Latest blood test: Still struggling with my GP so... - Thyroid UK

Thyroid UK

141,236 members166,485 posts

Latest blood test

Charlyboy profile image
24 Replies

Still struggling with my GP so decided to go private and see an endo.Had what I think is a fairly complete set of blood tests and would welcome your opinions.

Been suffering yet again with air hunger and was hoping the results would maybe shine some light on why.

The endo didn't seem to think any of the results would cause the hunger and to be honest I sort of got the impression that she didn't feel there is a link at all to hypothyroidism.

Anyway hopefully you good people would do me the courtesy of taking a look at my results and offer an opinion if you have one.

Sorry 1 half of the test is here and the other further down the thread

Written by
Charlyboy profile image
Charlyboy
To view profiles and participate in discussions please or .
Read more about...
24 Replies
helvella profile image
helvellaAdministrator

Splitting results across two posts causes no end of confusion.

I have turned off replying on your other post so that you don't end up splitting replies between two threads:

healthunlocked.com/thyroidu...

Far better to add the second image to a reply to yourself on this post/thread.

Charlyboy profile image
Charlyboy in reply tohelvella

Sorry I couldn't work out how best to do it. Apologies

greygoose profile image
greygoose

Oh, these useless endos!

All she tested related to thyroid is the TSH. And that is useless on its own. It doesn't tell you anything.

But, your cholesterol is slightly high, which suggests that your FT3 is low. And low T3 certainly could cause air hunger because air hunger is one of the major hypo symtoms.

Other results suggesting that you are under-medicated are:

Low B12

Low folate

And disasterous vit D!

Your sodium is also low/under-range.

No ferritin? That would also cause breathing problems.

So, she didn't do half the useful tests, and what she did do, she doesn't understand the results of. And you're paying this woman good money? Give her her marching orders!

TiggerMe profile image
TiggerMeAmbassador in reply togreygoose

They were there GG... strangely jumbled up though

Free T4 (fT4) 18.7 pmol/L (12 - 22) 67.0%

Free T3 (fT3) 4.6 pmol/L (3.10 - 6.8) 40.5%

T4:T3 Ratio 4.065 

greygoose profile image
greygoose in reply toTiggerMe

Well, it's strange I only saw the TSH and not the others. I must finally be losing it! 🤣🤣🤣

So, as I thought, the FT3 is low, which is why the cholesterol is high.

TiggerMe profile image
TiggerMeAmbassador in reply togreygoose

😏 I find some of them very hard to follow... but like you say you are spot on with the low fT3 and all the other lows... and the less than useful Endo!!

Charlyboy profile image
Charlyboy in reply toTiggerMe

Yes I don't think I'll be going back

Batty1 profile image
Batty1 in reply togreygoose

What does low sodium mean for hypothyroidism people?

greygoose profile image
greygoose in reply toBatty1

Same as it means for everyone else. But, most importanly for hypos, it lowers stomach acid even further than being hypo, and it negatively affects the adrenals who need good amounts of salt to function.

Batty1 profile image
Batty1 in reply togreygoose

Interesting because my last labs showed my sodium levels dropped significantly from the previous lab.

I found this about low sodium and hypo.

ncbi.nlm.nih.gov/pmc/articl...

greygoose profile image
greygoose in reply toBatty1

Well, it's not really relevant whether low sodium causes hypo or hypo causes low sodium, the important thing is that the body needs salt, you can't live without it - not for very low, anyway. So, something needs to be done about it.

I would say low sodium is usually caused by this fixation people - especially doctors - have about salt being bad for you. At the right amount, it isn't. So, if your sodium is low, increase your salt intake.

Batty1 profile image
Batty1 in reply togreygoose

True doctors do have and fixation on salt but I have done nothing different as far as salt intake is concerned.. its interesting all the same.

greygoose profile image
greygoose in reply toBatty1

Maybe it's due to low stomach acid. I don't know, but you could try increasing your intake. That might increase your stomach acid level and help with other absorption problems.

Charlyboy profile image
Charlyboy

Hopefully this appears where you can see.

Text for blood test results
Charlyboy profile image
Charlyboy

She prescribed a combined calcium and vitamin d supplement called adcal d3.Should I be thinking foliate, b12 etc.

TiggerMe profile image
TiggerMeAmbassador in reply toCharlyboy

Hi, you need to 'aim' your reply at someone if they are to see it by pressing 'reply' beneath their comment... I'll tag in  greygoose as I'm guessing this is for her 😉

Charlyboy profile image
Charlyboy in reply toTiggerMe

Thank you

TiggerMe profile image
TiggerMeAmbassador in reply toCharlyboy

I'd look at adding more salt to your diet too as low sodium is something that makes you feel really spaced out and fatigued

SlowDragon profile image
SlowDragonAdministrator

Ft4 has room for dose increase

Ft3 is too low

How much levothyroxine are you currently taking

Push hard for at least 12.5mcg daily increase on top of current dose

meanwhile

vitamin D, folate and B12 all too low

You need to start a daily B12 and after 7-10 days add a separate vitamin B complex

Low GFR (very poor kidney function) very strongly linked to low Ft3 levels

Chest tightness (in earlier post) suggests low iron/ferritin

Get full iron panel test for anaemia

There’s nothing on your profile

Is your hypothyroidism caused by autoimmune thyroid disease, also called Hashimoto’s

Have you ever had thyroid antibodies tested

Charlyboy profile image
Charlyboy in reply toSlowDragon

I'm currently taking 150mcg.I was taking 175mcg but after my yearly blood test 2 months ago and my TSH being 0.3 my GP in her wisdom insisted the dose was reduced.

I'll get a iron panel test from Thriva.

Also I assume I can get a thyroid antibodies test from them also.

SlowDragon profile image
SlowDragonAdministrator in reply toCharlyboy

we tend to recommend Medichecks, Blue Horizon or Monitor my health for testing

Thriva has odd way of displaying results make it more confusing for patients to understand their levels

Many many members have very low or suppressed TSH on replacement thyroid hormones

The most important results are ALWAYS Ft3 followed by Ft4 and essential all four vitamins are tested and maintained at optimal levels for good conversion of Ft4 to Ft3

Low Ft3 leads to low vitamin levels

Low vitamin levels results in low Ft3

It becomes a spiral downwards, especially if dose levothyroxine is reduced inappropriately

Work on improving low folate B12 and vitamin D

Get full iron panel including ferritin

get small increase in levothyroxine

Then retest thyroid levels in 6-8 weeks

Test early morning, before 9am, only water to drink between waking and test and last dose levothyroxine 24 hours before

Charlyboy profile image
Charlyboy in reply toSlowDragon

Thank you so much, I'll use one of the labs you suggested and follow your recommendations. My GP is a waste of time and the endo a waste of money.

SlowDragon profile image
SlowDragonAdministrator in reply toCharlyboy

Full iron panel test

Test early morning, fasting. Don’t eat iron rich foods night before test.

Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing. It’s possible to have low ferritin but high iron

Medichecks iron panel test

medichecks.com/products/iro...

SlowDragon profile image
SlowDragonAdministrator

previous post shows that recent results are much worse

healthunlocked.com/thyroidu...

Not what you're looking for?

You may also like...

Latest blood test results

Happy New Year!A bit of a long post so please accept my apologies. Firstly thanks for the previous...
DitzyGrandma profile image

Latest Medichecks blood test results

Hi everyone, I have just received my latest blood tests from Medichecks and would be grateful if...
Caroline888 profile image

Latest blood test results

Hello, still fairly new on here but wanted a bit of help understanding my latest bloods. Serum TSH...
Bellerin profile image

Advice and suggestions regarding latest blood test

I had my second blood test at the beginning of June and the results are posted below together with...
PottyDotty profile image

Daughter's latest blood test results

Hello everyone, I have my daughter's recent blood results and wanted to run them by you...
Pinkpetite profile image

Moderation team

See all
SlowDragon profile image
SlowDragonAdministrator
Buddy195 profile image
Buddy195Administrator
PurpleNails profile image
PurpleNailsAdministrator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.