Help I don’t understand

[Readbecgar]

can someone explain my bloods please, although I have made a doctors appointment I need to wait till next week!!

[PurpleNails Administrator]

Sorry, unable to read, blurry when attempt to zoom.

Prehaps type out.

[Readbecgar in reply to PurpleNails]

Serum TSH level 7.63 (0.27-4.20)

Serum free T4 level 15.7 (11.0 - 25.0)

Serum Ferritin 3ug (15 - 300)

Total white blood cells count 16.4 (4.0 - 11.0)

Haemoglobin estimation 96g (115-165)

Platelet count 620 (150 -400)

Haematocrit 0.34 (0.37 - 0.47)

Red blood cell 4.95 (3.80-5.50)

Mean corpuscular volume 69fl (80-100)

Mean corpusc. Haemoglobin 19.4 pg (27.0-33.0)

Red blood cell distribution width 16.2 (11.00-14.8)

Neutrophil count 9.6 (1.7-7.5)

Lymphocyte count 1.2 (1.0-4.5)

Monocyte count 1.2 (0.2-0.8)

Eosinophil count 0.5 (0.0-0.4)

Thank u xx

[TiggerMe in reply to Readbecgar]

I can do some of it...

TSH 7.63 mIU/L (0.27 - 4.2) 187.3%

Free T4 (fT4) 15.7 pmol/L (11 - 25) 33.6%

Ferritin 3 ug/L (15 - 300) -4.2%

High TSH = under replaced need to increase levo

Low fT4 = " " " " " "

Very low Ferritin = need full iron panel to check for anaemia along with B12, folate and Vit D

The other wonks might be due to you being under replaced and low in iron? 🤗

[LucyYoga in reply to Readbecgar]

Hi,

I just wanted to comment on the high eosinophil level as I don’t think anyone else has commented.

Do you have eczema or asthma? It’s not uncommon to have elevated levels in those instances. Also do you have any gut/ digestive issues? If so it might be worth doing a parasite/ova stool sample as elevated eosinophil level can be indicative of parasitic infection

[Readbecgar in reply to LucyYoga]

Hi, no my sister doesn’t have eczema or asthma. I will have her to mention this to her doctor next week, thank u xx

[LucyYoga in reply to Readbecgar]

Sorry skim read through and didn’t realise it was your sister not you x

[LucyYoga in reply to Readbecgar]

And in addition certain parasitic infections can also get into RBC’s therefore causing iron problems too

[Star13]

these are unreadable. Please type them out along with reference ranges.

[SlowDragon Administrator]

Your high TSH shows you need 25mcg dose increase in levothyroxine

Looking at previous posts

You are currently on 100mcg levothyroxine?

Which brand is this

Do you always get same brand at each prescription

Ideally get same brand for the extra 25mcg dose

Serum Ferritin 3ug (15 - 300)

Ferritin is extremely deficient and you are anaemic

Anaemia is common when not on high enough dose levothyroxine

Are you vegetarian or vegan

Or heavy periods

Mean corpuscular volume 69fl (80-100)

Low MCV also confirms anaemia

testing.com/tests/mcv-test/....

Haemoglobin estimation 96g (115-165)

Low haemoglobin = anaemia

mayoclinic.org/diseases-con....

Red blood cell distribution width 16.2 (11.00-14.8)

High red cell distribution width can be anaemia and/or low folate/B12

healthline.com/health/rdw-b....

Request GP test B12, folate and vitamin D

As you have Hashimoto’s your GP should have tested for coeliac disease

Has this been done

nice.org.uk/guidance/ng20/c...

1.1 Recognition of coeliac disease

1.1.1 Offer serological testing for coeliac disease to:

people with any of the following:

persistent unexplained abdominal or gastrointestinal symptoms

faltering growth

prolonged fatigue

unexpected weight loss

severe or persistent mouth ulcers

unexplained iron, vitamin B12 or folate deficiency

type 1 diabetes, at diagnosis

autoimmune thyroid disease, at diagnosis

irritable bowel syndrome (in adults)

first‑degree relatives of people with coeliac disease.

[Readbecgar]

Thanks for this, these are my sisters blood result. I was confused as I told her that her TSH is high and she should be on levothyroxine like myself! But her doctor doesn’t want to medicate yet wants to retest her in 3 months to check for any thyroid issues so I was a bit confused as I thought she should be medicated straight away.

[TiggerMe in reply to Readbecgar]

She certainly need to get the anaemia treated which will help her thyroid to regain better function but whether it will be enough?

[Sparklingsunshine in reply to Readbecgar]

Is this her first abnormal TSH test? The normal NHS protocol is to retest after 3 months, whilst frustrating there is justification as your sister's result could be a fluke or lab error. My TSH was over range when it was tested in February 2020, but they told me to retest 3 months later. I had a second test in May when my results were worse and started on Levo in June.

Hopefully next time she'll be able to get treated. In the meantime tell her to work on her vitamin and mineral levels. Levo needs very good levels to be effective.

[Readbecgar in reply to Sparklingsunshine]

Yes this was her first test for TSH. She had a Telephone appointment today and for some reason the doctor told her it’s in range 😏 but will test again in 3 months. They want to concentrate on her being anaemic first as they may sort thyroid levels. X

[TiggerMe in reply to Readbecgar]

Great that she is getting the anaemia treated and then push for another thyroid test in 6-8 weeks, no reason to leave it 3 months some of them insist on TSH being above 10 but make sure they realise she is symptomatic and request a trial 🤗

[Mostew]

have the high platlets raised concern ? Has your sister had recent infection to maybe cause high level?

[Readbecgar in reply to Mostew]

No she was diagnosed with pcos 3 years ago and on and off constantly bleeds loosing large clots! I think this is what is possible causing her to her having anaemia.