Doctor

[HappydaysDevon]

can anyone please advise me on how I can get my GP to listen to me?

My advanced blood results have come back within range (just) but on this site I have been given some great advise, which all would make perfect sense but my GP refuses to even acknowledge I might have a thyroid issue.

[tattybogle]

The thyroid results on your previous post TSH fT4 / fT3 / TPOab / TGab don't show any clear evidence of thyroid issues .

a family history by itself is not an indication that you will develop one .. it makes it a bit more likely........ but GP can't acknowledge something might be a problem unless they have evidence it has happened, or has started to happen ( eg. raised TPOb would be 'evidence' it had started to happen, even if TSH / fT4 were comfortably in range )

the results that admins suggested needed GP investigation B12 / ferritin / iron etc were not directly related to any thyroid issue.

[SeasideSusie Remembering]

HappydaysDevon

Previous post: healthunlocked.com/thyroidu...

TSH: 2.610 (0.27-4.20)

FT4: 15.1 (12-22)

FT3: 4.1 (3.1-6.8)

FT4 is 31% through it's range and FT3 is 27.03% through range. Neither of these would be classed as "just within range", they are low but not even borderline.

A normal healthy person with no thyroid problem would have a TSH no higher than 2, often around 1, with FT4 around mid-range-ish. But there are some people without a thyroid problem who measure outside of these levels see attached graph of TSH levels in a healthy thyroid. It is possible that those are your normal levels, but as we're not tested for a baseline in health none of us know what our normal levels are.

Do you have any results from your GP tests that you can post so that we can see how they compare, bearing in mind that they can only be compared if the tests were all done under the same circumstances, ie time of test, fasted, etc.

What is obvious from the results of the Advanced Thyroid Test you posted previously is that you have a big problem with B12, Vit D and Ferritin. Low levels and deficiencies of key nutrients bring their own symptoms and these often overlap with symptoms of hypothyroidism. So the first thing you should do is optimise all these poor levels, what you should aim for:

Vit D: 100-150nmol/L. There was some confusion about the dose of Stexerol you take, you initially said 10,000iu then said 1,000iu and I asked if you would clarify this but you didn't respond to my question. If you really are taking only 1,000iu then this isn't going to raise your level, it is a maintenance dose for someone who already has a decent level.

You might want to check out a recent post that I wrote about Vit D and supplementing:

healthunlocked.com/thyroidu...

and you can check out the link to how to work out the dose you need to increase your current level to the recommended level.

With your current level of 37.9nmol/L, which is 15.16ng/ml, you will see that they recommend a daily dose of 4,900iu, nearest to buy is 5,000iu. You also need D3's important co-factors - magnesium (helps the body convert D3 into it's usable form) and Vit K2-MK7 (directs the extra uptake of calcium from food [when taking D3] towards bones and teeth where it's needed and away from arteries and soft tissues where it can be deposited and cause problems.

B12: Top of range for Total B12, with Active B12 aim for 100 plus. As was pointed out to you you need testing for B12 deficiency and Pernicious Anaemia.

Ferritin: some experts say the optimal level for thyroid function is 90-110ug/L but you should not start supplementing with iron unless a full iron panel has been carried out to see if you have iron deficiency - if you already have a good serum iron level and saturation level then taking iron would take these too high and can cause iron overload/toxicity. A full blood count would also be useful as this would show if you are anaemic. You can have iron deficiency with or without anaemia. You can have low ferritin with or without iron deficiency.

Folate: at least half way through range. Yours is 36.3 (8.83-60.8), half way is approx 35 so yours isn't too bad but there is room to go higher.

Once your key nutrients are optimised you might find that your thyroid levels improve.

[HappydaysDevon in reply to SeasideSusie]

thank you for your response.

I have put everything into action that has been suggested above , I have also had a blood test to check my ability to absorb medication everything has come back ok.

I have never had a thyroid test in the same circumstance to measure my base level.

This was my first private thyroid tests and when my thyroid has been checked in the past it’s always been at different times of the day and not a fasting test via the NHS

My GP is now refusing to give me anymore thyroid test.

I am now wondering if it’s not my thyroid at all? As suggested in one of the replies my thyroid test results is absolutely fine but I am not feeling any better if not worse.

Any advice on where to go from here would be greatly appreciated.

Thank you