Hi there, I've been in surgical menopause for almost 5 years after surgery for PMDD. Since surgery, I've been trying to find hormonal balance by adding back sex hormones. Throughout this period, my SHBG has continued to rise.In spite of adding back sex hormones (I still haven't found the balance which works for me), I have continued to suffer from fatigue (feeling bone tired), disturbed sleep, low mood. I also have significant hair loss, constipation, cold hands and low libido & patches of missing eyebrow hair.
I have put these symptoms down to insufficient free Testosterone, on account of my high SHBG. However, when discussing my SHBG with a lady in a hormone support group, she questioned my Thyroid.
I have had Thyroid checked a few times over the last years, and they have been within range. Here they are:
Early Jan 23
TSH 1.85
Free Thyroxine 13.0
Late Jan 23
TSH 1.41
Free Thyroxine 13.0
Free T3 4.41
May 23
TSH 0.96
Free Thyroxine 12.0
Free T3 4.50
Dec 22
TSH 1.64
Free Thyroxine 12.9
November 22
TSH 1.28
Free Thyroxine 13.9
August 22
TSH 2.15
Free Thyroxine 12.8
June 22
TSH 1.71
Free Thyroxine 12.4
Free T3 4.54
April 22
TSH 2.36
Free Thyroxine 11.3
March 22
TSH 2.05
Free Thyroxine 13.4
Would you say from looking at the above, that I may have an issue with my Thyroid whichp needs further investigation?
I appreciate that the above results don't cover a full Thyroid panel nor Cortisol checks.
Thanks in advance.
Written by
Sunnyyellowlady
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Bloods were taken on a morning, but at the time I was testing my sex hormones and wasn't focusing on the Thyroid results.
The ranges on the tests are as follows-
TSH Range 0.27-4.2
Free Thyroxine Range 12- 22
Free T3 Range 3.1-6.8
I was just wondering if the sketchy results I already have, could indicate that I need to look into Thyroid further? I know that sometimes 'within range' means nothing.
I have the results of my Thyroid tests. Someone has looked at them for me and said my FT3 isn't great but wouldn't necessarily be classed as low Thyroid. This person flagged my B12 and Folate results which they said were low. Once they found out I supplement B Vitamins, they told me that my results would be showing higher than they are in reality and that it was an even bigger indication that B12 and folate were low and needed attention.
I was also told my Cortisol was on the low side. I'd be grateful if anyone can give me their thoughts on my results please. Apologies if this is information overload.
Thanks
Test Result Range Unit
Biochemistry
HbA1c-(IFCC)** 37 20 - <42 Non-diabetic mmol/mol
42 - <48 Prediabetes
>= 48 Diabetes
48 - 59 Good control
CRP 4.36 <5.0 mg/L
Iron 22.7 5.8 - 34.5 umol/L
Ferritin 74.4 13 - 150 ug/L
Transferrin Saturation 39.8 20 - 50 %
TIBC 57.0 45 - 81 umol/L New range
Magnesium 0.90 0.7 - 1.0 mmol/L
Hormones
Cortisol (Random) 366.0 6am - 10am 166 - 507 nmol/L New range
4pm - 8pm 73.8 - 291
Thyroid Function
TSH 1.01 0.27 - 4.20 mU/L New range
T4 Total 86.5 66 - 181 nmol/L
Free T4 13.1 12.0 - 22.0 pmol/L
Free T3 4.79 3.1 - 6.8 pmol/L New range
Reverse T3* 16.0 10 - 24 ng/dL
Reverse T3 ratio 19.49 Normal >15 Ratio
Borderline 12-15
Low <12
Immunology
Anti-Thyroidperoxidase abs
11 <34 IU/mL New units
Anti-Thyroglobulin Abs
15 <115 IU/mL New units
Vitamins
Vitamin D (25 OH) 111 Optimal 75-200 nmol/L New range
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