Help needed with interpreting Blood Test Results please.

[KentLC100]

5th November 2024

Serum TSH level - (amr) - 14.9 mu/L 0.27 - 4.20mu/L

Full blood count - FBC - (amr)

! Haemoglobin estimation 157 g/L 120.00 - 150.00g/L

Total white cell count 9.79 10*9/L 4.00 - 10.0010*9/L

Platelet count 325 10*9/L 150.00 -410.0010*9/L

! Haematocrit 0.484 0.36 - 0.46

! Red blood cell (RBC) count 5.39 10*12/L 3.80 - 4.8010*12/L

Mean corpuscular volume (MCV) 89.8 fL 83.00 - 101 .OOfL

Mean corpusc. haemoglobin(MCH) 29.1 pg 27.00 - 32.00pg

Mean corpusc. Hb. conc. (MCHC) 324 g/L 315.00 - 345.00g/L

Neutrophil count 5.61 10*9/L 2.00 - 7.0010*9/L

Lymphocyte count 2.76 10*9/L 1.00 - 3.0010*9/L

Monocyte count 0.82 10*9/L 0.20 - 1.0010*9/L

! Eosinophil count 0.53 10*9/L 0.02 - 0.5010*9/L

Basophil count 0.07 10*9/L 0.00 - O. 1010*9/L

Nucleated Red Blood Cell Count 0 10*9/L

These results are a repeat test after the test on the 27th September 2024 threw up abnormal results which were exactly the same as the repeat test above.

I was taken off Thyroid meds in June because the GP panicked when seeing a '0' TSH test. Over that time my TSH results have gone from >100 to the result above (14.9) and am still being titrated. When I saw an Endo they requested the GP do more blood tests to make sure that there wasn't any other causes of my tiredness as all the surgery had done in the last 2 years was a TSH test.

I am waiting to talk to the GP about these results, but, would like an informed opinion as to what maybe causing some of the abnormalities.

[Regenallotment Ambassador]

Hello and welcome to the forum.

What dose are you on now and how long have you been on it?

[Jaydee1507 Administrator]

Welcome to the group. If you could complete your profile it helps members understand your thyroid journey so far and be able to advise you better. Click on your image icon to start. Fill out the free text box at the top.

GPs are dreadful for panicking and making excessive changes all at once. The most anyone should change Levo dose by is 25mcgs either way.

Suggest you increase by 25mcgs each 6-8 weeks with a blood test inbetween to check levels.

Hypo people often get low or deficient vitamin levels due to low stomach acid. Occassionally this can scew thyroid results, it also means that your body cant use the thyroid hormone you take.

When hypo we get low stomach acid which means we cannot absorb vitamins well from our food, regardless of a great diet. For thyroid hormone to work well we need OPTIMAL levels of vitamins.

Have you recently or could you ask your GP to test levels of ferritin, folate, B12 & D3? Private tests are available, see link for companies offering private blood tests & discount codes, some offer a blood draw service at an extra cost. thyroiduk.org/testing/priva...

There is also a new company offering walk in& mail order blood tests in London, Kent, Sussex & Surrey areas. Check to see if there is a blood test company near you. onedaytests.com/products/ul...

Only do private tests on a Monday or Tuesday to avoid postal delays.

It's ideal if you can always get the same brand of levo at every prescription. You can do this by getting GP to write the brand you prefer in the first line of the prescription. Many people find that different brands are not interchangeable.

Always take Levo on an empty stomach an hour away from food or caffeine containing drinks & other meds. Many people find taking it at bedtime works well for them.

Do you do tests as per the protocol recommended here?

Recommended blood test protocol: Test at 9am (or as close as possible), fasting, last levo dose 24hrs before the blood draw & no biotin containing supplements for 3-7 days (Biotin can interfere with thyroid blood results as it is used in the testing process).

Testing like this gives consistency in your results and will show stable blood levels of hormone and highest TSH which varies throughout the day. Taking Levo/T3 just prior to blood draw can show a falsely elevated result and your GP/Endo might change your dose incorrectly as a result.

I dont have enough experience to comment on the full blood count. Do you have any vitamin test results?