Medichecks Results : I sent these results to... - Thyroid UK

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Medichecks Results

35 Replies

I sent these results to surgery via AskMyGP requesting a review. Surgery rang me to say doctor doesn’t think a a review is necessary …….

35 Replies
SlowDragon profile image
SlowDragonAmbassador

Was test done early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test

What were B12, ferritin and vitamin D results

what vitamin supplements do you take

Is your hypothyroidism autoimmune?

Here’s link for how to request Thyroid U.K.list of private Doctors emailed to you, but within the email a link to download list of recommended thyroid specialist endocrinologists who will prescribe T3

Ideally choose an endocrinologist to see privately initially and who also does NHS consultations

thyroiduk.org/contact-us/ge...

in reply toSlowDragon

Thankyou so much for the information and advice in your reply and I attach a screenshot of the full results. I took the blood just after I woke up so no food/drink. I take daily Vits B12 and D via BetterYou spray plus Selenium. I am not aware if it’s autoimmune hypothyroidism - how does one diagnose that?

SlowDragon profile image
SlowDragonAmbassador in reply to

I have removed image as it contains your name and DOB

Were TPO and TG antibodies test results both low

About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high TPO and/or high TG thyroid antibodies

Autoimmune thyroid disease with goitre is Hashimoto’s

Autoimmune thyroid disease without goitre is Ord’s thyroiditis.

Both are autoimmune and generally called Hashimoto’s.

Significant minority of Hashimoto’s patients only have high TG antibodies (thyroglobulin)

20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis

healthunlocked.com/thyroidu...

Paul Robson on atrophied thyroid - especially if no TPO antibodies

paulrobinsonthyroid.com/cou...

ever had ultrasound scan?

in reply toSlowDragon

Thankyou I didn’t notice that as I was too focussed on getting the results across. Thankyou also for info and although I have had an ultrasound scan it was part of several scans taken during a day’s testing on behalf of the UK Biobank which I’ve been a participant of since they set it up, They will only feedback to your GP if it’s really serious.

SlowDragon profile image
SlowDragonAmbassador in reply to

Thankyou so much for the information and advice in your reply and I attach a screenshot of the full results. I took the blood just after I woke up so no food/drink.

So how long before test was your last dose levothyroxine?

in reply toSlowDragon

I take my Levothyroxine last thing at night when I go to bed.

SlowDragon profile image
SlowDragonAmbassador in reply to

Now we are getting to the cause of the problem

if you took Levothyroxine night before test that gives false high Ft4 result as it’s at best only 8-10 hours before test

So if you had left 24 hours between last dose and test Ft4 would perhaps have been 16-17

If you normally take levothyroxine at bedtime/in night ...you should adjust timings as follows prior to blood test

If testing Monday morning,

delay Saturday evening dose levothyroxine until Sunday morning.

Delay Sunday evening dose levothyroxine until after blood test on Monday morning. Take Monday evening dose levothyroxine as per normal

How much levothyroxine are you taking?

Either retest correctly now

or

get 25mcg dose increase in Levo and retest in 6-8 weeks time

SlowDragon profile image
SlowDragonAmbassador in reply to

I take daily Vits B12 and D via BetterYou spray plus Selenium.

Can you add actual results for B12 and vitamin D

Folate test failed I think?

Rather than just taking B12, now Active B12 is over 70 just take a daily vitamin B complex

This will keep all B vitamins in balance and maintain good folate level

B vitamins best taken after breakfast

Igennus B complex popular option. Nice small tablets. Most people only find they need one per day. But a few people find it’s not high enough dose

Post discussing different B complex

healthunlocked.com/thyroidu...

Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule) Thorne can be difficult to find at reasonable price, should be around £20-£25. iherb.com often have in stock. Or try ebay

Difference between folate and folic acid

healthline.com/nutrition/fo...

IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg)

Post discussing how biotin can affect test results

healthunlocked.com/thyroidu...

helvella.blogspot.com/p/hel...

Consider testing selenium level. Rather than just ongoing supplementing. You may only need Selenium once or twice week.

in reply toSlowDragon

Really appreciate this advice on vits etc. and I will certainly make some change. Thankyou !

in reply toSlowDragon

Vitamins

Folate - Serum ! Sample error

Vitamin B12 - Active

Vitamin D

• 1.060 mg/L (Range: < 3)

• 264.00 ug/L (Range: 30 - 650)

• 106.0 pmol/L

Please note change of reference rai

(Range: 37.5 - 188)

• 113.0 nmol/L

Total 25(0H) vitamin D < 25 nmol/L

Total 25(OH)D of 25-50 nmol/L may k

Total 25 (OH)D > 50 nmol/L is suffi

Total Vitamin D level >250 nmol/L !

Please note change of reference rar

(Range: 50 - 250)

SlowDragon profile image
SlowDragonAmbassador in reply to

So vitamin D is 113nmol

Presumably you supplement?

How much

Do you also take magnesium supplement in afternoon or evening

in reply toSlowDragon

Yes I use BetterYou Vit D 3000 spray daily. Plus 1,200 B12 I don’t take magnesium. I take 1 200mg Selenium tab daily

SlowDragon profile image
SlowDragonAmbassador in reply to

Yes I use BetterYou Vit D 3000 spray daily.

Is that the green one - one spray = 3000iu

Or

The red one with K2 - one spray = 1000iu

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...

in reply toSlowDragon

Thanks for great info! Yes BetterYou green 3000iu

SlowDragon profile image
SlowDragonAmbassador in reply to

Rather than just B12 suggest you swap out for daily vitamin B complex

SlowDragon profile image
SlowDragonAmbassador in reply to

264.00 ug/L (Range: 30 - 650)

This is presumably ferritin result

How old are you

healthunlocked.com/thyroidu...

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.

SlowDragon profile image
SlowDragonAmbassador in reply to

Vitamin B12 - Active • 106.0 pmol/L

Are you just taking B12 or vitamin B complex

in reply toSlowDragon

It B12. I think this thread is confusing me as I keep sending info re vits etc plus age etc but it seems you haven’t received it. 🤔

pennyannie profile image
pennyannie

Hey there again :

We generally feel best when our T4 is up in the top quadrant of the range with our T3 tracking slightly behind at around 60 / 70 % through the range.

Currently your T4 is at around 91% with your T3 below the range and at minus :

how doesn't this need medical attention ?

Can you see a different doctor - and also ask for a referral to an endocrinologist.

No thyroid hormone replacement works well untll ferritin, folate, B12 and vitamin D are up and maintained at optimal - did you get these run and care to share the results as we can advise as some NHS ranges are too wide to even be sensible. ?

in reply topennyannie

I requested an appointment to discuss meds but was told that the doctor didn’t think it was necessary. Go figure ….

pennyannie profile image
pennyannie in reply to

Yes - I know - and what prompted me to write this to you !!

SlowDragon profile image
SlowDragonAmbassador in reply to

Which is why you need to see thyroid specialist endocrinologist

in reply topennyannie

Hi, Thankyou for your response and yes I had those run and I’ve attached the full test results to Slowdragon’s reply. I didn’t even get past reception to see a doctor. Instead I had a receptionist ring who told me the doctor had reviewed the readings and an appointment or adjustment was not necessary. This is the reality of the rural East Midlands - I think good doctors are like hens teeth!

pennyannie profile image
pennyannie in reply to

Reading this forum - I don't think it just rural East Midlands but country wide :

I now self medicate as I got ' bumped ' back in 2017/18 when my TSH was then deemed too low and had to be in range - even at the obvious, by then, expense of my health - I'm Graves post RAI thyroid ablation back in 2005 :

I was refused a T3/T4 blood test - and did this myself, then seeing the glaring disparity between my T3 and T4 managed a referral to endocrinology who refused me both T3 and NDT and promptly told me my TSH was too low and I was over medicated - and that was that - maybe I looked too well !!

It's criminal but like so much of what is going on - beyond my understanding.

pennyannie profile image
pennyannie in reply topennyannie

P.S. I can't see this screen shot clearly and on zoom it becomes distorted - no worries :

in reply topennyannie

Sorry not having success capturing the report in its entirety.

in reply topennyannie

Oh my goodness! You have to wonder if some of these doctors are actually qualified! If we can educate ourselves on the Thyroid surely they can before they see a patient 😤

in reply topennyannie

Words fail me! More and more I sense a level of misogyny operating in the obvious disinterest and downright ignorance shown by so many doctors which is evidenced by the common experiences here. Am I right in thinking that I don’t see as many male posters complaining of their doctor’s indifference and ignorance as there are females. It would make an interesting survey!

SlowDragon profile image
SlowDragonAmbassador

There’s nothing on your profile re

how old you are

Are you male or female

Approx weight

How much levothyroxine are you taking

Which brand of levothyroxine

Do you always get same brand levothyroxine at each prescription

Approx how old were you when hypothyroidism originally diagnosed?

in reply toSlowDragon

Age 77, female, 64kg, Accord Levo 100mgm (usual brand) diagnosed age 40

SlowDragon profile image
SlowDragonAmbassador in reply to

So your weight suggests 100mcg is about correct dose (1.6mcg per kilo per day)

in reply toSlowDragon

Update! My memory sometimes lets me down! My niece reminds me that I didn’t take my normal Levothyroxine the night before . She saw it in the previous day’s pill holder as she was visiting on the morning I used the test. Over the years I’ve done a few tests, in the same way as recommended in this Forum, and had obviously omitted the Levo automatically. When I said I usually take it the night before I set a hare running and am sorry for the confusion.

SlowDragon profile image
SlowDragonAmbassador in reply to

So if you skipped the dose Levo night before (and didn’t change timings as recommended) then last dose levothyroxine was 36 hours before test

This would give false LOW ft4 result. As your result has Ft4 right at top of range, if you had only left 24 hours, Ft4 would have been higher, definitely over range

This suggests your conversion rate is even worse than it currently appears

Start taking a daily vitamin B complex

Then retest thyroid and vitamin levels again in 6-8 weeks

Remember to stop taking B complex 3-5 days before test - taking daily folate and B12 instead that week

Adjust timing of dose levothyroxine so last dose is 24 hours before test

So

If testing Monday morning, delay Saturday evening dose levothyroxine until Sunday morning. Delay Sunday evening dose levothyroxine until after blood test on Monday morning. Take Monday evening dose levothyroxine as per normal

Come back with new post once you get results

in reply toSlowDragon

so very grateful for your support and I will print off your instructions so that I get it right. Thankyou!

Age 77, female, 64kg, Accord Levo 100mgm (usual brand) diagnosed age 40

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