Full Thyroidectomy.: My wife has had a full... - Thyroid UK

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Full Thyroidectomy.

herdy24 profile image
3 Replies

My wife has had a full Thyroidectomy 10 years ago. She has struggled with health problems similar to Hypothyroidism. Lethargy, aches and pains, skin aging depression etc. Her symptoms are increasingly getting worse and more regular bouts of weakness and pain in the joints.

After much reading and doctor visiting she is convinced she requires the T3 drug. She has had two blood tests done and both come back without any mention of T3 levels, only Free T3.

She wants to know where/who will do a Full T3 test.

She realises that the NHS do not want to prescribe it because it can cost £200+ a month and so virtually wash their hands of the problem.

Can anybody direct her to where she could have a test.

With the correct information about her T3 level she can then start battling!

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herdy24
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Jaydee1507 profile image
Jaydee1507Administrator

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.

Often GPs leave us inadequately replaced on Levo, there are also issues with low vitamin levels caused by being hypo. These in turn cause symptoms and we need optimal levels of vitamins for thyroid hormone to work well.

Free T3 is the test your wife needs along with TSH & FT4. If you have those results then do post them along with reference ranges - numbers in brackets after the result.

Its a post code lottery as to if you can get T3 prescribed on the NHS. Its not always ideal anyway as long wait times to see an Endo & then Endo's want TSH within range which doesnt work well with combination treatment. Private if possible is often better sadly.

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.

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.

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.

pennyannie profile image
pennyannie

Hello Herdy and welcome to the forum :

When you say she has had 2 blood tests done - can you share with forum members what exactly was tested -

is there a TSH - Free T3 - Free T4 - reading and range ?

In order to understand the Free T3 reading we do need to see it in context to the Free T4 and TSH :

Sometimes on blood test test results the T3 reading can be expressed / seen as -

a serum Free triodothyronine result and range :

SlowDragon profile image
SlowDragonAdministrator

She realises that the NHS do not want to prescribe it because it can cost £200+ a month and so virtually wash their hands of the problem.

Actually cost of T3 is typically £15-40 per month…..but that’s still substantially more expensive than Levo

what was reason for thyroidectomy?

For full Thyroid evaluation she needs TSH, FT4 and FT3 tested

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

Low vitamin levels are extremely common when on replacement thyroid hormones

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

What vitamin supplements is she taking

VERY important to test TSH, Ft4 and Ft3 together

How much levothyroxine is she taking

Does she always get same brand levothyroxine at each prescription

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...

If normally take levothyroxine at bedtime/in night ...adjust timings as follows prior to blood test

If testing Monday morning, delay Saturday evening dose levothyroxine until Sunday morning. Delay Sunday evening dose levothyroxine until after blood test on Monday morning. Take Monday evening dose levothyroxine as per normal

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...

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