Thyroid results etc

[Toritony]

Hi my T4 is 23.9,my TSH is 1.55 Few wks ago my T4 was 21.5 TSH was 1.67

I'm taking 100mg levothyroxine MON/THURS..Extra 25mg on frid,sat Sunday

I don't take levo within 6/7 hrs before my blood test...

Never have I had my T3 tested ..

[SeasideSusie Remembering]

Toritony

I don't take levo within 6/7 hrs before my blood test...

In that case your FT4 is a false high result. We should take last dose of Levo 24 hours before test (it's 8-12 hours for last dose of T3 for those that take it).

Also, we need reference ranges that come with results, ranges vary from lab to lab so we can't interpret results without the ranges that your lab uses.

If your question is about the difference in your results, it's actually very small and may be down to just natural fluctuation.

Do you have a specific question?

How do you feel?

[Toritony in reply to SeasideSusie]

I should ask to have my T3 tested ..& what does T3 do out of interest..I feel soo fatigued more & I shldnt as my periods have stopped along time ago & I'm on the correct amount of hrt.

Thanku.

[SeasideSusie Remembering in reply to Toritony]

 Toritony

T3 is the active hormone that every cell in our bodies need, it is the life giving hormone. Our bodies produce mainly T4 and a small amount of T3, some of that T4 is converted into T3. Some of us are poor converters and our T3 remains low compared to the amount of T4 we have, and it's low T3 that causes symptoms.

It's often the case that FT3 doesn't get tested by the lab, even when requested by the GP. It may get done if TSH is below range with a high FT4 but there's no saying what the lab decides. This is why so many of us do private tests.

I'm near finished my vit d,folic acid..3months I was on them.

Did your GP test these? What were the results originally? You should be retested now to see if you need to carry on with a reduced maintenance dose, this is especially important for Vit D. If you had Vit D deficiency then it's usually the case that supplementing is for life so it's very important to know your new result, post it on here and we can point you in the right direction of how you should follow this up.

By the way, if your HRT is tablets they should be taken at the opposite end of the day to your Levo.

[Toritony in reply to SeasideSusie]

My serum iron level is 30.3 umol/LB12..Serum folate..3.5 ug/1

Vit D serum total 21 nmol/L

I' alternate my HRT patches every 3/4days ...

[Toritony in reply to Toritony]

I wil ask to get my bloods tested again after my holidays...I take my vit d after my tea at night,folic acid in mornings with thyroid meds

[SeasideSusie Remembering in reply to Toritony]

Toritony

Were these results from when you were originally tested and started supplements? Or are they new tests just recently done? If these aren't new tests then you need to retest now to see how your levels have changed since supplementing, hopefully there will be some improvement because your folate and Vit D were dire.

I'm not sure if by serum iron you mean ferritin - it's usually ferritin that's done when GP tests them, serum iron is different from ferritin and is generally done when a full iron panel is carried out. If it's ferritin then that result was dire too.

I imagine you'll need to carry on supplementing so if you can post new results, and include the reference ranges, we can suggest how you should go forward.

[Toritony in reply to SeasideSusie]

These bloods were taken before the vit d etc was prescribed over 2 months ago...I've always believed it to be my iron level 🙈..well I was always more or less anemic then after menstruation stopped the level shot up.

[SeasideSusie Remembering in reply to Toritony]

OK, so the best thing to do is retest and come back with new results and reference ranges and go forward from there.

[Toritony in reply to SeasideSusie]

I really appreciate your info x

[SlowDragon Administrator]

Just testing TSH and Ft4 is completely inadequate

As well as Ft3 you need vitamin D, folate, ferritin and B12 tested

When were vitamin levels last tested

What vitamin supplements are you currently taking

Essential to also have thyroid antibodies tested at least once

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test 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...

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

[Toritony in reply to SlowDragon]

I'm near finished my vit d,folic acid..3months I was on them...Never have I had my T3 tested.

Thanku.

[SlowDragon Administrator in reply to Toritony]

then suggest you retest Thyroid and vitamin levels yourself

Via Medichecks or Blue horizon

You will almost certainly need to self supplement vitamin D and vitamin B complex continuously going forward

[SlowDragon Administrator]

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