Concerned thyroid

[Leanne19862]

I have been feeling unwell lately, extreme exhaustion, weigh loss 7% and various other symptoms. I have a thyroid nodule that is 2.7cm

my tsh was 1.2

T4 12

Mean corpusc. haemoglobin(MCH) 31.8

Serum transferrin 1.87

Serum adjusted calcium conc 2.3

Erythrocyte sedimentation rate 2

HbA1c(diagnos ref rnge)IFCC st: 38

everything else seems well in range on other tests results.

I know some of these are in range but I feel awful.

I have ordered a medicheck test to check thyroid antibody’s so hoping that will help.

Any advise appreciated

[Jaydee1507 Administrator]

Welcome to the group. If you could complete your profile it helps members understand your thyroid journey so far and be able to advise you better. Click on your image icon to start. Fill out the free text box at the top.

Please add reference ranges for FT4 inparticlar. Ranges vary between labs so are important to quote.

Do you have any vitamin results - ferritin, folate, B12 & D3?

Often low vitamin levels can affect TSH level so its good to check them as well as thyroid hormones.

What time did you have this thyroid test taken? TSH varies throughout the day and is highest at 9am or earlier.

[Leanne19862 in reply to Jaydee1507]

many thanks for your reply. I think I have now completed my profile.reference ranges for the following

TSH range (0.4-5) my result 1.2

FT4 range (9-19) my result 12

Serum ferritin range (5-204) my result 90

Serum folate range (3.1-20.0) result 10.1 however this result in March was 2.7

Serum vitamin B12 range (189-883) my result 562

I don’t think I have had D3 done my bloods were done at 3pm

[SlowDragon Administrator in reply to Leanne19862]

TSH would have been much higher testing at 8-9am

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test (if on levothyroxine 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.

Just TSH, Ft4 and Ft3 test - £32

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...

What vitamin supplements are you taking

Can test via NHS private testing service

vitamindtest.org.uk

[Leanne19862 in reply to SlowDragon]

I’m not taking any vitamin supplements as I didn’t want it to interfere with any blood tests

[SlowDragon Administrator in reply to Leanne19862]

Come back with new post once you get vitamin D result

[Jaydee1507 Administrator in reply to Leanne19862]

TSH varies throughout the day, its highest at 9am or earlier. Your TSH would have been higher had you tested earlier in the day.

For your Medichecks test, test at 9am, fasting and no biotin supplement (usually a B complex) for 4-7 days before the test.

Your vitamins arent too bad, although B12 is a serum test and isnt as accurate as an active B12 test.

NHS easy postal kit vitamin D test £31 via

vitamindtest.org.uk

[Leanne19862 in reply to Jaydee1507]

The doctors should say take the blood test in the morning. I done my medichecks blood test at 7am I should have the results of that any day now.

[Jaydee1507 Administrator in reply to Leanne19862]

Doctors often dont pay any attention to these details or even know about them which is where patient groups like this come in.

[JoBarr31]

So sorry to hear you’re feeling unwell. Have you considered that there may be something else causing this? Ie emotional stress etc?

In my experience (of previously being diagnosed with Ulcerative Colitis and Hashimotos) both were preceded by very stressful events. I only reversed UC and managed symptoms of Hashis when I got to the root of what was causing them to begin with.