I found a lump on the front of my neck (you can visibly see it) along with a raised lymph node. I had a neck ultrasound this week and I’m just waiting on the results. The radiologist said there is a 2cm nodule on my thyroid but that he couldn’t see anything concerning and would pass everything onto the consultant.
I would like a biopsy on the nodule just to be 100% sure that it’s nothing to worry about. He did say that they don’t do this anymore unless they feel there is reason to. Has anyone managed to get one even though they said it doesn’t look concerning? I would even pay for a private FNA just to put my mind at ease but I’m finding it difficult to find somewhere that does them.
On my recent blood tests it came back that I was borderline underactive,could the nodule be anything to do with this? I also have low iron that I’m on tablets for and high B12 (which they don’t seem to be concerned about). I’m due repeat bloods in August. I have all the symptoms of hypothyroidism but they don’t want to do anything about it until I’ve had my repeat bloods. If my bloods come back normal and I still feel this awful,where do I go from there?
Thanks
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On my recent blood tests it came back that I was borderline underactive,could the nodule be anything to do with this? I also have low iron that I’m on tablets for and high B12 (which they don’t seem to be concerned about). I’m due repeat bloods in August.
Suggest you get FULL thyroid and vitamin testing……privately if necessary
How low were iron and ferritin
What has GP prescribed
It can take many months to improve low ferritin
What was folate level
High B12 can be deceiving……Paradoxical B12 deficiency
Thanks for the info SlowDragon. I have actually ordered the Medichecks test this afternoon after reading good things on here. My results from 2023 and 2024 are below. They have never checked my vitamin D but I will ask them to include it in my tests in August.
November 2023
B12 970pg/ml (191-663)
Ferritin 25ug/L (12-233)
Folate 14.6ng/L (2.4-26.8)
T4 13.7 pmol/L (11-26)
TSH 1.07mU/L (0.27-4.2)
May 2024
B12 799pg/ml (191-663)
Ferritin 23ug/L (12-233)
T4 10.7 pmol/L (11-26)
TSH 1.71mU/L (0.27-4.2)
For some reason they didn’t test folate in May. They put me on ferrous sulphate for 3months until my next blood test and I’m not on any other medications or supplements. I know I have a lot to learn about how everything works with each other but I just need advice on what I need to be asking the GP for to make sure I get the right treatment. Hopefully the medicheck test sheds some light
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 for your incredible patience while you have been awaiting the outcome of our ferritin reference range review. We conducted this with Inuvi lab, which has now changed the reference ranges to the following:
Females 18 ≤ age < 40. 30 to 180
Females 40 ≤ age < 50. 30 to 207
Females 50 ≤ age < 60. 30 to 264l
Females Age ≥ 60. 30 to 332
Males 18 ≤ age < 40 30 to 442
Males Age ≥ 40 30 to 518
The lower limits of 30 are by the NICE threshold of <30 for iron deficiency. Our review of Medichecks data has determined the upper limits. This retrospective study used a large dataset of blood test results from 25,425 healthy participants aged 18 to 97 over seven years. This is the most extensive study on ferritin reference ranges, and we hope to achieve journal publication so that these ranges can be applied more widely.
No I am not vegan or vegetarian,I eat a healthy varied diet so it did surprise me when the values were low. No they didn’t treat the iron deficiency in November,they just said it was low but nothing to worry about (I didn’t have the numbers myself back then) but when it had dropped further in May they decided to treat it for 3 months to see if that helps. I will definitely read through all the things you have sent,thankyou.
I have just realised that it is my T4 that is out of range not TSH, which it would be the other way around for hypothyroidism if I’m correct? I have just been reading about central/secondary hypothyroidism and I think this looks more correct for my blood results. Do you know much about this?
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