TSH RESULTS LAB please Comment

[Dogsaregods__]

HiI've finally got my thyroid results from nhs GP.

Can anyone give me feedback on this or comments.

THYROID STIMULATING HORMONE (KIR186)- Normal Serum TSH level 0.71 mIU/L (RANGE 0.35-4.94mIU/L

Comment - Euthyroid or adequate replacement.Rarely, patients with putuitary/hypothalamus hypothyroidism can have a normal TSH

!LIVER FUNCTION TESTS -acceptable

! Serum total protein 62 g/L (RANGE 64.00-83.00g/L)

Serum albumin 36g/L (RANGE 35.00-50.00g/L)

Serum ALT level 12 U/L (RANGE 10.00-35.00 U/L)

Serum alkaline phosphatase 47 U/L (RANGE 40-150.00 U/L)

Serum bilirubin level 9 umol/L (RANGE 0.00 -21.00 umol/L)

Serum globukin 26 g/L (RANGE 20.00-39.00g/L)

B12. 684pg/mL. (RANGE 187.00-883.00pg/mL)

[SlowDragon Administrator]

Just testing TSH is useless

You need TSH, Ft4 and Ft3 together

Plus folate, vitamin D and ferritin

What vitamin supplements are you taking

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...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

Only do private testing early Monday or Tuesday morning.

Tips on how to do DIY finger prick test

support.medichecks.com/hc/e...

as you know your hypothyroidism is autoimmune you could use this test

Monitor My Health (NHS private test service) 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...

[Dogsaregods__ in reply to SlowDragon]

Sorry yes meant to add as these done too..T4 12.3 (9.01-19.05 pmol/L) T3 3.7 (2.63-5.70pmol/L)

[SlowDragon Administrator in reply to Dogsaregods__]

Was test at around 9am and last dose levothyroxine 24 hours before test?

Free T4 (fT4) 12.3 pmol/L (9.01 - 19.05) 32.8%

Free T3 (fT3) 3.7 pmol/L (2.63 - 5.7) 34.9%

Assuming yes

Shows you are not on high enough dose levothyroxine

how much levothyroxine are you taking

How long at that dose

Are you ensuring you take same dose everyday and on empty stomach, then nothing but water for at least an hour after

Likely low vitamin levels

You need to test vitamin D, folate and ferritin

Exactly what vitamin supplements are you taking

[Dogsaregods__ in reply to SlowDragon]

Thanks for swift reply.Been on Levothyroxine since mid 30s?.

Am now 52.Always been o. 150mg but started 175mg TODAY (!) ..

I only took the taking it with water and an hour before breakfast serious about a year ago...usually had a cup of coffee very soon after...now decaf since Feb this year.

Had fomate and f also..these were

folate - 7.8 (3.10-20.50 ng/mL)

Ferritin 84 (20-204 ng/mL)

What are your thoughts on my liver function results?

I Didnt have vit D tested but I take D3 4000iu and K2 100iu each morning plusVit C 1000mg with zinc turmeric and black pepper and a b12 oral spray 1200iu and been doing this since pandemic more or less.I don't drink enough water as I forget to..how much is enough?I work outside as a Gardener.

I also take magnesium each night 440mg

[SlowDragon Administrator in reply to Dogsaregods__]

When were folate and ferritin tested

Recently?

Ferritin is good

Folate is low

Suggest you add a good quality daily vitamin B complex

supplementing a good quality daily vitamin B complex, one with folate in (not folic acid)

This can help keep all B vitamins in balance and will help B12 levels too

Retest vitamin levels along with thyroid levels 6-8 weeks after increasing levothyroxine

once your serum B12 is over 500 (or Active B12 level has reached 70), you may be able to reduce then stop the B12 and just carry on with the B Complex.

If you have been taking separate B12, likely to be able to do this after next test

B vitamins best taken after breakfast

Igennus B complex popular option. Nice small tablets. Most people only find they need one per day. But a few people find it’s not high enough dose and may need separate methyl folate couple times a week

Post discussing different B complex

healthunlocked.com/thyroidu...

Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule) Thorne can be difficult to find at reasonable price, should be around £20-£25. iherb.com often have in stock. Or try ebay

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) and continue separate B12 until B12 over 500 (or Active B12 over 70)

Post discussing how biotin can affect test results

healthunlocked.com/thyroidu...

helvella.blogspot.com/p/hel...

[SlowDragon Administrator]

Test vitamin D at least annually along with thyroid and folate, B12 and ferritin

Vitamin D test via NHS private testing service

vitamindtest.org.uk

Monitor My Health (NHS private test service) 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...