Good Afternoon
I am currently on 2.5 mg Carbimazole 3 times a week. Have 2 overproducing thyroid nodules and was diagnosed Hyperthyroid in 2019. Have been sent back to GP for monitoring as haven’t proceeded with treatment i.e RAI.
TSH 3.59 0.27 to 4.20
T4 15.4 12.0 to 22.0
T3 4.3 3.1 to 6.8
These are NHS Ranges
These are private bloods ranges
Vit D 83 50 to 200
B12 499 138 to 652
One out of range on private bloods
Kidney Glomerular Filtration Rate 75 ML/min1.732<90
Thank you for looking
Hi Hugoo
The most important thing.....How are you feeling?? the test results could 'look perfect' but if you are feeling well they are no good. Equally you could have bizare bloods and feeling the best you ever have. The symptoms or lack there of are a very essential piece of the jigsaw. Just because many doctors are not trained to consider symptoms does not make them irrelevant and if a doctor tries to callibrate the patient to the lab results rahter than using them as a guide, well, that is treating the labwork not the patient.
Hi
Thank you for reply
My heart rate is still high when walking. I was told I had thyroid induced Sinus tachycardia. Also feel palpitations at night. Tired and still anxious.
Having low iron and/or ferritin (iron stores) can cause tachycardia and palpitations. Having low levels of iron/ferritin is common with thyroid disease, both underactive and overactive.
Your doctor might agree to test your ferritin. But if you want to know more details about your iron you would need an iron panel. Getting the NHS to do one of those is a lot harder than getting just ferritin tested.
There is a private one available from Medichecks and it is currently discounted from its usual price :
medichecks.com/products/iro...
...
With a TSH of 3.59 you would feel better reducing your Carbi dose. Could you try dropping one of your doses or cutting one of your doses in half?
Hey there again
I would think with a TSH over 2 you are likely dealing with hypothyroid symptoms now.
How are you feeling ?
Could you consider reducing the AT drug a little - what dose are the tablets - or maybe skip a dose and see how you go ?
Do you have ferritin and folate readings ?
I think a RFA proceedure was suggested previously - is this an option worth considering ?
Hi pennyannie. Have palpitations and resting heart rate has increased in last couple of weeks. Always tired. My old Endocrinologist said RFA not an option.
Oh, ok - I could ask why but am out of my depth -
Would you consider reducing your Carbimazole a little ?
Ferritin 60 Range. 10 to 204
With regards to the core strength vitamins and minerals suggest you aim for a ferritin at around 100 - folate around 20 - active B12 75++ ( serum B12 500++ ) and vitamin D around 100:
Thank you
Kidney Glomerular Filtration Rate 75 ML/min1.732<90
I don't know how old you are, but GFR does tend to decrease with age. You can get more info on GFR from this link :
ukkidney.org/health-profess...
GFR and kidney health can be improved with a good diet. I've discovered that sugar and processed carbs can have a bad effect on my GFR, and if I eat better my GFR will rise. Healthy fats and protein are not unhealthy for the kidneys.
Personally, I consider fats and oils that were eaten 200 years ago (i.e. weren't produced in a lab) as the healthy ones.
Untreated, under-treated or poorly treated thyroid can decrease kidney health.
I don't know what effect carbimazole has on kidneys.
Thank you. I am 59. I do eat more sugar than I should. My diet otherwise is very healthy. Plenty of veg,beans and pulses.
Where do you get your protein from? Beans and pulses don't contain complete proteins.
You might find this link of interest :
veganfitguide.com/complete-...
The link mentions soy, but they are best avoided with thyroid disease, so look at your other options.
FT4: 15.4 pmol/l (Range 12 - 22)
Ft4 only 34.00% through range
FT3: 4.3 pmol/l (Range 3.1 - 6.8)
Ft3 only 32.43% through range
High heart rate can be due to being hypothyroid
Not everyone gets lower heart rate
Low GFR should improve as low Ft3 increases
ncbi.nlm.nih.gov/pmc/articl...
The GFR is reversibly reduced (by about 40%) in more than 55% of adults with hypothyroidism[40] due to several reasons.
Thank you very much for this. The doctor will not test me now for another 6 months now unless I get the very hyper symptoms back again. Sometimes I just wonder if I should have treatment in the hope all comes out well the other side. I’m not very good at deviating from what I’ve been told to take.
Thank you
strongly recommend you get private testing done
Testing options and includes money off codes for private testing
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/testing/thyro...
Link about Hashimoto’s
thyroiduk.org/hypothyroid-b...
Symptoms of hypothyroidism
thyroiduk.org/signs-and-sym...
Tips on how to do DIY finger prick test
See detailed reply by SeasideSusie
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
get full iron panel test including ferritin, vitamin D, folate and B12 test done
Help with results please!!
Blood Test Results from Endo Appointment - Comments and or advice please!
Help with results please
Advice on results please
Feeling over medicated could someone please give me some advice on these results 
