blood results

[Baileyleigh123]

hi can anyone have a look at these results for me please apparently there’s something wrong with the tsh level just having to wait for doctor to ring me if anyone knows what id appreciate your input thankyou

[FallingInReverse]

There should be a range for each of those results. Do you see anything - maybe to the right of where the pic has been cut off - with numbers showing was the range is for that TSH?

Also, are you experiencing any symptoms ?

[Baileyleigh123 in reply to FallingInReverse]

there it is sorry x

X

[FallingInReverse]

The meaning of your TSH has a lot of feedback in your past post.

Can you tell us what’s changed since this post?

healthunlocked.com/thyroidu...

[Baileyleigh123 in reply to FallingInReverse]

I was on 175 mg of levothyroxine but I put it back up to 200 mg as I was feeling tired all the time I’ve also noticed that my fingers keep going white at the ends and slow dragon said my iron levels looked low could that be the cause of that thanks x

[FallingInReverse in reply to Baileyleigh123]

I know it’s been recommended to get your FT3.

To confirm iron, make sure you get a full iron panel (importantly transferrin saturation percent , but the others as well at the same time).

[Baileyleigh123 in reply to FallingInReverse]

I don’t think they’ve ever done my ft3 x

[FallingInReverse in reply to Baileyleigh123]

You really need an FT3 done at the same time at least as TSH and FT4.

Especially on your high Levo dose and OK ft4.

Regards to iron, hair falling out and fatigue is also a symptom of low FT3. And your ferritin isn’t dire. So to unpack your iron situation you’ll need a full iron panel.

Suggest private testing if you can’t get the NHS to do.

[Baileyleigh123 in reply to FallingInReverse]

thankyou I will and I will see what the doctor says tomorrow xx

[FallingInReverse in reply to Baileyleigh123]

Good luck! Let us know how it goes!

[Baileyleigh123 in reply to FallingInReverse]

I will thanks again x

[SlowDragon Administrator]

GP will say TSH is too low and will most likely want to reduce your dose levothyroxine

You don’t have to agree to this

On levothyroxine TSH is often low.

Was test done early morning, ideally before 9am, only drinking water between waking and test and last dose levothyroxine 24 hours before test

There’s no Ft3 result

Your low saturation iron result suggests your iron is low

No vitamin D

What’s range on folate

What vitamin supplements are you taking

How much levothyroxine and do you always get same brand levothyroxine at each prescription

[Baileyleigh123 in reply to SlowDragon]

I always get the same brand levothyroxine i take a vitamin b complex and I was taking vitamin d but stopped it because it said it could make you have to much calcium in your body , im always tired lately so i did wonder if that could be low iron as my hair was also falling out again im on 200 mg of Levo folate range is 3.00 - 20.00ug /L and the other number is 10.6

[SlowDragon Administrator in reply to Baileyleigh123]

Request GP do full iron panel including ferritin

Hair loss often linked to low iron

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

If taking any iron supplements stop 5-7 days before testing

Medichecks iron panel test

medichecks.com/products/iro...

ESSENTIAL to test TSH, Ft4 and Ft3 together

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

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

Just TSH, Ft4 and Ft3 test - £32 NHS lab

monitormyhealth.org.uk/thyr...

10% off code here

thyroiduk.org/testing/priva...

Monitor My Health also now offer thyroid and vitamin testing, plus cholesterol and HBA1C for £65

(Doesn’t include thyroid antibodies)

monitormyhealth.org.uk/full...

10% off code here

thyroiduk.org/testing/priva...

Randox

FULL thyroid test including both thyroid antibodies just £29

Test at home or in clinic

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

Is your hypothyroidism autoimmune?

Are you on dairy free or gluten free diet

Most patients on levothyroxine need to supplement vitamin D continuously

Test twice year

NHS private testing service

vitamindtest.org.uk

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.

There’s a version made that also contains vitamin K2 Mk7.

One spray = 1000iu

amazon.co.uk/BetterYou-Dlux...

It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average

Vitamin D may prevent Autoimmune disease

newscientist.com/article/23...

Web links about taking important cofactors - magnesium and Vit K2-MK7

Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Recipe ideas

bbc.co.uk/food/articles/mag...

Interesting article by Dr Malcolm Kendrick on magnesium

drmalcolmkendrick.org/categ...

Vitamin K2 mk7 helps direct extra calcium into bones

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

[Baileyleigh123 in reply to SlowDragon]

Thankyou your so knowledgeable x

[SlowDragon Administrator]

Comprehensive list of references for needing LOW TSH on levothyroxine

healthunlocked.com/thyroidu....

onlinelibrary.wiley.com/doi...

If symptoms of hypothyroidism persist despite normalisation of TSH, the dose of levothyroxine can be titrated further to place the TSH in the lower part of the reference range or even slightly below (i.e., TSH: 0.1–2.0 mU/L), but avoiding TSH < 0.1 mU/L. Use of alternate day dosing of different levothyroxine strengths may be needed to achieve this (e.g., 100 mcg for 4 days; 125 mcg for 3 days weekly).

If GP says " I have to reduce your dose because the guidelines say i can't let you have a below range TSH" .....

The first paragraph in the NICE (NHS) Thyroid Disease, Assessment and Management guidelines says :

nice.org.uk/guidance/ng145

"Your responsibility

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. "

High Cholesterol suggests your Ft3 is low - improving low vitamin levels to improve conversion of Ft4 (levothyroxine) to Ft3 is first step

And then retest in another 2-3 months

[Baileyleigh123 in reply to SlowDragon]

Thankyou which vitamins should I improve and thanks for the reply x

[SlowDragon Administrator in reply to Baileyleigh123]

get full iron panel test

Test vitamin D

Folate and B12 are good as you take a vitamin b complex

Remember

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)