hey everyone - I got a thyroid test done over the weekend and my results were the following -
TSH- 1.42 mlu/l
FT4- 14.7 pmol/l
FT3- 5.75 pmol/l
Anti-TPO- 21.9 ku/l
I was just wondering are these good results or is there anything I should be concerned about?
Hi Psherman, welcome to the forum. 
I'm afraid you're going to have to give us a lot more information before anybody can tell you anything about your results. For example:
- what are the ranges that go with these results? Ranges vary from lab to lab so we need those that came with your results.
- do you have a diagnosis of a thyroid problem? If so, what?
- if you do have a diagnosed thyroid problem, are you taking anything for it? If so, what and how much?
- what time of day was the blood draw for these tests?
- were they fasting?
- if you're taking any medication/supplements, for how long did you stop them before the blood draw?
Blood test results can be affected by many things - especially the TSH - so we need all the details, I'm afraid. Results cannot be interpreted in a vacuum.
Hey greygoose, sorry for the lack of info in my question lol I didn’t even think 🤣
For the following these were the ranges-
Tsh- 5.5 high
Ft4- 21.6 high
Ft3- 6.8 high
Anti TPO- 34.0 high
anti TG- 115 high
No diagnosis at the moment, only symptoms.
This blood draw was done at 11.10am.
I wasn’t fasting.
No medications, I did take desogestrel pill for about a month and stopped a couple weeks ago.
Let me know if you need any further info
Well, yes, I need the ranges. Top and bottom. What we need before we can comment, is the number at the top of the range, and the number at the bottom of the range. Then we can work out the percentage through the range which gives us a clear idea of exactly what's going on.
TSH- 1.42 mlu/l
FT4- 14.7 pmol/l
FT3- 5.75 pmol/l
Anti-TPO- 21.9 ku/l
Anyway, your TSH is more or less 'normal' (euthyroid). But as it was done late in the morning, and non-fasting, it wasn't at its highest. How much higher it would have been before 9 am is anybody's guess, but it would have been higher. And that's all doctors tend to look at, I'm afraid.
Your FT4 looks low - possibly about 28% through the range? Your FT3 I'm guessing is more like 70% through the range. Which is not 'normal'. And, could either mean that your thyroid is struggling, or that you have Autoimmune Thyroiditis - or both.
However, your TPOab are within range - which doesn't entirely rule out AIT, but makes it less likely. But, you haven't given a result for the anti-TG. Was that over-range?
I think that before coming to any conclusions, it would be better to get a retest, with the blood draw before 9am and fasting - maybe in about three months time? But, these results definitely suggest that you should keep an eye on your thyroid, and not just ignore it.
I see you posted on the PA forum four years ago. Do you have Pernicious Anemia? They said your results were 'ok' but they look dire to me - especially the ferritin! Have you had your nutrients retested? Low/deficient nutrient levels are often a symptom of low thyroid.
Hey greygoose, I had written out the ranges top bottom and middle but they only posted with the high ones for some reason lol. I’ve posted a screenshot to make it easier. The reason I asked on this forum even though it states my levels are optimal is because I feel like somethings off with my body - persistent tiredness, brain fog, sensitive to hot or cold etc. So I was wondering if maybe there was something else I should be testing for to get to the bottom of it. I was told by doctors that my levels were fine when doing the pernicious anaemia testing so didn’t pursue it. Maybe it would be a good idea to get retested? What do you think? I had heard that low nutrient levels were linked to low thyroid. My mum also has an (over? I think) active thyroid so it runs in the family.
The reason I asked on this forum even though it states my levels are optimal
Yes, but you have to understand that doctors know next to nothing about thyroid - nothing at all in some cases! And the doctors that comment on blood test results are only common or garden GPs, they are not thyroid experts. So, pretty certain they only look at the TSH. And, as your TSH is in-range, they consider there to be no problem. They don't know any better than that. It takes someone with experience of the disease and it's variations, and the knowledge to interpret blood test results - which the average doctor doesn't have - to see that there is something off in your results - so no wonder you feel there's something 'off' with your body.
Much the same with PA - although I don't think you level in that last test was low enough to be PA, but you never know. But doctors know nothing about it. When I asked for my B12 tested, the reaction was 'why? it's only a vitamin'! But your B12 was low, and yes, low nutrient levels and low thyroid usually go hand in hand. So, get your serum or active B12 tested again before retesting for PA.
So, your Tg antibodies are negative, no question. But your TPO antibodies are ambiguous because antibodies fluctuate all the time. So, on a different day, they could be higher. You need to retest them several times. But, with your high TSH there is no question of you having hyperthyroidism. You are possibly hypo but with fluctuating levels, which would be typical of Autoimmune Thyroiditis. As I said, redo all those tests in a couple of month's time to see how things evolve.
Next step get vitamin D, folate, ferritin and B12 levels tested
Results from 4 years ago
Active b12: 61.9 pmol/l
Ferritin: 21.3 ug/l
Folate- serum: 5.06 ug/l
Active B12 below 70 requires investigation
Ferritin below 30 is deficient
Folate ideally at least over 10 minimum
No vitamin D
Any obvious reason for low ferritin
Are you vegetarian or vegan
Are you male or female
Approx age
Hey SlowDragon, no obvious reason for low ferritin that I can think of. Not vegetarian or vegan. Female, 26 ☺️
So get all vitamins tested
Monitor My Health might be cheapest
monitormyhealth.org.uk/anae...
Plus vitamin D
NHS private testing service
Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing.
It’s possible to have low ferritin but high iron
Test early morning, only water to drink between waking and test. Avoid high iron rich dinner night before test
If taking iron supplements Stop these 5-7 days before testing
Medichecks iron panel test
medichecks.com/products/iro...
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
List of iron rich foods
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