Thyroid blood test results: Hi, I wonder if... - Thyroid UK

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Thyroid blood test results

Fisylvia profile image
8 Replies

Hi, I wonder if anyone could give me their opinion on these results:Iron - 106

Ferritin - 34

TSH - 0.378

Free T4 - 1.1

Free T3 - 3.08

I had been on 75mc. for many years and always felt okay but 4 weeks ago I had blood test for something and all the above were tested ,- subsequently I have now been put on 50mc. of Levothyroxine.

I also have PA for which I have 3 monthly injections.

My TSH which was done in a routine blood test about 15 months ago was 1.604.

Thank you

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Fisylvia
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8 Replies
SlowDragon profile image
SlowDragonAdministrator

please add ranges on all results

ALWAYS all thyroid blood tests early morning, ideally just before 9am, only drink 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)

Ferritin is virtually deficient

ESSENTIAL to also test vitamin D and folate

As you have B12 injections it’s recommended also to supplement a good quality daily vitamin B complex, one with folate in (not folic acid) may be beneficial.

This can help keep all B vitamins in balance and maintain GOOD folate levels

Do you do this

Are you supplementing vitamin D

If yes, how much

Low vitamin levels tend to lower TSH

Would suspect you have been UNDER medicated for long time ….and now low ferritin levels

Presumably as you have PA your hypothyroidism is autoimmune too

Are you on gluten free diet/dairy free diet

Fisylvia profile image
Fisylvia in reply to SlowDragon

Thank you kindly for your information. These are the only applicable results I have:

Folate was not tested for

Vitamin D - 23.5

Do not take B Vitamins

I am no vegan/vegetarian

I am well past having periods😆

Have just reinstated my Vitamin D at daily dose of 2000.

Have always had trouble with my bowels for as long as I can remember, from age of 30 (or even before ), the past six months have been the worst!!

Feel a bit lost at the moment

Fisylvia profile image
Fisylvia in reply to SlowDragon

I have some blood count blood results- wasn't sure they were applicable as follows:

All red cells are in range

The only white cell that stands out is the monocytes at 0.52 (range is 0.1 to 0.9) not sure what that means

SlowDragon profile image
SlowDragonAdministrator

Any obvious reason for low ferritin

Eg vegetarian or vegan

Or heavy periods

cks.nice.org.uk/topics/anae...

Serum ferritin level is the biochemical test, which most reliably correlates with relative total body iron stores. In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency.

Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing. It’s possible to have low ferritin but high iron

Test early morning, only water to drink between waking and test. Avoid high iron rich dinner night before test

Medichecks iron panel test

medichecks.com/products/iro...

Look at increasing iron rich foods in diet

Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption

List of iron rich foods

dailyiron.net

Links about iron and ferritin

irondisorders.org/too-littl...

davidg170.sg-host.com/wp-co...

Great in-depth article on low ferritin

oatext.com/iron-deficiency-...

drhedberg.com/ferritin-hypo...

This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.

healthunlocked.com/thyroidu...

Posts discussing Three Arrows as very effective supplement

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Iron patches

healthunlocked.com/thyroidu...

Thyroid disease is as much about optimising vitamins as thyroid hormones

healthunlocked.com/thyroidu...

restartmed.com/hypothyroidi...

Post discussing just how long it can take to raise low ferritin

healthunlocked.com/thyroidu...

Iron and thyroid link

healthunlocked.com/thyroidu...

Posts discussing why important to do full iron panel test

healthunlocked.com/thyroidu...

Good iron but low ferritin

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Chicken livers if iron is good, but ferritin low

healthunlocked.com/thyroidu...

Shellfish and Mussels are excellent source of iron

healthline.com/nutrition/he...

Iron deficiency without anaemia

healthunlocked.com/thyroidu...

Ferritin over 100 to alleviate symptoms

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Great research article discussing similar…..ferritin over 100 often necessary

ncbi.nlm.nih.gov/pmc/articl...

Low Iron implicated in hypothyroidism

healthunlocked.com/thyroidu...

Ferritin range on Medichecks

healthunlocked.com/thyroidu...

Inflammation affecting ferritin

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

We have received further information the lab about ferritin reference ranges. They confirm that they are sex dependent up to the age of 60, then beyond the age of 60 the reference range is the same for both sexes: 

Males 16-60: 30-400 ug/L

Female's: 16-60: 30-150

Both >60: 30-650 

The lower limit of 30 ug/L is in accordance with the updated NICE guidance and the upper limits are in accordance with guidance from the Association of Clinical Biochemists. ‘

SlowDragon profile image
SlowDragonAdministrator

My TSH which was done in a routine blood test about 15 months ago was 1.604.

Just testing TSH is completely inadequate

Recommend you get FULL thyroid and vitamin testing yourself at least once a year and NEVER agree to dose reduction based just on TSH

If Ft3 is not over range you’re not over medicated

Testing options and includes money off codes for private testing

thyroiduk.org/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

Important Timings of testing

healthunlocked.com/thyroidu...

Mixteca profile image
Mixteca

As SlowDragon said, best do a full iron panel before supplementing. Your Vit D is very low - I'd double your dose to 4000iu and take K2 with it. Folate needs testing too.

Fisylvia profile image
Fisylvia in reply to Mixteca

Thank you for your help..am at doctors tomorrow, so see how I get on!

Mixteca profile image
Mixteca in reply to Fisylvia

You're welcome -stand your ground and best of luck!

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