Advice on blood test please.

[Almonds56]

For over 8yrs I have had

Fatigue

Joint pain especially hip

Low mood

Hot sweats

All put down to menopause. Then fibromyalgia.

not on any medication.

Anxiety has suddenly increased and itchy skin especially on my back at night. Easily fatigued.

strangle tingling on the top of my feet. Feel generally out of sorts.

I work part time and am active.

Good diet.

Exercise, cycling and Pilates twice a week.

[Sleepman]

I presume you are not diagnosed with Thyroid issues or on thyroid replacement ?

Did you get a TSH number results - this is a useful thyroid number at start

TPO is thyroid antibody (on off) that NHS test and is useful to know.

Tingling toes - I would be checking B12 levels

I was cold with underactive thyroid

On your thyroid bloods results - you seem normal to me

Your T3 / triiodothyronine is about 50% which is good and normal

Your T4 was around 30% not too bad

[SlowDragon Administrator]

welcome to the forum

Joint pain ….often low vitamin D

Sweats, especially at night low B12

Anxiety often hypothyroid symptom

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

What vitamin supplements are you taking

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

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Request GP retest including thyroid antibodies and vitamins

Or

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...