Out of Kilter

[AppleOrchard]

Blood Test Results:

18.09.23

Serum Vitamin B12 183 (145-169)

Serum Folate 25.4 (8.8-60.8)

Serum Iron Level 23.9 (5.8-34.5)

Serum Transferrin 2.1 (2.0-3.6)

Transferrin Saturation Index 45% (15-45)

Serum Ferritin 71 (13-150)

Serum 25-HO vit D3 level 79 (no range)

30.11.23

TSH <0.02 (0.27-4.20)

FT4 23.2 (12-22)

FT3 5.8 (3.1-6.8)

22.02.24

Serum Ferritin 103 (13-150)

I have been having excessive thirst and peeing a lot. I have also been very tired. But I was recently in hospital with asthma. I had to have steroids again.

I have been checked for diabetes and it’s not that, even though I have a lot of the symptoms.

Some renal blood tests are off, as well as a urine test. The doctor said it could be my thyroid or cortisol levels (because of the steroids).

I’m having a thyroid blood test, as well as one for cortisol, on Wednesday 6th March.

Can an over active thyroid cause these symptoms? Even if it’s only just over?

Thank you very much!

[SlowDragon Administrator]

Currently (July 2023), I am on 100mcg T4 and 10mcg T3.

Are you still on same dose?

Always same brand of levothyroxine and T3?

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)

T3 ….day before test split T3 as 2 or 3 smaller doses spread through the day, with last dose approximately 8-12 hours before test

is this how you do your tests ?

You cannot be over active…..you are hypothyroid

You could be over treated ….

but steroids will possibly affect test results

poor kidney function can be due to low Ft3 levels

[AppleOrchard in reply to SlowDragon]

Sorry - I should have said the dose. Yes, I’m still on that. Another symptom is my brain doesn’t seem to work properly!!

I took the test as per instructions here.

I hadn’t had steroids in November but had two lots in December and one in February (when I was in hospital). The February steroids were for seven days.

Thank you for replying.

[AppleOrchard in reply to SlowDragon]

My doctor said my urine is more concentrated that he would have expected given I’m drinking huge amounts.