thyroid bloods

[berniboo]

hi I always had a higher thyroid reading until I had a partial thyroidectomy. My bloods today are

T4 17.2 (12-22)

Tsh 0.23 (0.27-4.20)

It’s been a while and I’m finding it hard to read this so do you think this is normal ? Thanks

[SlowDragon Administrator]

just testing TSH and Ft4 is completely inadequate

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

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)

Essential to test vitamin D, folate, ferritin and B12

Lower vitamin levels more common as we get older

For good conversion of Ft4 (levothyroxine) to Ft3 (active hormone) we must maintain GOOD vitamin levels

What vitamin supplements are you taking

Also VERY important to test TSH, Ft4 and Ft3 together

What is reason for your thyroidectomy ?

Autoimmune?

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and 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

[MyMeS in reply to SlowDragon]

Good Morning Slow DragonThank you for your informative post

If it wasn't for your enlightenments I wouldn't know, one symptom of Underactive Thyroid is having anaemia

Which I've been diagnosed as being anaemic

Yet my nurse has lowered my much needed Thyroxine & stated others were wrong to blame my symptoms on my Thyroid & instead she blames my anaemia

How can these qualified "experts" not know an Underactive Thyroid can cause anaemia

It's such a shame that private blood tests, cost £89

I wish there were cheaper options for correct Thyroid testing😔

If anyone does know of any, I would be most grateful to be informed 🙏

[SlowDragon Administrator in reply to MyMeS]

Looking at previous posts

Your GP should have tested BOTH TPO and TG thyroid antibodies for autoimmune thyroid disease

You can get just thyroid testing including antibodies here for £29

randoxhealth.com/en-GB/at-h...

request GP test B12, folate and vitamin D NOW

Ferritin extremely deficient at last test

Request referral to haematologist for iron infusion

[MyMeS in reply to SlowDragon]

Hi Slow DragonThank you for your enlightenments

I get Immensely confused by what they have tested as opposed to what they should test on my blood tests

I'm on prescribed Iron Tablets for my anaemia

So I'm just wondering if it's guaranteed that my doctor will take this self test seriously which I will be paying £29 for? If you know doctors have to take these tests seriously, I would be most thankful to hear? Thank you again very much sincerely

[SlowDragon Administrator in reply to MyMeS]

Well first step is get tested

Via GP ideally

If not …then test privately

Either way come back with new post once you get results

[berniboo in reply to SlowDragon]

thanks for that slowdragon I got my partial thyroidectomy done due to it been a multi nodular goitre. I was told it had papillary microcarcinoma in it and no other treatment necessary. I have since been told I have pernicious anaemia .