Help with results please.

[evelynmreid]

I would be very grateful for insights on the following .

Thyroid results Feb prior to any treatment

TSH 2.06

FT3 3.77

FT4 25.2

RT3 0.33

Anti TG 25

Anti TPO 13

Prescribed Armour 30 mgs twice day from Feb to June

Results in June

TSH 0.9- gone down significantly

FT3 3.2 - ie gone down

FT 4 27.8 - gone up

Anti TG 30.7 - gone up

Anti TPO 8.7 gone down

Please please can someone explain the above and what might help

Many thanks in advance.

Evelyn

[Jaydee1507 Administrator]

You haven't given any ranges for any of the tests. This is important as they vary from lab to lab. Please add them.

Have you had your key vitamin levels checked? ferritin, folate, B12 & D3?

[evelynmreid in reply to Jaydee1507]

I would be grateful for any guidance on the following results -especially why T3 and TSH have gone down -and what would help. Also the relevance of the other tests- specifically the low ferritin and high B12 I am a beginner at all this & so any help would be much appreciated. Many thanksEvelyn 

February 16th 

TSH 2.16 (Range 0.270 – 4.200

Free T3 3.77 (Range 3.74 – 6.11)

Free T4 15.2 (Range 11.5 – 19.6)

T3 1.58 (Range 1.30 – 3.10)

T4 108.2 (Range 66 – 181)

Anti TPO 13 (Range <34)

Anti TG 25 (Range <115)

T-Uptake 1.150 (Range 0.800 – 1.300)

Started Armour 30 mgs twice day  

April 29th. Different lab  

TSH 0.9 (Range 0.270 – 4.200)

Free T3 3.2 (Range 3.1 – 6.8)

Free T4 17.8 (Range 12 – 22)

Anti TPO 8.7 (Range <34)

Anti TG 30.7 (Range <115)

+25 OH D 142 (Range 50-250)

Ferritin 84 (Range 30-650) 

Total vitanin B12 1476 (Range 145-569)

Folate (serumn)- 45.2 ( Range 8.83- 60.8) 

Thank you in advanceEvelyn   Sent from my iPhone

[Jaydee1507 Administrator in reply to evelynmreid]

Are you taking any supplements or eating/drinking fortified food?

I wouldn't say ferritin is particularly low. Optimal is said to be 90-100 for best use of thyroid hormone so you're not far off that. I think the range they have given you includes males which is higher.

It would be better if you had an active Vit B12 test rather than the total one you had done. Sometimes a high vit B12 can be a paradoxical B12 deficiency. iomcworld.org/articles/para...

Your TSH has dropped because your body has more thyroid hormone in it. Thats just how it happens. On NDT one would expect a below range or suppressed TSH due to the T3 content in it.

Free T3 (fT3) 3.77 pmol/L (3.74 - 6.11) 1.3%

Free T3 (fT3) 3.2 pmol/L (3.1 - 6.8) 2.7%

Remember that you have had bloods done using different labs and that they use different ranges. If you work out the % through range it has gone up a tiny bit.

When you are getting bloods taken you need to be careful of when you last take your NDT. Its recommended to leave 8-12 hours for T3 although T4 should be longer. This would show your stable blood level. Obviously with NDT the hormones are both in each tablet so you need to find a happy medium probably of 12 hours taking last NDT before test.

When did you last take your NDT before this test?

See diagram below of what your FT3 blood level looks like after a dose of T3 (not NDT but will be similar).

FT3 blood level graph

[evelynmreid in reply to Jaydee1507]

Hi Jayde

Very many thanks for your long and detailed reply- it is very helpful and is much appreciated.

I stopped the Armour the day before the test, but can’t remember if I took my mid afternoon dose. Then had the test done at 8 the next morning

Yes I take a variety of supplements, including D/Bs/and B12 injections- could that be the reason for the very high B12 result. The article you sent was exceedingly interesting- I wonder if my new thyroid doctor would do an active B12 test.

Finally the one result I omitted was that in Feb my Rev T3 was 0.33 ( 0.12-0.35). Not repeated by doctor. What is the significance of this please and what could I do to lower it? Would it be a good idea to ask the doctor to repeat it next time- or not?

Thank you very much again for your earlier reply- it has greatly put my mind at rest re what is going on- so I am very grateful for your help

Best wishes

Evelyn

[Jaydee1507 Administrator in reply to evelynmreid]

When you next test, be sure to delay your mid afternoon dose to leave 8-12 hours before the blood draw. Otherwise your results will show a false low which is what has happened in your current test.

B12 injections will certainly cause a high B12 result and is nothing to be concerned about.

If you're on B12 injections then theres no point in testing B12 at all, even active B12. Its probably very good.

There are a multitude of reasons as to why reverse T3 could be high or low, most of them have nothing to do with the thyroid and so its not even recommended to get the test anymore.