After some great advice on here I went ahead and did the Blue Horizon gold thyroid test. I am a 46 year old woman and have every symptom of hypothyroidism. I understand the test shows that my antibodies are ok but I do not know anything about T3 and T4 levels...do mine look ok? The test was done at 9.30 and I did fast for it. Any information you could give me on my results would be amazing. Thanks
CRP <0.6mg/l <5.0
ferritin 56.5ug/l 13-150
cortisol 707.0nmol/l 166-507
TSH 3.65mu/l 0.27-4.20
T4 total 123.0nmol/l 66-181
free T4 17.1pmol/l 12.0-22.0
free T3 4.90pmol/l 3.1-6.8
Anti-thyroidperoxidase abs <9.0iu/ml <34
Anti-thyroglobulin Abs 16iu/ml <115
Vitamin D 54nmol/l
B12 Active 46.5pmol/l 37.5-150
Serum folate 8.72nmol/l 8.83-60.8
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This is nice and low (low is best with a CRP test), shows you have no inflammation.
ferritin 56.5ug/l 13-150
As ferritin rises with inflammation it's always good to have CRP tested at the same time because if CRP was raised you'd know your ferritin level was falsely raised due to inflammation. Your CRP is nice and low, no inflammation, which tells us your ferritin result is a true measure.
However, your ferritin level is low. Some experts say that the optimal ferritin level for thyroid function is 90-110ug/L.
You need a full iron panel to check on your serum iron, saturation percentage, total iron binding capacity and ferritin, because we shouldn't start supplementing iron if the only test we've done is ferritin and it turns out to be low. We can have low ferritin with good iron levels and if we supplement then the iron levels would go too high and can lead to iron overload.
Refer back to my reply to your previous post as to what to do now. If GP wont do an iron panel then Medichecks do one called Iron Blood Test here:
This is a long way over range, this should be discussed with your GP, and you could consider a 24 hour cortisol plus DHEA test with Regenerus, details here:
TSH close to top of range, FT4 is 51% through range and FT3 is 48.65% through range.
So again we have a high in range TSH result similar to your previous test. A normal healthy person with no thyroid problem would have TSH no higher than 2, often around 1, with FT4 around mid-range-ish. So your TSH could be suggesting a problem but your FT4 and FT3 aren't. Because we're not tested for a baseline in health none of us know what our own normal levels are, these could be yours but we just don't know.
Anti-thyroidperoxidase abs <9.0iu/ml <34
Anti-thyroglobulin Abs 16iu/ml <115
Both types of antibodies are nice and low in range so do not suggest autoimmune thyroid disease (Hashimoto's) at those levels. However, another test could give different results, and it is possible to have Hashi's without raised antibodies.
Vitamin D 54nmol/l
This is low. Refer back to my reply to your previous post and I gave you all the information you need to raise your Vit D level. The amount of D3 you need to take is the same as mentioned in that reply as your new result is very similar to your previous one.
B12 Active 46.5pmol/l 37.5-150
This is very low and bears out your Total B12 result in your previous post. Again my reply there has all the information you need so do check back to see what you need to do.
Serum folate 8.72nmol/l 8.83-60.8
Below range and bears out your low result from your NHS test. Discuss with your GP whilst discussing your B12 result, he may want to prescribe folic acid, he may not, if not you will need to buy your own methylfolate supplement but bear in mind what was mentioned in my previous reply - do not start folic acid/folate before further testing of B12, all details in reply to previous post.
Thanks SeasideSusie, with my TSH high and all my symptoms do you think it would be worth pursuing with a private clinic as I know my own doctor will not be interested or do you think they just turn around and say results are within range aswell? Thankyou
I really don't know what a private clinic would say. If it's a private endo who also works within the NHS then he would likely stick to the NHS guidelines. But a purely private "clinic" I'm afraid I have no experience or knowledge of.
However, your first priority must be to sort out those nutrient levels. Low levels and deficiencies can have symptoms which overlap with symptoms of hypothyroidism, so work on getting those to optimal levels first then see how your thyroid levels are.
These are the levels you should aim for:
Vit D: 100-150nmol/L
B12: Total B12 top of range, Active B12 100 plus
Folate: at least half way through range
Ferritin: 90-110ug/L according to some experts who say this is the optimal level for thyroid function.
I'm really grateful to you SeasideSusie, without you I wouldn't know where to start.....im feeling so let down by my gp, I just took the results of my blood test to her and she shrugged her shoulders and said 'well you could try a multivitamin I suppose' I could have cried.
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