Blood Test Results

[Bright-eyes]

Hello again,

I have just had a full blood test ( T3 not tested of course).

I wondered if anyone could give me some advice please.

I was hoping to increase my T4 but Dr wanted to do a blood test first

Currently taking 75mg (but I have increased this amount myself to 100mg) so these are results based on taking 100mg.

Still feeling tierd most of the time.

Many Thanks

[SlowDragon Administrator]

Just testing TSH and Ft4 tells you virtually nothing

Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine

How long since you increased dose to 100mcg

Which brand levothyroxine do you get

For full Thyroid evaluation you need TSH, FT4 and FT3 tested

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

What were results when last tested and how long ago

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.

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before 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 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

Monitor My Health also now offer thyroid and vitamin testing, plus cholesterol and HBA1C for £65

(Doesn’t include thyroid antibodies)

monitormyhealth.org.uk/full...

10% off code here

thyroiduk.org/testing/priva...

looking at previous posts the cause of your hypothyroidism is autoimmune thyroid disease also called Hashimoto’s

Are you on gluten free and/or dairy free diet

If not you need coeliac blood test via GP BEFORE considering trial on GF

[Bright-eyes in reply to SlowDragon]

Hi SlowDragon, Thankyou for your response.

I have been self medicating with 112 mg for over 8 weeks now which is why I tested. I am taking Teva brand (75mg) but cut another tablet in half to increase the dose which actually works out to 112mg.

I followed all pre test procedures before blood draw.

I will do a private blood test also to get my FT3 result as know this is important too.

I just wondered should my FT4 be at optimal range?

I had vitamins tested too. I will try to post if someone would be kind enough to comment on these too please.

Photo

[SlowDragon Administrator in reply to Bright-eyes]

Free T4 (fT4) 10.1 pmol/L (7.9 - 16) 

Ft4 only 27.2% through range

Have you always been on Teva

Teva makes 25mcg, 50mcg, 75mcg and 100mcg

Many patients do NOT get on well with Teva brand of Levothyroxine.

Teva is lactose free.But Teva contains mannitol as a filler instead of lactose, which seems to be possible cause of problems. Mannitol seems to upset many people, it changes gut biome 

Teva is the only brand that makes 75mcg tablet.

So if avoiding Teva for 75mcg dose ask for 25mcg to add to 50mcg or just extra 50mcg tablets to cut in half

But for some people (usually if lactose intolerant, Teva is by far the best option)

Might be worth trying Vencamil Levo if you need lactose free

Vencamil (currently 100mcg only) is lactose free and mannitol free. 25mcg and 50mcg tablets hopefully available from summer 2024

March 2023 - Aristo now called Vencamil

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Helpful post about different brands

healthunlocked.com/thyroidu...

List of different brands available in U.K.

thyroiduk.org/if-you-are-hy...

[SlowDragon Administrator in reply to Bright-eyes]

only folate result

What vitamin supplements are you taking

[Bright-eyes in reply to SlowDragon]

I have other results I’ll try to attach to this post.

I take a good Vit DK. BComplex, omega 3,6,8,&9 and magnesium.

Photo

[SlowDragon Administrator in reply to Bright-eyes]

You can only add one image per reply

[Bright-eyes in reply to SlowDragon]

Ok. Here is my Vit D result.

Can I also add others to be looked over please?

Photo

[SlowDragon Administrator in reply to Bright-eyes]

So vitamin D is good

How much vitamin D do you supplement

Add B12 and ferritin results too

[Bright-eyes in reply to SlowDragon]

I use a few drops of vit DK.

B12 results.

Photo

[SlowDragon Administrator in reply to Bright-eyes]

B12 ok