Help interpreting results

[Pastapants]

Hi everyone,

I recently had bloods done due to low mood (especially around cycle), fatigue, low libido and generally feeling a bit spaced out and just not right.

I have attached my results. I have been put on folic acid due to low folate but 2 months in, I don’t feel it is doing anything. They asked to repeat thyroid function as T4 was on the low side (see attached) which they will do in 3 months.

I will say I take 100mg of Sertraline so I don’t know if this is impacting. I just feel like I have to constantly battle to be heard 😔the GP has said no need to repeat folate as 3 months of the folic acid would resolve. My mum has under active thyroid as does my aunt and presented similarly.

[Regenallotment Ambassador]

What time of day was your blood test? Was it 8.18 as it says on the sheet?

Euthyroid people tend to have TSH nearer 1. Your result shows your pituitary is shouting to the thyroid to produce FT4, and the thyroid isn’t producing enough.

Ask them to test antibodies TPO and TgAb.

Hypothyroidism does run in families.

NHS unlikely to test FT3 but it would be useful to know yours as your FT4 is out of range. Randox on Amazon have an offer on, finger prick, or Medichecks or monitor my health.

Your symptoms are definitely linked to this, poor thing. Might be worth asking for a trial of Levo and see what they say. 🌱

[Pastapants in reply to Regenallotment]

thank you for the kind reply; I could cry reading it as I feel as though for years my symptoms have been put down to my OCD and anxiety when actually I have done so much work on these and it does feel physical. I feel dizzy a lot too and almost not in my body if that makes sense.

Weirdly enough I was looking at private tests earlier on medichecks so will give this a go! Yes test was in morning around 8:10. Thank you so much

[SlowDragon Administrator]

I would definitely get FULL thyroid and vitamin testing including BOTH TPO and TG thyroid antibodies

you need TSH, FT4 and FT3 tested

Also both TPO and TG thyroid antibodies tested at least once to see if 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

For good conversion of Ft4 (levothyroxine) to Ft3 (active hormone) we must maintain GOOD vitamin levels

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

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

[Pastapants]

thank you for the detailed post as it can all be confusing 😔I did have b12 etc checked too and they said within normal range (above) but I will let look at getting the full thyroid check! Thanks

Na

[Regenallotment Ambassador in reply to Pastapants]

Ferritin on the floor, common in hypothyroidism, this will make you feel dreadful.

Did they run a full iron panel? They should

It would be good to know if you have anaemia or IDWA (iron deficiency without anaemia) which is when iron is normal but ferritin is low both have similar symptoms and similar treatment though ask the doc about this.

If it is IDWA, I recommend Three Arrows heme iron, or add liver/dark green veg to diet twice a week. (Although my ferritin was higher than yours at the start and diet was only partly successful because I have fibroids and heavy bleeding). Are you veggie or vegan?

[Pastapants in reply to Regenallotment]

Thanks so much; I hadn’t even noticed the Ferritin was only 15 - I just read that it was in normal range 😔I’m not veggie/vegan - I probably have meat most days. I don’t think they did a full iron panel although I’m not sure - b12 was tested. I am going to get supplements tomorrow!

[Pastapants]

these are the others I had

Also had these but unsure what they all are!

[Regenallotment Ambassador in reply to Pastapants]

TiggerMe knows about these I think, tagging to get help 😊