hi all these are my recent blood results as ever GP wouldn’t test T3 or T4 only TSH the reason I went to GP is that intermittently I keep getting a strange feeling in my throat/thyroid area. I have hypothyroidism and both types of ant bodies so presume I have hashimotos I am on 100mcg of Levo and have been diagnostic for approx 15 years in which time I have had a couple of thyroid scans which showed no nodules or anything but my thyroid was described as being like a shrivelled up walnut!
This community are amazing and just wondered if my bloods look ok and if anyone has suffered from this strange feeling in their throat and what cured it did them. My GP says everything is fine so no further action but I’m still getting this strange sensation every now & then and not sure what to do next.
Have previously tried the at home private blood test but couldn’t get collect enough blood for the company to be able to test and they refunded me my money any advice from you knowledgeable people greatly received thankyou in advance 😊
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Do you always get same brand Levo at each prescription
Highish cholesterol suggests lowish Ft3
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 and B12 at least once year minimum
Ferritin is okish
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
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 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
Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption
This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.
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