Preparing for GP appt: Hello I have a GP... - Thyroid UK

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Preparing for GP appt

Fb104 profile image
8 Replies

Hello

I have a GP appointment in a few weeks to discuss blood tests results and symptoms (tiredness, weight gain, low mood, pins and needles). Based on what I've read on this forum, it sounds like these symptoms and results could be indicative of hypothyroid, but because TSH is within range I'm unlikely to get an NHS prescription. Any suggestions as to how to approach?

Ferritin: 19.1 (30 - 180) (Low)

Cholesterol: 5.95 (<5) (High)

B12, Folate and Vit D normal

TSH: 3.64 (0.27 - 4.2)

T3: 4.5 (3.1 - 6.8)

T4: 15.2 (12 - 22)

TPO: 335 (0 - 34)

TPA: 230 (0 - 115)

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Fb104
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8 Replies
TiggerMe profile image
TiggerMeAmbassador

What time of day was your test done? Your TSH could have be higher if done after 9am

Fb104 profile image
Fb104 in reply toTiggerMe

It was pre 9am, fasting :)

TiggerMe profile image
TiggerMeAmbassador in reply toFb104

Hmm, you'll likely be told to come back next year 😕 but they should at least look into your low ferritin and do a full iron panel

greygoose profile image
greygoose

You have high antibodies - meaning you have Autoimmune Thyroiditis - and high cholesterol, suggesting that your FT3 is too low (the very definition of hypothyroidism). Cholesterol levels used to be used to diagnose hypo before the invention of the wretched TSH! Bet your GP doesn't know that.

Fb104 profile image
Fb104 in reply togreygoose

That's really interesting! Are you aware of any articles which suggest cholesterol could/should be used as a tool to determine whether to prescribe?

greygoose profile image
greygoose in reply toFb104

Thyroid Health Impacts Cholesterol

It is well known that healthy cholesterol levels are dependent on thyroid function. Hypothyroidism a common cause of abnormal cholesterol, lipid production and lipid disposal.

Thyroid levels must be checked and optimized prior to any consideration of statin drug therapy. How many doctors are missing this piece? TONS.

hypothyroidmom.com/are-chol...

I've probably got more, but searching through my saved articles is long and tedious, so it will take me a while to find anything else.

serenfach profile image
serenfach

Point out to your GP that the high antibodies show your thyroid is struggling, as does the TSH, and you would like to start treatment before you get seriously ill. He will probably ask for further tests in 3 months, this is standard. In the meantime ask him for a futher ferritin test now as you want to optimise your vitamins etc before the three months is up. Good luck!

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