blood results and wondering if anyone can help ... - Thyroid UK

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blood results and wondering if anyone can help ? Thyroid low

Delilahmy profile image
19 Replies

hello … I’m just asking for a friend who is experiencing lots of health issues and is feeling like there may be an underlying issue that is being overlooked.

She is tired not sleeping feeling really poorly and low

Her blood results are as in pics (with her permission)

She is on Citalopram and doc says all her bloods are normal

No further action ….

She is really concerned as she feels so awful …

Just wondered if anyone has any ideas on these results.

no TSH on this but TSH in aug 2023 was 0.7

Many thanks

I have 2 more pics but won’t let me upload them ?

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Delilahmy
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19 Replies
SlowDragon profile image
SlowDragonAdministrator

you can only add one picture in opening post

Best to add further images as one picture per reply on this post

Delilahmy profile image
Delilahmy in reply toSlowDragon

more bloods …. Thankyou

Results for friends blood tests
Delilahmy profile image
Delilahmy in reply toSlowDragon

more pics

Blood results
Delilahmy profile image
Delilahmy in reply toSlowDragon

more

Blood results
TiggerMe profile image
TiggerMeAmbassador

Free T4 (fT4) 12.4 pmol/L (11.50 - 22.70) 8.0%

Horribly low 😕

Delilahmy profile image
Delilahmy in reply toTiggerMe

Thankyou TiggerMe I’ll let my friend know as I think she wants to approach her GP again to get this investigated further as she feels so awful … as I said to Slowdragon she is frustrated unwell and at her wits end

TiggerMe profile image
TiggerMeAmbassador in reply toDelilahmy

I can imagine, she may not have much luck with her GP as they only really look at TSH and it looks like central or secondary hypothyroidism as her pituitary isn't sending out a good enough signal... so it might be a case of going straight to a a private Endo to get her back on her feet then she can do battle with the NHS system

Delilahmy profile image
Delilahmy in reply toTiggerMe

She has recently seen a private endo and he said nothing to be too concerned about. He did say he could investigate further but it would cost her about 2000£ !!!!

TiggerMe profile image
TiggerMeAmbassador in reply toDelilahmy

WHAT?!!! I’m afraid some Endo’s are worse than GP’s if you ask Thyroid UK admin they will send you a list of T3 aware private GP’s and Endo’s

SlowDragon profile image
SlowDragonAdministrator

What vitamin supplements is she taking

Ft4 is very low

Worth getting full thyroid including BOTH thyroid antibodies tested

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3, or thyroid antibodies or all relevant vitamins

Post all about what time of day to test

healthunlocked.com/thyroidu...

Testing options and includes money off codes for private testing

thyroiduk.org/testing/

Medichecks Thyroid plus BOTH TPO and TG antibodies

medichecks.com/products/thy...

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

Delilahmy profile image
Delilahmy in reply toSlowDragon

Thankyou SlowDragon ….. I will ask about meds and supplements. Again thankyou , my friend is at her wits end and knows something just doesn’t feel right

SlowDragon profile image
SlowDragonAdministrator in reply toDelilahmy

High testosterone…..could suggest PCOS and this is frequently linked to autoimmune thyroid disease

First step get FULL thyroid test including both TPO and TG antibodies

Odd results

High vitamin D, which suggests she’s supplementing vitamin D

High vitamin D would normally increase calcium levels, yet calcium is low

Phosphate also low

my.clevelandclinic.org/heal...

One of many possible causes ……low magnesium.

If we supplement vitamin D, it’s important to take a separate magnesium supplement too (afternoon or evening)

Also

Very high oestrogen.

thyroidpharmacist.com/artic...

palomahealth.com/learn/estr...

Delilahmy profile image
Delilahmy in reply toDelilahmy

This is a list of the supplements and meds

Vitamin D 400 iu

Omega 3 1000mg

Vitamin C 1000mg

Probiota histamine X

10 Billion CFU

Bio Clear Oestro

L theanine from green tea 200mg & lemon balm 300 mg

Magnesium glycinate 560 mg.

I’m on 20mg propanol am

20mg citalopram am

15mg mitzapine pm

Thankyou

Jaydee1507 profile image
Jaydee1507Administrator in reply toDelilahmy

I will tag SlowDragon as you replied to yourself and she wont get an alert otherwise.

Use the reply button directly below the response you want to reply to so the person gets a notification.

Delilahmy profile image
Delilahmy in reply toJaydee1507

Thankyou )

SlowDragon profile image
SlowDragonAdministrator in reply toDelilahmy

Propranolol will slow uptake and conversion of Ft4 to Ft3

However 20mg is low dose

Ideally try to reduce this SLOWLY by 5mg

Then wait 4-6 weeks before reducing by another 5mg

Etc

Last 5mg …..drop 1 day per week

Next week drop 2 days

Etc until completely stopped

Then retest thyroid levels

Vitamin D surprisingly good for such small dose

Hedgeree profile image
Hedgeree

Hi Delilahmy,

From my own experience I know how ill I felt with a low and below range FT4. My issues were continually dismissed by my GP for many years and put down to my mental health problems.

Your friend will have to be persistent with their gp; really difficult when you don't feel at all well. I found writing letters to the Practice manager and copying in the gp was useful; outlining what you believe to be the possible problem and what you'd like them to do. I did eventually get a referral to an endocrinologist but I had to really push for it. Was prescribed levo after a partial thyroidectomy.

Thankfully your friend has you for support. Knowing that you don't feel well but to be told there's nothing wrong is very frustrating and can make you start to doubt yourself. Many on the forum have experienced that. Make sure she knows that she's not alone. 🤗

Best wishes.

PurpleNails profile image
PurpleNailsAdministrator

Thyroid UK has compiled of private GPs & Endocrinologists. You can obtain list by contacting Thyroid U.K. either by emailing info@thyroiduk.org or using this online form thyroiduk.org/about-thyroid...

The email you posted will work but will not go directly to the correct person.

TiggerMe profile image
TiggerMeAmbassador in reply toPurpleNails

I'll scrub that then, thanks 🤗 I'm behind the times 🙃

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