Latest NHS results

[Macey2009]

Hi There are my latest thyroid results

TSH 2.3(0.20-4.50)

Free T4 17(9-21)

Test done 8.20am with water only

G.P does 6 monthly tests due to TPO antibodies being >1000

[Jaydee1507 Administrator]

How do you feel?

Free T4 (fT4) 17 pmol/L (9 - 21) 66.7%

Your TSH is above 1 and most people feel well when their TSH is at or even just under 1.

There is no FT3 result so we cannot assess if you are converting well.

You are ready for the next dose increase so ask/insist on that from GP.

How are your vitamin results - ferritin, folate, B12 & D3? Are you supplementing them.

After next increase I'd suggest you get private blood testing done as you will be needing to see your FT3 by that point more urgently.

See link for companies offering private blood tests & discount codes, some offer a blood draw service at an extra cost. thyroiduk.org/help-and-supp...

There is also a new company offering walk in & mail order blood tests in London, Kent, Sussex & Surrey areas. Check to see if there is a blood test company near you. onedaytests.com/products/ul...

Only do private tests on a Monday or Tuesday to avoid postal delays.

It's ideal if you can always get the same brand of levo at every prescription. You can do this by getting GP to write the brand you prefer in the first line of the prescription. Many people find that different brands are not interchangeable.

Many with autoimmune thyroid disease aka Hashimoto's benefit from a gluten free diet. A smaller percentage of those also need to remove dairy from their diet to feel well. These are intolerances and will not show up on any blood test.

Recommended blood test protocol: Test at 9am (or as close as possible), fasting, last levo dose 24hrs before the blood draw & no biotin containing supplements for 3-7 days (Biotin can interfere with thyroid blood results as it is used in the testing process)? Testing like this gives consistency in your results and will show stable blood levels of hormone and highest TSH which varies throughout the day. Taking Levo just prior to blood draw can show a falsly elevated result and your GP/Endo might change your dose incorrectly as a result.

[Macey2009 in reply to Jaydee1507]

Hi Sorry i should have clarified. I am not on any medication. My G.P is monitoring my levels due to the high antibodies. I was told I am at risk of developing autoimmune thyroid disease in the future.

[Jaydee1507 Administrator in reply to Macey2009]

I see, apologies. Then I'd recommend you be focusing on vitamins and trialing the strictly gluten free diet.

[SlowDragon Administrator]

and dairy free in 3-4 months time

Post vitamin results and ranges

[Macey2009 in reply to SlowDragon]

Sorry I don't have any recent vitamin results.

[SlowDragon Administrator in reply to Macey2009]

When were these last tested

What vitamin supplements are you taking

[Macey2009 in reply to SlowDragon]

Last private test was March 2020 I can't afford another private test right now.

I take igennus super b complex and the red vit d spray.

[SlowDragon Administrator in reply to Macey2009]

Ask GP to test full iron panel including ferritin for anaemia

[Macey2009 in reply to SlowDragon]

What would i say is the reason though? I find they are never very willing to do blood tests without good reason.