I have just got my bloods back and have got a reading of TSH 0.07 ( range 0.27-4.2 ) and a T4 of 19.2 (range (12 -22 ) my doctor hasn`t commented yet but just flagged my result as abnormal, I have also had an abnormal reading on my serum triglyceride 0.7 (range 0.8 -2.3 ) could this be related to my Hashimotos.
I am currently taking 100mcg of Levothyroxine
Just testing TSH and Ft4 is completely inadequate, especially with Hashimoto’s
What vitamin supplements are you currently taking
Was test done early morning and last dose levothyroxine 24 hours before test
Do you always get same brand levothyroxine at each prescription
As you have Hashimoto’s are you on strictly gluten free and/or dairy free diet
Never adjust dose based on just TSH and Ft4
You need TSH, Ft4 and Ft3 and all four vitamins test
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...
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...
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
thyroiduk.org/wp-content/up...
Tips on how to do DIY finger prick test
healthunlocked.com/thyroidu...
Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee
I had the blood test early in the morning and I didnt take my Levothyroxine untill I got home, so at least 24hrs gap, I dont always get the same make of my Levothyroxine but that has never really been a problem.
I am currently taking Co-enzyme Q10, Biotin, Marine Collagen and Selinium and in the winter I take Vit.D. As to a gluten free and or diary free diet, I dont have any digestive problems, any thoughts on the serum trigyceride result
Essential to stop biotin supplements 7 days before all blood tests as biotin can falsely affect test results
endo.confex.com/endo/2016en...
endocrinenews.endocrine.org...
In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg) and continue separate B12
Post discussing how biotin can affect test results
healthunlocked.com/thyroidu...
Will need to retest - request GP do so and include TSH, Ft4 and Ft3…….plus vitamin D, folate, ferritin and B12 levels
NHS unlikely to test Ft3 …..you might get vitamin tests
Any missing tests …..test privately
Low triglycerides are usually caused by low far diet, hyperthyroidism or a gut absorption problem.
Absorption cab be a problem for those with hypothyroidism, It could be you are having or have recently had a Hashi flare?
Just don’t let the GP lower you levo without checking fT3 and fT4 together well away firm any biotin you may be taking.
Thanks for the reply, I'm not on a low fat diet and eat a healthy diet so I haven't got a clue what's going on
I suspect the GP will blame it on too high levo. How out for proper testing as everyone suggests.
I haven't had any feedback yet from the doctors but then it is only Monday morning, I'm going to get a private test for my T3 as that's the only way I can see what the problem is
Feeling fine but TSH is low
Very low TSH and low T4
Low TSH - is that bad?
Low TSH and menstrual cycle 
graves disease and low TSH
