T3 wasn’t tested but is usually in a good range for thyroid.
Vitamin D 24nmol/L (50-300)
Folate 0.8mg/dl (4-22)
Vitamin B12 311nmol/L (150-800)
IRON panel
Iron 13.4 umol/L (10-30)
TIBC 81umol/L (35-81)
UIBC 68umol/L ( 13-45)
Transferritin saturation 17% (25-45%)
Ferritin 80ug/l (40-300)
Young and male
On only 100mcg Levo
Shows you are on inadequate dose Levo
As direct result
Deficient in vitamin D and folate
Inadequate B12
Low iron
What vitamin supplements are you currently taking
For good conversion of Ft4 (levothyroxine) to Ft3 (active hormone) we must maintain GOOD vitamin levels
What vitamin supplements are you taking
VERY important to test TSH, Ft4 and Ft3 together and retest vitamin levels
BEFORE seeing any endocrinologist, especially privately you need to get FULL Thyroid and vitamin testing
Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine or significantly improving low vitamin levels
For full Thyroid evaluation you need TSH, FT4 and FT3 tested
Also both TPO and TG thyroid antibodies tested at least once to see if your hypothyroidism is autoimmune
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 or when on inadequate dose Levo
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)
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
Here’s link for how to request Thyroid U.K.list of private Doctors emailed to you, but within the email a link to download list of recommended thyroid specialist endocrinologists
Ideally choose an endocrinologist to see privately initially and who also does NHS consultations
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