Latest reults

[Chell1]

hi I’ve just had my latest thyroid panel results, numbers seem slightly better for antibodies but still higher than they should. Ft4 & Ft3 slightly higher than last time but still not optimal? B12 and vit D is a work in progress. Ferritin is edging out of optimal towards high end, not sure what this means if anything. I’m booked in to see a private GP hopefully to try NDT but want to check I still need it?? I’m very symptomatic. Comments as always appreciated 😊

TSH 2.59 mIU/L (0.27-4.2) 59.0%

Free T4 (fT4) 14.2pmol/L (12-22) 22.0%

Free T3 (FT3) 4.10pmol/L (3.1-6.8) 27.0%

T4:T3 Ratio 3.463

Thyroglobulin Antbodies (TgAb) 382 IU/mL (≤115)

Thyroid Peroxidase Antibodies (TPO) 131IU/mL (≤34)

C-Reactive Protein (CRP) 0.5mg/L (0-5) 10.0%

Folate - Serum 9.8ug/L (≥2.5)

Vitamin B12 96pmol/L (25.1-165) 50.7%

Vitamin D 99nmol/L (50-200) 32.7%

Ferritin 138ug/L (13-150) 91.2%

Folate serum 9.8 ug/L (>2.9)

[TiggerMe Ambassador]

You are converting well but would benefit from an increase in T4 (+25mcg) test again in 6-8 weeks, things often improve once above 50%, what is your current dose?

Aiming to get TSH around 1... ferritin can jump up if you have inflammation or a virus so can be a bit misleading.

You might be able to improve anti body levels if you give up gluten/ dairy both 😕

I wouldn't recommend trying NDT until you have tried a higher dose of T4 as it's a whole other can of expensive worms

[Chell1 in reply to TiggerMe]

Hi I’m not currently on any medication, should I be according to these results? Last time (sept on a previous post) my ft4 was 13.4 pmol/L (12-22) & ft3 3.8 pmol (3.1-6.8), I was told I needed to bring my t3 up. All I use currently is a thyroid glandular which may of helped🤷🏻‍♀️ I am already gf and no cows dairy but I do have sheep or goat. So one to try taking out in the new year.

[TiggerMe Ambassador in reply to Chell1]

If only they would start to treat people when they became symptomatic rather than waiting for the wheels to fall off! The NHS won't do anything until your TSH is at least above range twice or your free's drop out of range and even then you'd have to fight to see an Endo

If the glandular is helping perhaps increase or you'll need to find a private endo willing to start you on treatment due to symptoms... as GG says the antibodies just show your thyroid is under attack

[greygoose]

Doesn't matter what the antibody levels are. Once you know they are positive there's no point in even testing again. The level of antibodies does not indcate the state of your Hashi's. Hashi's is Hashi's and it never goes away. The result of the Hashi's is high antibodies. They fluctuate but don't completely go away, either. Levels will drop as more and more of the thyroid is destroyed and there is less to attack, but there will always be some.

And they aren't doing you any harm. They have a job to do keeping TPO and Tg out of the blood, where it doesn't belong. Even if you could get rid of them, would it be a good idea?

[Gingernut44]

It’s good that you have an appointment with a private GP. Let’s hope s/he knows more about hypothyroidism than the general GP! I agree with Eeyore about NDT. I think it’s best to start with Levothyroxine but, will your own doctor take on board any recommendations made by a private doctor, if not, things could get very complicated going forward. It’s scandalous how the NHS doesn’t treat with Levo until you’re TSH goes over range, sometimes reaching 10 when you quite clearly have high antibodies and are symptomatic.

[Chell1 in reply to Gingernut44]

Let’s hope day, it’s Dr Conway off the thyroid uk list, she specialises in Hashis and has it herself apparently- so we’ll see 🤞🏻

[Gingernut44]

oh good, I hear she’s very good 👍