Just received my blood test results: TSH... - Thyroid UK

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Just received my blood test results

diamondgirl902 profile image
31 Replies

TSH 4.6 mIU/L (0.27 - 4.2)

FT3 3.7 pmol/L (3.1 - 6.8)

FT4 14.1 pmol/L (12 - 22)

THYROGLOBULIN ANTIBODIES 16.3 kIU/L (0 - 115)

THYROID PEROXIDASE ANTIBODIES 10.1 kIU/L (0 - 34 )

FOLATE 9.3 nmol/L ( > 7)

VITAMIN B12 - ACTIVE >150 pmol/L (37.5 - 188)

VITAMIN D 88.6 nmol/L (50 - 250)

FERRITIN 205 ug/L (30 - 264)

CRP HS 0.367 mg/L (< 3 )

I have mucin in arms, legs and belly.

I was diagnosed with Pernicious Anaemia/B12 deficiency. My last B12 jab was January, so I don't understand why my Active B12 would be so high.

My ferritin is quite high, it normally is between 29-35.

I feel so tired all the time but I don't understand why.

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diamondgirl902
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SlowDragon profile image
SlowDragonAdministrator

so Ft4 and Ft3 both extremely low and TSH over range

Free T4 (fT4) 14.1 pmol/L (12 - 22) 21.0%

Free T3 (fT3) 3.7 pmol/L (3.1 - 6.8) 16.2%

Folate very low

As you have B12 injections it’s recommended also to supplement a good quality daily vitamin B complex, one with folate in (not folic acid) may be beneficial.

This can help keep all B vitamins in balance and will help improve B12 levels between Injections

IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 5-7 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg)

How much vitamin D are you taking

Vitamin D may be better over 100nmol

My ferritin is quite high, it normally is between 29-35.

Get GP to test full iron panel to see what iron levels are like

Retest thyroid levels again in another 2-3 months

consider getting ultrasound scan of thyroid

20% of Hashimoto's patients never have raised antibodies

healthunlocked.com/thyroidu...

Paul Robson on atrophied thyroid - especially if no TPO antibodies

paulrobinsonthyroid.com/cou...

Gluten intolerance is often a hidden issue too.

Request coeliac blood test BEFORE considering trial on strictly gluten free diet

diamondgirl902 profile image
diamondgirl902 in reply toSlowDragon

Thank you SlowDragon

I really don't understand what is going on.

I started to do every other day B12 jabs along with all of the co-factors, but I stopped them all in January after feeling no better.

My Ferritin back in January was 335 ug/l despite stopping iron 7 days before my blood test.

I haven't taken any supplements or B12 since the middle of January.

On the 12th August I'm getting tested for Coeliac as well as a full iron panel.

I stopped taking Vit D and K2 after suffering my 3rd Stroke in September, I'm on Apixaban so unsure if it's safe to take K2.

On the 15th August I have an appointment to see a rheumatolgist, I have so much joint pain.

I feel so much better after stopping statins back in March, I was on the maximum dose. Though the strokes are thought to be down to the hole in the heart which they discovered back in 2005 but never repaired.

I know that statins can cause joint pain in people with hypothyroidism.

Sorry for the long post

SlowDragon profile image
SlowDragonAdministrator in reply todiamondgirl902

Are these private tests ….or done by GP

GP needs to see them

Or if they are disinterested….a thyroid specialist endocrinologist

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

thyroiduk.org/contact-us/ge...

I started to do every other day B12 jabs along with all of the co-factors, but I stopped them all in January after feeling no better.

What was B12 before starting on injections. Are diagnosed as low B12 or definitely Pernicious Anaemia

It takes many months for B12 to drop after injections

My Ferritin back in January was 335 ug/l despite stopping iron 7 days before my blood test.

What iron supplements were you taking in January

Presumably not taken iron supplements since then

diamondgirl902 profile image
diamondgirl902 in reply toSlowDragon

These are tests done by medichecks.

My GP said to have private tests on thyroid and she will act on them if they are out of range.

The only one out of range is TSH, though it's only just over.

I was taking Ferrous Fumarate, but stopped at least 7 days before the blood test.

I have so much pain. Especially in neck/spine, shoulders, knees, hip, hands and feet. Diagnosed with PA/b12 deficiency by a private doctor- Raised MMA. 37.4 (range <32)

diamondgirl902 profile image
diamondgirl902 in reply toSlowDragon

Good morning SlowDragon

I have just received these results from my GP

SERUM IRON LEVEL: 50.1 UMOL/L (47.0 - 70.0)

TRANSFERRIN SATS 35.1% (16.0 - 50.0)

SERUM TIBC: 50.1 UMOL/L (47.0 - 70.0)

SERUM FERRITIN: 212 UG/L ( 28 - 200)

Serum B12 623 ng/L (180 - 640)

Serum Folate 3.5 ug/l (3.0 - 20.0)

No B12 / co-factors since December/January.

My ferritin has been between 27 - 40 for years, why is it so high now?

I'm 53, last period 55 days ago.

Thank you

SlowDragon profile image
SlowDragonAdministrator in reply todiamondgirl902

Low folate

supplementing a good quality daily vitamin B complex, one with folate in (not folic acid)

This can help keep all B vitamins in balance and will help improve B12 levels too

Difference between folate and folic acid

healthline.com/nutrition/fo...

Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid supplements

thyroidpharmacist.com/artic...

B vitamins best taken after breakfast

Igennus B complex popular option. Nice small tablets. Most people only find they need one per day. But a few people find it’s not high enough dose

Post discussing different B complex

healthunlocked.com/thyroidu...

Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule) Thorne can be difficult to find at reasonable price, should be around £20-£25. iherb.com often have in stock. Or try ebay

IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 5-7 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg) and continue separate B12

Post discussing how biotin can affect test results

healthunlocked.com/thyroidu...

helvella.blogspot.com/p/hel...

with above range TSH

GP should retest thyroid levels again in another 6 weeks

Also presumably you are menopausal

Get GP to test sex hormones

diamondgirl902 profile image
diamondgirl902 in reply toSlowDragon

Thank you, I will have a read through this information

diamondgirl902 profile image
diamondgirl902 in reply toSlowDragon

Good morning Slowdragon

At my last GP appointment I mentioned sex hormone tests, to which the GP replied you won't be able to go on HRT due to the stroke risk. I've suffered 3 strokes, which they put down to a PFO (hole in heart).

My Serum ferritin: 193 ug/L (28 -200 )

No iron panel was done, despite my request.

Serum inorganic phosphate: 1.45 mmol/L (0.80 to 1.50) - this seems very high.

I started a low carb way of eating back in June and don't eat any junk food, still can't lose weight.

I'm seeing another GP tomorrow and will be requesting a full thyroid panel, iron panel, folate, B12, Vit D.

Would a hormone panel be Oestrogen, progesterone, DHEA and testerone?

Last period was in August

Is there anything else to request from GP?

My head is fried after these strokes, so I need to make lists for tomorrow.

Thank you

SlowDragon profile image
SlowDragonAdministrator in reply todiamondgirl902

Will tag Buddy195 for comments/suggestions on sex hormones

I'm seeing another GP tomorrow and will be requesting a full thyroid panel, iron panel, folate, B12, Vit D.

Have you had homocysteine levels tested

Folate levels important for homocysteine levels

ahajournals.org/doi/full/10...

diamondgirl902 profile image
diamondgirl902 in reply toSlowDragon

I carried out private tests for homocysteine in December 2023. Results 7.98 umol/L (4.4 - 13.6)

SlowDragon profile image
SlowDragonAdministrator in reply todiamondgirl902

FOLATE 9.3 nmol/L ( > 7)

Serum Folate 3.5 ug/l (3.0 - 20.0)

Are you now taking vitamin B complex to improve low folate

diamondgirl902 profile image
diamondgirl902 in reply toSlowDragon

I haven't yet. I want all my tests done and then start.

I went to see the rheumy, who thinks I have raynauds due to cold hands and feet. I'm thinking thyroid, he doesn't think so. My hands and feet are freezing but don't go white like in raynards.

So I'm taking a printed list of blood tests to ask the GP to test. If no success, will do them privately and get back on to B-complex and EOD B12 jabs etc.

SlowDragon profile image
SlowDragonAdministrator in reply todiamondgirl902

Improving low vitamin levels FIRST recommended as can either

Improve how thyroid works and improve symptoms

Or

If thyroid is the cause …..improving vitamin levels can increase TSH so that may be able to get diagnosed as hypo

diamondgirl902 profile image
diamondgirl902 in reply toSlowDragon

thank you

diamondgirl902 profile image
diamondgirl902 in reply toSlowDragon

GP has ordered blood tests for 21st March

Magnesium

Oestradiol

Progesterone

TFT's (diagnostic), TSH, Thyroid function

Vitamin B12/ Folic Acid

Vit D

Testosterone (female with SHBG)

Total iron binding capacity

I asked for PTH test, but I don't think this has been ordered.

SlowDragon profile image
SlowDragonAdministrator in reply todiamondgirl902

Total iron binding capacity

Full iron panel

You need iron, ferritin, Total iron-binding capacity (TIBC) and Transferrin plus CRP

diamondgirl902 profile image
diamondgirl902 in reply toSlowDragon

Serum ferritin: 193 ug/L (28 - 200) on 12th Feb 2005

So I need to ask for transferrin and CRP too.

diamondgirl902 profile image
diamondgirl902 in reply toSlowDragon

Good evening SlowDragon.

I've just put all of my latest bloods tests below.

These are my latest blood tests from my GP

My TSH has lowered since my last private bloods, so they won't test the FT4 or FT3

The surgery phoned about my cholesterol levels, I stopped taking my statins last year.

My diet is low carb, I have dairy, but not milk. I eat meat, but not fish.

Serum vitamin B12: 536 ng/L 180 to 640

Serum folate: 3.9 ug/L 3.0 to 20.0

Serum iron level: 14.5 umol/L 5.0 to 30.0

Serum transferrin 2.18 g/L 1.80 to 3.82 Serum TIBC: 54.8 umol/L 47.0 to 70.0

Transferrin saturation index: 26.4 % 16.0 to 50.0

Serum ferritin: 178 ug/L 28 to 200

Serum 25-HO vit D3 level: 83.1 nmol/L above 50.0

Blood magnesium: 0.88 mmol/L 0.70 to 1.00

Serum calcium: 2.41 mmol/L

Corrected serum calcium level: 2.42 mmol/L 2.20 to 2.60

Serum inorganic phosphate: 1.31 mmol/L 0.80 to 1.50

Serum total protein: 69 g/L 64 to 83

Serum albumin: 45 g/L 35 to 50

Serum alkaline phosphatase: 66 u/L 40 to 130

Serum cholesterol: 8.9 mmol/L 0.0 to 5.0

Serum triglycerides: 0.7 mmol/L

Serum HDL cholesterol level: 2.87 mmol/L

Serum cholesterol/HDL ratio: 3.1 Ratio

Non HDL cholesterol level: 6.0 mmol/L

LDL Cholesterol.: 5.8 mmol/l

HbA1c levl - IFCC standardised: 36 mmol/mol 20 to 41

Serum TSH level: 2.90 mu/L 0.30 to 4.20

Plasma parathyroid hormone lev: 5.0 pmol/L 1.6 to 6.9

Serum oestradiol level: < 92 pmol/L

Serum progesterone: < 1.0 nmol/L

Serum sex hormne binding glob: 92 nmol/L 28 to 146

Total white cell count: 3.9 10*9/L 4.0 to 11.0

Red blood cell (RBC) count: 4.08 10*12/L 3.80 to 5.80

Haemoglobin estimation: 132 g/L 115 to 165

Packed cell volume: 0.412 L/L 0.370 to 0.470

Mean corpuscular volume (MCV): 101.0 fL 80.0 to 100.0

Mean corpusc. haemoglobin(MCH): 32.4 pg 27.0 to 32.0

Red blood cell distribut width: 14.6 %

Platelet count: 307 10*9/L 150 to 450

Total white cell : 3.9 10*9/L 4.0 to 11.0

Neutrophil count: 1.4 10*9/L 2.0 to 7.5

Lymphocyte count: 1.6 10*9/L 1.5 to 4.5

Monocyte count: 0.3 10*9/L 0.3 10*9/

Eosinophil count: 0.5 10*9/L 0.0 to 0.4

Basophil count: 0.1 10*9/L 0.0 to 0.

Serum sodium: 140 mmol/L 140 mmol/L

Serum potassium: 4.3 mmol/L 3.5 to 5.3

Serum urea level: 6.7 mmol/L 2.5 to 7.

Serum creatinine: 67 umol/L 45 to 90

GFR calculated abbreviatd MDRD: > 90 ml/min Above 60

Serum ALT level: 15 u/L 0 to 35

Serum total bilirubin level: 3 umol/L 0 to 21

Serum gamma GT level: 10 u/L 0 to 45

SlowDragon profile image
SlowDragonAdministrator in reply todiamondgirl902

Folate is still low

As you do B12 injections it’s recommended also to supplement a good quality daily vitamin B complex, one with folate in (not folic acid)

This can help keep all B vitamins in balance

Have you been taking vitamin B complex ?

B vitamins best taken after breakfast

Igennus B complex popular option. Nice small tablets. Most people only find they need one per day. But a few people find it’s not high enough dose and may need 2 per day and/or may need separate methyl folate couple times a week

Post discussing different B complex

healthunlocked.com/thyroidu...

IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endocrinenews.endocrine.org...

In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg)

Ferritin is high but iron is only middle range

Have you had CRP test - for inflammation

High CRP will raise ferritin

High MCH and MCV as result of hypothyroidism

pmc.ncbi.nlm.nih.gov/articl....

You need to test TSH, Ft4 and Ft3

diamondgirl902 profile image
diamondgirl902 in reply toSlowDragon

My CRP was low on the hospital tests with Rheumy.

My ferritin has reduced a bit.

MCH and MCV has been high for a while.

Cholesterol can be high with thyroid problems. I'm still waiting to see a gastro about right stomach pain and swallowing problems.

I will carry out private testing for thyroid and then request a thyroid scan, and then go from there.

Thank you very much for your help xx

diamondgirl902 profile image
diamondgirl902 in reply toSlowDragon

Hi SlowDragon,

Just received my private thyroid test

TSH 4.1 0.27 - 4.2 mu/L

FT4 13.7 12 - 22 pmol/L

FT3 4.2 3.1 - 6.8 pmol/L

I need to get a thyroid scan as I can feel a small lump on it.

On your comment - Ferritin is high but iron is only middle range, what does that mean?

Many thanks

GlowCoach profile image
GlowCoachAdministrator in reply todiamondgirl902

Do start a new post with your results.

diamondgirl902 profile image
diamondgirl902 in reply toGlowCoach

Thank you

Will do

McPammy profile image
McPammy

I think it’s your thyroid blood results problem here. Your TSH is far too high meaning your t4 and t3 levels are too low which is also shown in those results. You need more thyroxine both T4 and definitely T3. Ask your gp and or Endo to increase your t4 dose. Then recheck to see if your t3 increases. If t3 doesn’t increase then request t3 medication.

diamondgirl902 profile image
diamondgirl902 in reply toMcPammy

Thanks McPammy,

I'm not medicated, but I feel shocking.

I thought it was B12 deficiency/PA but despite every other day jabs along with all co-factors for 7 months, I can't say I felt any better.

I suffered two strokes last year, one in March and a major one in September, aged 52.

At the age of 34 I suffered a huge stroke and was in hospital for 2 months, learning to talk, talk etc.

They found a PFO (hole in heart) but never closed it. My new cardiologist is referring me to Stoke hospital asking for closure of the PFO.

I'm sure it's thyroid making me feel I have no energy. I'm existing and not living, I feel like an old woman.

McPammy profile image
McPammy in reply todiamondgirl902

Oh dear you have had a lot to cope with over the years and still today. I’m sorry but I don’t know anything about your heart condition really. I have a thyroid problem Hashimoto’s and a very poor converter of T4 to the magical T3 hormone. You could try to get your thyroid checked privately if you wanted through Monitor my Health on line. They are not expensive and it’s a very quick turn around. Just a thought. I hope you start to feel better soon. Xx

diamondgirl902 profile image
diamondgirl902 in reply toMcPammy

Thank you, the above tests have just came back from Medichecks

McPammy profile image
McPammy

Sorry yes you did say in your post. I would suggest from those results your TSH is too high and T4 and T3 are too low. But the antibodies look alright. So, maybe you are starting to have thyroid issues? It’s tricky. You definitely need to keep your eye on your thyroid bloods. Your B12 looks ok. Not sure why ferritin would be that high. Do you take supplements for it. I see a private only endocrinologist who is brilliant and actually listens. If you want to go private only just private message me for his details.

diamondgirl902 profile image
diamondgirl902 in reply toMcPammy

Thank you for replying.

I haven't taken any supplements or B12 jabs since January.

My ferritin is normally low, I stopped iron tablets back in January, 7 days before my blood test.

My ferritin in January 335ug/L

Ferritin now 205 ug/L which is still high.

I stopped all B12 jabs and all co- factors a week before January's blood test and I've not taken any since.

I know that ferritin can be raised with inflammation or infection etc.

McPammy profile image
McPammy in reply todiamondgirl902

Yes it can be inflammation. Graves’ disease can cause it to be high. Or other inflammation elsewhere in the body. Your Dr really needs to help you here.

diamondgirl902 profile image
diamondgirl902 in reply toMcPammy

Yes, I need to take my private tests in and see what she says.

I certainly don't feel good

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