I posted last week about my symptoms and recent blood results but I had them done before reading here so I did them mid morning and had breakfast and coffee beforehand! My question is, how much difference might this have made?
I’ve now been told by another nhs professional that my results are normal so I am going to book a private consultation with a specialist. I know the results are not wildly abnormal so I guess I am worried that any small difference could have an effect on the interpretation.
Thyroid seems to me to be a reasonable possibility with my symptoms but I guess I feel that professionals think I’m trying to find something that the bloods don’t show. If anyone could give more comment on my original post it’s here healthunlocked.com/thyroidu...
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Legomami
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are these the most recent results from previous post
TSH 1.9 (0.27-4.4)
FT3 5.5 (3.1-6.8)
FT4 10.8 (8.9-17.3)
thyroglobulin antibodies 27.7 (0-115)
TPO 32.2 (0-34)
HbA1c 42 (42-47 is “pre diabetic”) has been borderline for a few years, when I tracked with a continuous glucose monitor for 4 weeks my levels were normal and estimated HbA1c from that system was 32. I know this can be affected by iron deficiency and other things.
B12 462 (130-900)
Folate >23.8 (>3)
Ferritin 28 (15-300) taking ferrous gluconate and feroglobin long term, ferritin is always <10 when not supplementing, attributed to heavy periods since first checked 15 years ago.
We suggest an early morning and fasting blood test as this generally gives a highest TSH reading - which is what most doctor understand and dose on -
as historically we are under medicated and doses reduced because the TSH is too low .
I believe I answered your previous post and your blood test still stands but the issue more one of getting acknowledgement from the medical profession - unless you choose to go privately and even then you need to be sure before you go, who to see, and that you are not wasting your time and money.
Thank you, I wasn’t doubting your previous response. Just been thrown by speaking to someone who is supposed to be knowledgeable about thyroid and again being told it’s fine.
I’m planning to arrange a virtual appointment with the thyroid clinic in Bristol but was wondering whether to redo bloods before that appt.
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.
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
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
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.
Thank you! GP has tested tTG, I don’t have the result to hand but it was almost 0 if I remember correctly.
Iron is GP prescribed but they only go by ferritin and Hb to monitor it and I’m not sure they’d even do those unless I insisted. I will take time to read those advice posts about increasing it and organising further bloods.
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Blood tests
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