hi everyone, I would be grateful for some advice on thyroid results for my younger brother please.
I have Auto immune Hypo since 2004 and so does one of my brothers and my mum. My other brother has had lots of symptoms of depression and has deteriorated recently. He has high anxiety and slightly paranoid about things - he thinks people are talking about him etc.
I took him to the GP and he had a thyroid test in December. The result s were:
TSH 7.21 ( 0.55-4.78 mIU/L)
FT4 13 pmol/L (11.50- 22.70 pmol/L)
Thyroid Peroxidase Antibodies - NA
He did another test 24 January and the results were:
TSH 6.41 ( 0.55 - 4.78mIU/L)
FT4 10.6 pmol/L (11.50-22.70 pmol/L)
all other tests were good - he supplements Vit b12 and Vitamin D Ferritin was low at 28 but I’ve ordered him some iron.
The lab sheet says to test in another year! But the GP say he will test again in three months.
Any advice? Should we ask for the other Anti bodies to be tested? Thanks.
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CarolineAnne
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Obviously essential to test thyroid antibodies too and vitamin levels
Either test now or at next test after 6-8 weeks on 50mcg
Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Serum ferritin level is the biochemical test, which most reliably correlates with relative total body iron stores. In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency.
Look at increasing iron rich foods in diet
Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption
This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.
Thank you for your incredible patience while you have been awaiting the outcome of our ferritin reference range review. We conducted this with Inuvi lab, which has now changed the reference ranges to the following:
Females 18 ≤ age < 40 30 to 180
Females 40 ≤ age < 50 30 to 207
Females 50 ≤ age < 60 30 to 264
Females Age ≥ 60 30 to 332
Males 18 ≤ age < 40 30 to 442
Males Age ≥ 40 30 to 518
The lower limits of 30 are by the NICE threshold of <30 for iron deficiency. Our review of Medichecks data has determined the upper limits. This retrospective study used a large dataset of blood test results from 25,425 healthy participants aged 18 to 97 over seven years. This is the most extensive study on ferritin reference ranges, and we hope to achieve journal publication so that these ranges can be applied more widely.
Thank you Slow Dragon for all that info. I have spoken to his GP today and she has refused a trial of thyroxine and refused an Endocrinology referral. She said that it was sub clinical hypothyroidism and offered him antidepressants. I tried to argue my case and she agreed to test TPO but said that she was not allowed to test TGaB! She has put cholesterol down too. His folate and vitamin B12 are below. Vitamin D wasn’t tested but he supplements with the Vitamin B12 and vitamin D sprays from Holland and Barrett.
Folate 10 ug/L (> 5.40 ug/L)
Vit B12 655 ng/L ( 211-911)
He also has full blood count if you wouldn’t mind looking over that as there are some strange results. Thank you
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Help with results please
Help with results please 
help understanding thyroid results 
Thyroid results help please?
