Help with blood test results please: Hi All I... - Thyroid UK

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Help with blood test results please

haysmarie profile image
3 Replies

Hi All

I've recently had 2 blood tests - one was a private finger prick test through monitormyhealth.com.

The reason I took the tests was because I've not felt 'right' for quite some months. Insomnia (but then falling asleep at my desk during the day), constant aches and pains, headaches, unable to lose weight although I have a PT and go to gym 3 times a week, constant dry eyes etc.

The private test showed a TSH of 4.47, so I went to the GP for further investigation.

They ordered a suite of tests, which I've popped below. (It was a fasting blood test, taken at 9:45am). However on the NHS app they all state 'no further action needed'. I must admit I feel a bit despondent. I actually wanted the tests to show something so that I could take steps to feeling better.

I wondered if someone could cast their eye over the results, to see whether I need to push for anything further thyroid related, or whether it's time to move on and try find another reason for my poor state at the moment.

Thanks in advance 😊

--

Serum TSH level (XaELV) 2.8 miu/L [0.27 - 4.2]

--

Serum albumin level (XE2eA) 47 g/L [35 - 50]

Serum adjusted calcium concentration (Xabpk) 2.16 mmol/L [2.2 - 2.6] - Outside reference range

Serum calcium level (XE2q3) 2.26 mmol/L [2.25 - 2.55]

eGFR using creatinine (CKD-EPI) per 1.73 square metres (XacUK) 82 mL/min [60 - 200]

Serum total protein level (XE2e9) 69 g/L [60 - 80]

Serum potassium level (XE2pz) 4.4 mmol/L [3.5 - 5.3]

Serum sodium level (XE2q0) 139 mmol/L [133 - 146]

Serum alkaline phosphatase level (XE2px) 93 iu/L [30 - 130]

Serum bilirubin level (44E..) 8 umol/L [< 21]

Serum creatinine level (XE2q5) 79 umol/L [45 - 84]

Serum cholesterol level (XE2eD) 6.4 mmol/L [0 - 5.2] - Outside reference range

Serum triglyceride levels (XE2q9) 2.2 mmol/L [0 - 2.3]; Non-fasting samples for lipid evaluation may have; falsely elevated triglyceride levels which will; invalidate LDL Cholesterol estimations. Please fast; patients if triglyceride measurement and/or LDL; Cholesterol estimations are required.

Serum alanine aminotransferase level (XaLJx) 14 iu/L [5 - 33]

Serum non high density lipoprotein cholesterol level (XabE1) 5.3 mmol/L

Acute kidney injury warning stage (XabmE) 0 (stage) [0 - 1] - AKI Stage 0

Serum cholesterol/HDL ratio (XaEUq) 5.8 mmol/mmol

Serum HDL cholesterol level (44P5.) 1.1 mmol/L

Serum LDL cholesterol level (44P6.) 4.3 mmol/L

--

Haematocrit (X76tb) 0.41 [0.36 - 0.46] - This value has been converted from: 41.0 %

Full blood count (424..)

Nucleated red blood cell count (4266.) 0 10^9/L;

Basophil count (42L..) 0.07 10^9/L [0 - 0.13]

Platelet count - observation (42P..) 307 10^9/L [150 - 400]

Total white blood count (XaIdY) 6.5 10^9/L [4 - 10]

Haemoglobin concentration (Xa96v) 135 g/L [120 - 150]

Eosinophil count - observation (42K..) 0.16 10^9/L [0.02 - 0.67]

Mean cell haemoglobin level (XE2pb) 26 pg [27 - 32] - Outside reference range

Mean cell volume (42A..) 80 fL [83 - 101] - Outside reference range

Red blood cell count (426..) 5.12 10^12/L [3.8 - 4.8] - Outside reference range

Monocyte count - observation (42N..) 0.48 10^9/L [0.21 - 0.92]

Lymphocyte count (42M..) 2.14 10^9/L [1.1 - 3.5]

Neutrophil count (42J..) 3.61 10^9/L [1.8 - 7.4]

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3 Replies

Hey I'm sure an admin will be along to give you some guidance soon but I would say that you need more than TSH checked. For thyroid you also need T4 and T3 and anti bodies (GP probably won't do these) get your main vitamins checked B12, Ferritin, vitamin D.

You can get these done via Medichecks or similar. This will give you a better picture of what's going on x

SlowDragon profile image
SlowDragonAdministrator

Previous post here

healthunlocked.com/thyroidu...

Showed very low Ft4

How old are you

Male or female

Presumably you are not yet diagnosed as hypothyroid but trying to get diagnosed?

You need to get FULL thyroid including thyroid antibodies and vitamins tested ….

ESSENTIAL to test TSH, Ft4 and Ft3

Also both TPO and TG thyroid antibodies tested at least once to see if your hypothyroidism is autoimmune

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 won’t test Ft3 or both 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 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

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease

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

In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)

Astonishing isn’t…..all those tests yet most not really relevant

Iron results

Mean cell haemoglobin level (XE2pb) 26 pg [27 - 32] - Outside reference range

Mean cell volume (42A..) 80 fL [83 - 101] - Outside reference range

You need full iron panel including ferritin

These results strongly suggest you are anaemic

Extremely common to have low iron/ferritin when hypothyroid especially with autoimmune thyroid disease

Are you vegetarian or vegan

Pre or post menopause

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 on iron supplements, stop 5-7 days before testing

Medichecks iron panel test

medichecks.com/products/iro...

meanwhile

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

dailyiron.net

Links about iron and ferritin

irondisorders.org/too-littl...

davidg170.sg-host.com/wp-co...

Great in-depth article on low ferritin

oatext.com/iron-deficiency-...

cks.nice.org.uk/topics/anae...

Serum ferritin level is the biochemical test, which most reliably correlates with relative total body iron stores. In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency.

drhedberg.com/ferritin-hypo...

This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.

Other vitamin levels

No B12, folate or vitamin D test results

Testing these essential as next step

Get these tested by GP or privately

Your low calcium level is strongly indicative of vitamin D deficiency

Serum adjusted calcium concentration (Xabpk) 2.16 mmol/L [2.2 - 2.6] - Outside reference range

Serum calcium level (XE2q3) 2.26 mmol/L [2.25 - 2.55]

my.clevelandclinic.org/heal...

With chronic and/or severe vitamin D deficiency, a decline in calcium and phosphorus absorption by your intestines leads to hypocalcemia (low calcium levels in your blood). This leads to secondary hyperparathyroidism (overactive parathyroid glands attempting to keep blood calcium levels normal).

SlowDragon profile image
SlowDragonAdministrator

Mean cell volume (42A..) 80 fL [83 - 101] -

Outside reference range

Low mean cell volume - suggests anaemia

my.clevelandclinic.org/heal...

medicalnewstoday.com/articl...

Mean cell haemoglobin level (XE2pb) 26 pg [27 - 32] -

Outside reference range

Low MCH - suggests anaemia

healthline.com/health/mch#l...

medicalnewstoday.com/articl...

Red blood cell count (426..) 5.12 10^12/L [3.8 - 4.8] -

Outside reference range

High red blood cell count

Can be indicative of other issues or simply a bit dehydrated

Eg Sleep apnea, common with autoimmune hypothyroid

Not sure if this kidney test result is an error

Is it really saying your kidney function is zero?

Acute kidney injury warning stage (XabmE) 0 (stage) [0 - 1] - AKI Stage 0

Ask GP to clarify or retest

Poor kidney function as result of hypothyroidism is common

High cholesterol common when hypothyroid

Cholesterol should improve as thyroid levels improve

nhs.uk/conditions/statins/c...

If you have an underactive thyroid (hypothyroidism), treatment may be delayed until this problem is treated. This is because having an underactive thyroid can lead to an increased cholesterol level, and treating hypothyroidism may cause your cholesterol level to decrease, without the need for statins. Statins are also more likely to cause muscle damage in people with an underactive thyroid.

First step is to get all four vitamins tested and improve to OPTIMAL levels

thyroid can’t work well with low vitamin levels

Vitamin D at least over 80nmol

Serum B12 over 500

Active B12 over 70

Folate top of range

Ferritin at over 70

Retest thyroid again 2-3 months after working on getting all four vitamins optimal

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