Hypothyroid symptoms but normal test results

[Scribed]

Thank you in advance for any insight. These are my test results, sourced from a private company - Randox. I would be hugely grateful for any help in interpreting these or my symptoms. I have experienced severe weight gain - which NOTHING will shift including weight loss drugs.

I have had a hormonal test which indicates normal estrogen and progesterone levels though androgen is raised (I am mid-40s so thought I would be in deep perimenopause and needed HRT. Apparently not. I did not go through the NHS so there was no fob off element). Cold hands and feet. Heart palpitations - particularly post Covid. Numb base of tongue - particularly post Covid. I have had it once and only had a bad stomach bug symptom with it. Brain fog has been lingering for years. I felt pregnant since having my last child a decade ago! Blocked ears for many many years (ETD diagnosed but nothing apart from nasal spray to clear it and that has not worked). Extreme fatigue.

I have had my ferritin, B12 and D levels checked and only the last was low (48 - should be 50 and above).

Test results for thyroid:

TSH: 1.5

T4: 15.4

T3: 4.43

Anti-TPO: 13.7

Anti-TG: 60.7

All of the above seem to be within the healthy range - albeit slightly on the 35/40% of the 'green' scale provided by Randox.

What could be going on? I have had many of these symptoms for years but really feel fed up and want some energy back in my life. I am not depressed.

I am now taking b12 and magnesium and NAC and palmetto for adrenal glands and cortisol symptoms. Is anything wrong with my thyroid or am I barking up the wrong tree?

[Buddy195 Administrator]

Can you please add ranges (in brackets after results) as these can vary between laboratories

[Scribed in reply to Buddy195]

Sorry here are the ranges:

TSH: 1.5; Range: 0.35-5.5 is optimal

T4: 15.4; range: 11.9-21.6

T3: 4.43; range: 3.1- 6.8

Anti-TPO: 13.7; range: none given, just 'less than 34 is optimal'

Anti-TG: 60.7; no range given, just 'less than 115 is optimal'

Thank you!

[Scribed in reply to Scribed]

Bloods taken at 10am. Not fasting sadly as they insisted it was not necessary. I may ask for a re-take at their expense if anyone can show be official guidance that they have missed!

[SlowDragon Administrator in reply to Scribed]

Free T4 (fT4) 15.4 pmol/L (11.9 - 21.6) 36.1%

Free T3 (fT3) 4.43 pmol/L (3.1 - 6.8) 35.9%

So both Ft3 and Ft4 are on low side

Work on improving low vitamin D

Retest thyroid levels in 2-3 months and test correctly ….early morning, ideally before 9am, only water to drink between waking and test

Testing options and includes money off codes for private testing

thyroiduk.org/testing/

Medichecks Thyroid plus BOTH TPO and TG antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes BOTH TPO and TG 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

support.medichecks.com/hc/e...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

Just TSH, Ft4 and Ft3 test - £32

monitormyhealth.org.uk/thyr...

10% off code here

thyroiduk.org/testing/priva...

Monitor My Health also now offer thyroid and vitamin testing, plus cholesterol and HBA1C for £65

(Doesn’t include thyroid antibodies)

monitormyhealth.org.uk/full...

10% off code here

thyroiduk.org/testing/priva...

Blocked ears, congestion or sinus or post nasal drip …..worth trying dairy free diet

[Scribed]

Other tests:

Vitamin D 48 nmol (range should be 50 - 375) - Serum

ACTB12 98.3 pmol (25.1-165) - Serum

Ferritin 83.74 ug_l (9.999 - 120) - Serum

[SlowDragon Administrator]

no folate result?

vitamin D

Low vitamin D

GP should prescribe 1600iu everyday for 6 months

NHS Guidelines on dose vitamin D required

ouh.nhs.uk/osteoporosis/use...

GP will often only prescribe to bring vitamin D levels to 50nmol.

Some areas will prescribe to bring levels to 75nmol or even 80nmol

leedsformulary.nhs.uk/docs/...

GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)

mm.wirral.nhs.uk/document_u...

But improving to around 80nmol or 100nmol by self supplementing may be better

pubmed.ncbi.nlm.nih.gov/218...

vitamindsociety.org/pdf/Vit...

Once you Improve level, very likely you will need on going maintenance dose to keep it there.

Test twice yearly when supplementing

Can test via NHS private testing service

vitamindtest.org.uk

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.

There’s a version made that also contains vitamin K2 Mk7.

One spray = 1000iu

amazon.co.uk/BetterYou-Dlux...

It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average

Vitamin D and thyroid disease

grassrootshealth.net/blog/t...

Vitamin D may prevent Autoimmune disease

newscientist.com/article/23...

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Interesting article by Dr Malcolm Kendrick on magnesium

drmalcolmkendrick.org/categ...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

Too much Vitamin D is toxic

Test twice a year

healthunlocked.com/thyroidu...