Partner poss hyper? Very confusing test results - can anyone help please?

[Opal79]

Hello I'm posting on behalf of my partner, who just had these medichecks done. I'm also hypothyroid, hashi and have P.A and cortisol issues which have all affected my vit/min absorption so I've been worried about him for ages.

For the last few years he's become extra tired and achy, he's put on loads of weight. He's my full time carer as I've been very ill, and we have alot of stress and about to be moved from mould. Even so I'm not sure what has caused what.

He has also had raised ALT the last 3 years, (untested this yr) and for the 1st couple of years he was taking Sertraline meds, so assumed it was those and he eats very healthy on the whole, with some treats but nothing like the sugar fiend he used to be many years ago!

Anyway last year he started getting horrible blood sugar crash spells a couple hours after eating - it feels like hes in a rapidly dropping lift and has to gorge on food to stop from the feeling of passing out. Cold sweats and trembling. Has now been dx with Reactive Hypoglycaemia (where pancreas produces too much glucose in one go after eating) and so not diabetic. All HBA1C (sp?) tests have been good. But I have since read you need fasting glucose tests too for more clarity? About 10 years ago in one of his v active jobs he also had a few RH spells too but the past year has been awful. He tries to treat with higher protein diet etc but told there's no cure apparently, no cause they know of. I'm trying to find out any connection with thyroid and/or P.A as liver enzymes likely still high, tho gp is rubbish and does think an issue, and of course pancreas is Endocrine.

His results today as follows. He fasted and drank only water, took at 8.30am -

CRP HS - 2.05 mg/L (<3)

Ferritin - 120 ug/L (30 - 518)

Folate - sample error!

Active B12 - 102 pmol/L (37.5 - 187.50)

Vitamin D - 30.5 nmol/L (50 - 250)

TSH - 2.38 miU/L (0.27 - 4.2)

FT4 - 15.5 pmol/L (12 - 22)

FT3 - 7.1 pmol/L (3.1 - 6.8)

Tgab - 13.7 kIU/L (0 - 115)

Tpoab - <9 kIU/L (0 - 35).

To my novice eyes and going by own experience, it's looking like may be hyperthyroid and Medichecks dr said that too but it could be transient and to test in 3 months - and his TSH and FT4 were ok but I'm not so sure?

He does have *hypo* and high cholesterol in his wider family too, also type 1 diabetes and P.A. I wouldn't be surprised if his mum has hashi and /or hypo, she won't be tested though. Her sister (so my partners auntie ) has hypo and P.A though. I wouldn't say optimally treated either sadly .

I know very little about hyper, but Im guessing it would explain his terrible vit D, I also think his ferritin could be higher. Mine always needs to be optimal along with other cofactors especially with P.A.

Wonder about iron panel maybe needed too? And such a shame folate didnt process but last year on GP test was only about 8 so def not optimal. Inclined to think he's hyper hence low on so many vitamins poor guy.

Also wondering if it could well be mould too causing issues? As we've lived in it 9 years and finally being rehoused in next few weeks! I was hypo and had P.A prior to this I think but mould def hasn't helped me. But with his family history I fear the mould may not be to blame for him too.

Active B12 looks good I think tho, having said this as i know full well active B12 isn't definitive either, and intrinsic factor and other tests are needed etc. P.a can hide, as mine did and a private B12 and iron specialist dx me last year, where the GPs failed me (like thyroid!).

His thyroid antibodies are good but mine were also good when I was first diagnosed hypothyroid 2 years ago.... but have since flared at other testing times so finally dx hashi last year. So I don't trust that he could have had lower antibodies during testing and needs subsequent tests while flaring. Which is ofc hit and miss .. just wondering what and when?

Sorry for onslaught of info as I'm so ill rn but just incase anyone can advise please? I will get him on the same Vit D protocol as me and folate too... maybe some spatone or something to increase ferritin? Would getting vits sorted help at mo and see if helps FT3 level later on? Am so confused as don't know what to expect with hyper. Thanks so much if you read all this 🙏