Blood result in a&e

[Bobbbyboy]

Morning all, I have been struggling for the last year with fatigue memory problems and multi nodular goitre. My GP has been uninterested so I was going to get private tests on T3 and T4 following advice on here. I have ended up in a&e with palpitations, high heart rate and b/p. My notes have been uploaded and the hospital had actually taken my T4 and the result says Ft4 11.3 but without any range. Does mean anything to anyone or would I need to find out what the range is. Thank you on advance

[tattybogle]

you do need to know the range .... some fT4 ranges are [12-22] some are [7.9-14 ] and there are several others .

11.3 would be below range if 12-22 , but would be mid-range if 7.9-14

[Bobbbyboy in reply to tattybogle]

Thank you, really appreciate your advice

[SlowDragon Administrator]

Suggest you get FULL Thyroid and vitamin testing asap

Looking at your previous post showed extremely low vitamin D

Now finished loading dose vitamin D on prescription

How much vitamin D are you now taking

Retest vitamin D twice a year

Ferritin was also deficient

You MUST have full iron panel test for anaemia

And B12 and folate must be tested

Low vitamin levels are direct result of being hypothyroid

Are you on any replacement thyroid hormone yet?

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

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

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