Results of tests and gp saga: Long story... - Thyroid UK

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Results of tests and gp saga

Melei profile image
13 Replies

Long story simplified...have been going to gp for well over ten years..told borderline thyroid problem and always retested but never anything done. April 2022 got private testing done on all elements of thyroid and two sets of antibodies came in at TgAB 516.7 and TPOAb 344.4. I have just had more private testing done as i feel like absolute dung 24/7 and i am struggling..doctor tested funtion of thyroid only few weeks ago and again has ordered retesting but no more indepth tests so i questioned this and now will get an appointment...lucky me. In meantime my recent testing results arrived yesterday and the TgAB is now 618 and the TPOAb is 410

Has anyone similar experiences and what they have done etc...just want someone to tell me their story

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Melei profile image
Melei
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13 Replies
SlowDragon profile image
SlowDragonAdministrator

High thyroid antibodies confirms autoimmune thyroid disease

Please add any test results and ranges that GP has done

Were tests early morning

Have you had vitamin levels tested

Also need coeliac blood test done

For full Thyroid evaluation you need TSH, FT4 and FT3 tested

Also both TPO and TG thyroid antibodies tested at least once

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high thyroid antibodies

Autoimmune thyroid disease with goitre is Hashimoto’s

Autoimmune thyroid disease without goitre is Ord’s thyroiditis.

Both are autoimmune and generally called Hashimoto’s.

Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease

20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis

In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

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

Melei profile image
Melei in reply to SlowDragon

Have had levels tested for vit d etc and have a recurring low level of folate and always get it treated with tablets and then usually within a year or so they drop again and need retreated which always results in doctor throwing list of foods to eat because they dont seem to connect that possible my body isnt able to absorb properly.

Tsh is needing monitoring according to gp but they wont test other parts which is why i have private tests done on all elements

Melei profile image
Melei in reply to SlowDragon

Also tests i got done were done in morning and fasting and having only drank water

SlowDragon profile image
SlowDragonAdministrator in reply to Melei

Please add results

Strongly recommend getting FULL thyroid and vitamin tests done

Many Hashimoto’s patients need to supplement vitamin B complex and vitamin D daily continuously to maintain OPTIMAL Levels

How much vitamin D are you taking

Test vitamin D twice a year. Often need higher dose in winter than summer

Test folate, B12 and ferritin annually

Thousands of U.K. thyroid patients have to test privately to make progress

Examples of Medichecks results

healthunlocked.com/search/p...

Blue horizon results

healthunlocked.com/search/p...

Musicfrequency profile image
Musicfrequency in reply to SlowDragon

Thank you this is helpful. I take Vitamin D 4000 iu one daily. Test results for folate B12 and ferritin should be back this week.

Musicfrequency profile image
Musicfrequency in reply to SlowDragon

Thank you for all this valuable information. I have been using Medichecks for checking my levels for some time now. After the last test on 16 November which showed I was still hypothyroid and I had symptoms, as stated before I increased my Metavive. I had my blood test results back from my surgery and also now have the NHS app and a printed copy of the blood test results. My TSH which on 16 Nov was 4.91 is now down to 2. Their range was 0.27 - 4.20. I will order more comprehensive blood testing of all the thyroid components after Christmas. I had an ECG this morning which did not show anything untoward although I am now being monitored as a new patient to this surgery including my blood pressure for which I started a low dose tablet last Friday. All the readings came back within normal range i.e. Full blood count, B12, Folate and Ferritin levels, cholesterol, bone profile, urea and electrolytes all good except for HbA1c which shows I am border line diabetic but that is the same as it was four years ago. I have signed up for a group consultation at the practice which will give information about being pre diabetic. I already have a healthy lifestyle but I can always do better and may learn from others who attend and share ideas. I am taking steps to sort out the issues with meds and once my thyroid is functioning optimally I hope I will lose more weight. I lost around 9lbs this past week following the UTI. I will post results after the next thyroid testing. Thank you to everyone who has taken the time to respond.

Hedgeree profile image
Hedgeree

Hi Melei,

Welcome to the forum 😊

As SlowDragon says please post any recent blood test results and their ranges so members can make suggestions to help you.

Musicfrequency profile image
Musicfrequency in reply to Hedgeree

Thank you. I did post my results from 16 November and I increased Metavive when I received these but will need more testing now.

Results from 16 Nov 23 if you missed them were as follows:

TSH 4.91

Free Thyroxine 11.5

I had these done with Medichecks and I get a doctor report with it which suggested regular testing anyway.

SlowDragon profile image
SlowDragonAdministrator in reply to Musicfrequency

This shows you’re hypothyroid

SlowDragon profile image
SlowDragonAdministrator

Food intolerances and Hashimoto’s

Your antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).

Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels affect Thyroid hormone working

Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.

A trial of strictly gluten free diet is always worth doing

Only 5% of Hashimoto’s patients test positive for coeliac but a further 81% of Hashimoto’s patients who try gluten free diet find noticeable or significant improvement or find it’s essential

A strictly gluten free diet helps or is essential due to gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and may slowly lower TPO antibodies

While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first

Assuming test is negative you can immediately go on strictly gluten free diet 

(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially) 

Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

drknews.com/changing-your-d...

Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease

pubmed.ncbi.nlm.nih.gov/296...

The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported

nuclmed.gr/wp/wp-content/up...

In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned

restartmed.com/hashimotos-g...

Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.

Similarly few months later consider trying dairy free too. Approx 50-60% find dairy free beneficial

With loads of vegan dairy alternatives these days it’s not as difficult as in the past

Post discussing gluten

healthunlocked.com/thyroidu...

GP should have tested for coeliac

If they haven’t make sure they do so now

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

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.

Musicfrequency profile image
Musicfrequency in reply to SlowDragon

Thank you. I make my own almond milk and have done for some time. I have limited dairy anyway but generally haven't had a lot of problems with my stomach in the past. I have tried a gluten free diet but now just limit my bread intake. I have the book Wheat Belly. I need more tests I know. Thank you again.

SlowDragon profile image
SlowDragonAdministrator

You are legally entitled to printed copies of your blood test results and ranges.

The best way to get access to current and historic blood test results is to register for online access to your medical record and blood test results

UK GP practices are supposed to offer everyone online access for blood test results. Ring and ask if this is available and apply to do so if possible, if it is you may need "enhanced access" to see blood results.

Link re access

patients-association.org.uk...

healthunlocked.com/thyroidu...

In reality some GP surgeries still do not have blood test results online yet

Alternatively ring receptionist and request printed copies of results. Allow couple of days and then go and pick up.

Graph showing median TSH in healthy population is 1-1.5

web.archive.org/web/2004060...

Essential to also test Ft4 and Ft3 plus vitamin levels

Musicfrequency profile image
Musicfrequency in reply to SlowDragon

Thank you. I recently got the NHS app. I haven't seen anything on there so far from the hospital but I will ask at the GP surgery tomorrow. I haven't been with this surgery long so will set things up.

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