Interpreting private thyroid bloods. Fairly new... - Thyroid UK

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Interpreting private thyroid bloods. Fairly new at this.

Baker16 profile image
5 Replies

Hi all, as suggested I got my bloods done privately. And went with one of the suggested companies. Results are now through. Any help would be appreciated. Still dealing with a lot of symptoms. My GP is not great so trying to arm myself with all the info before going back.

My CRP is probably so high because I have covid.☹️

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Baker16 profile image
Baker16
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Jaydee1507 profile image
Jaydee1507Administrator

What time of day was this test taken & did you stop Levo 24hrs before & biotin (B complex) 4-7 days before?

Free T4 (fT4) 17.7 pmol/L (12 - 22) 57.0%

Your FT4 is still fairly low. It could do with being up to 90%+ in the range. That said your FT3 is bottom of the range so likely you could think about adding some T3. Your conversion is poor.

Are they going to retest ferritin & folate? Likely ferritin would have been falsley raised due to inflammation. Hope you feel better soon.

Vitamin D should be around 100 - 150. Buy one that includes vit K2 to help it go to your bones. Some are available in oil or you can take it with an oily meal for better absorption. Many members like the ‘Better You’ range of mouth sprays that contain both bit D & K2. Use this calculator to work out how much to take to get your level to 100-150.grassrootshealth.net/projec...

B12 i s only just high enough. What are you taking for B12 & folate?

As you have positive antibodies have you tried a strictly gluten free diet to help symptoms?

Baker16 profile image
Baker16 in reply to Jaydee1507

Hiya, it was taken at 8am, before my morning dose of levothyroxine. And was not taking anything with biotin complex in it.

They have not mentioned retesting the ferritin and folate, is that done as standard with private bloods, or do I have to pay for it again?

I have Vit D in my milk as standard and in the winter months take a Vit D3 supplement, not so much in the summer months though. I am not taking any other supplements as my GP has been advising that my levels are all fine, despite asking on many occasions for a copy of my bloods and not getting.

I am very reluctant at this stage to remove a whole food group from my diet as my daughter has severe food allergies and from an allergy perspective it’s no longer advised. I will if I have to, but frankly the thought of adding to the list of food avoidances in the house makes me want to cry!

Should I be asking to see an endocrinologist now?

Thanks

Jaydee1507 profile image
Jaydee1507Administrator in reply to Baker16

I would contact the blood test company about the failed tests. Sometimes they will redo them.

Relying on vit D in milk and British sunshine won't be enough. Likely you need a supplement year round. You may need a little less in summer but not much. Suggest you start to supplement regularly ongoing.

We need OPTIMAL levels of key vitamins for our thyroid hormone to work well.

GPs have no training in nutrition so probably best not to rely on their opinion re vitamin levels.

You are legally entitled to a printed copy of your results, ask at GP reception. In England you can get the NHS app and ask for permission to see your blood results on that by asking at GP’s reception.

Get hold of your results and post them for suggestions.

email info@thyroiduk.org for a list of T3 friendly Endo's. Its a post code lottery if theres one in your area. Pick a couple and make a post asking for feedback by PM only.

It might take some time to go via the NHS and depend on the area you live in. If you can afford it then the private route is faster.

Baker16 profile image
Baker16 in reply to Jaydee1507

Also does it matter that my TSH is so low?

Jaydee1507 profile image
Jaydee1507Administrator in reply to Baker16

As this is a private test then no it doesn;t matter if your TSH is below range. Many people have very low or suppressed TSH and no harm comes of it.

Doctors are taught that it isn;t a good thing though and your GP or Endo may not like it and tell you you are at risk of bone loss and heart problems. This just isn't true.

You should point out your normal FT4 and low FT3 and you can take responsibility for your results as per NICE guidelines.

The first paragraph in the NICE (NHS) Thyroid Disease, Assessment and Management guidelines says :

nice.org.uk/guidance/ng145

"Your responsibility”

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. “

nice.org.uk/guidance/ng145

Link ref keeping TSH lower:

healthunlocked.com/thyroidu...

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