Help with blood test results: Hi.Can anyone... - Thyroid UK

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Help with blood test results

Mazmilly profile image
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Hi.Can anyone advise me on my latest blood test results

TSH 0.01(0.40-4.90mn/L)

T4 12.02 (9-22)

T3 3.02

Doctor will not increase dosage of Thyroxine due to low TSH although I am still experiencing symptoms of Hypo, tired, hairloss, muscle aches. Is the Dr correct? I am currently taking 150mcgs of Thyroxine. Thank you

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Mazmilly
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SlowDragon profile image
SlowDragonAdministrator

Looking at previous posts you haven’t posted for 4 years

Do you always get same brand levothyroxine at each prescription

Was this test done early morning, ideally just before 9am, only drinking 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)

Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine

For full Thyroid evaluation you need TSH, FT4 and FT3 tested

Also both TPO and TG thyroid antibodies tested at least once

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

Can see in past your vitamin D was extremely deficient, B vitamins low

Have you ever had thyroid antibodies tested

About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high thyroid antibodies

Autoimmune thyroid disease with goitre is Hashimoto’s

Autoimmune thyroid disease without goitre is Ord’s thyroiditis.

Both are autoimmune and generally called Hashimoto’s.

Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease

20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis

In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)

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

Jaydee1507 profile image
Jaydee1507Administrator

Have you ever been over replaced or hyperthyroid? In some people it can take many months for TSH to go back to normal, if it ever does.

Your GP should be taking into consideation your free hormone levels which are getting low. Your FT4 is only 23% of its range and you haven;t given a reference range for FT3 but it looks almost deficient by many labs ranges.

Thats a large dose of Levo that you are taking and the blood results are really not lining up with that. Do you always take Levo by itself on an empty stomach 1 hour away from food and caffeine containing drinks?

Are you taking any other meds that might be interfering with its absorption?

What supplements are you taking?

What are your last results for ferritin, folate, B12 & D3?

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