.