Finally got an endocrinology appointment

[unlucky-angler]

Hi there everyone!In early January this year I caught COVID and was really rough with it even though I have had all my jabs, come February I was still feeling rough, tired, always cold, brain fog... The list goes on.

I went to the GP and explained my symptoms but didn't say I'd had COVID (expecting them to say it was long COVID and not checking anything) so I got sent for bloods and had low thyroid levels but normal testosterone and pituitary levels which the GP said was strange, would do more bloods and refer me to endo.

A different GP saw me about something else and was looking over my results and said I should be on thyroxine so started me on 50micrograms.

I've finally got previous blood results I can look at now but I'm no doctor and don't want a Google diagnosis 😂

Here are some screenshots of my test results and the referral from the GP fo anyone could take a look and say what they think (I have other results too but not sure if they would be any good, let me know and I'll see if I have those results)

Thanks in advance for any help!

[unlucky-angler]

Test results

Testosterone results

[unlucky-angler in reply to unlucky-angler]

Referral letter from go to endo

Referral

[greygoose]

Hi unlucky-angler, welcome to the forum.

I'm afraid it's impossible for anyone to comment on your results without the ranges. Ranges vary from lab to lab so we need those that came with your results.

[unlucky-angler]

Any idea how I would get the ranges?

[Lalatoot in reply to unlucky-angler]

From the GP surgery.

[Beads in reply to unlucky-angler]

Or on the NHS app, click GP medical record, test results

NHS GP test results screenshot

[Jazzw]

While you don’t have the ranges, there are some clues to what might be going on in the letter your GP has written.

You’ve got low TSH *and* low FT4. That’s a combination that suggests there’s a pituitary issue, rather than a thyroid issue per se.

Normally, when FT4 is low, TSH will be high—TSH is a signalling hormone that nags at the thyroid to make more thyroid hormone. But even though your FT4 is low, there’s not a lot of nagging going on. For some reason, your pituitary gland doesn’t appear to be producing enough TSH. If that’s what this is, it’s known as secondary hypothyroidism (sometimes called central hypothyroidism). Same treatment—thyroid hormones—but it could be what’s confusing your doctor.

I know it says “normal” but those prolactin levels look on the higher side to me. Might be nothing, might be related.

[unlucky-angler in reply to Jazzw]

Are there any other blood results I should look for? I'm pretty new to all this! LolI've got the My GP app but can't find the ranges anywhere, not sure if that's the surgery that doesn't add them or the lab.