Trying to make sense of thyroid ultrasound

[Mummybear0213]

Hello everyone 👋🏻

I went for a thyroid ultrasound scan this morning. I explained to the doctor what I've been through the last few months, that I have TPO antibodies, thyroid hormones fluctuating etc. finally I found someone who knew what Hashimotos is! But, he's not an endocrinologist so I'm guessing he can't diagnose me with that.

Anyway he said my thyroid is 'ok' by the looks of it, mentioned blood flow was a little high and a cyst(?!) but was very 'meh' about it so I assume it's nothing to be concerned about right now. He did say because of the blood results I've been getting it is possible things will get worse and i should push the GP for an endo referral if things do get worse, otherwise he wasn't very concerned.

Obviously I googled as soon as I got home and the word 'cyst' has alarmed me.

Anyway.....I'm not sure what to expect from this, just dumping my thoughts really! Not really sure what to do next. Wait for the next blood test I guess?

Fyi I'm not on any thyroid medication.

[SlowDragon Administrator]

looking at previous posts

You have already had high thyroid antibodies test result

This confirms hashimoto’s

Essential to regularly retest vitamin D, folate, B12 and ferritin

Maintain optimal vitamin levels by supplementing

Vitamin D at least 80-100nmol

Serum B12 over 500

Active B12 over 70

Folate at top of range

Ferritin at least over 70 minimum…..around 100 better

Have you had coeliac blood test done yet

If not GP should do BEFORE considering trial on strictly gluten free diet

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.

[Mummybear0213 in reply to SlowDragon]

Thank you, I took your advice and started on the BetterYou vitamin D spray, also got hold of the Thorne b12 complex and I'm on iron tablets, all these have helped with the symptoms although I still have days where the afternoon crash hits and I just want to sleep!

I've not been tested for coeliac disease, I'll look into that as I do have unexplained vitamin deficiencies and have been losing weight without trying.

The GP wants me to repeat my bloods in about 4 weeks. I did another thyroid blood test 2 weeks ago (MMH) which once again showed my tsh levels are high. But try telling that to my GP 🙄

Annoyingly the 2 times I've had bloods done at the GP surgery my levels have been just under their range so they aren't concerned. It's really frustrating.

Thyroid levels

[SlowDragon Administrator in reply to Mummybear0213]

Low vitamin levels tend to lower TSH

Improving low vitamin levels likely to help get you diagnosed

Always book early morning test , ideally before 9am and only drink water between waking and test

Two NHS tests with TSH over 5 …..and high thyroid antibodies…..and symptoms

You should be started on levothyroxine

[SlowDragon Administrator in reply to Mummybear0213]

Early stage Hashimoto’s frequently starts with transient hyperthyroid symptoms (eg initial weight loss) before becoming increasingly hypothyroid