please can you check my daughters results

[HollyF86]

hi, my daughter has lots of hypo symptoms but keeps being told by the gp her thyroid is normal. I don’t agree that her tsh and ft4 are normal, am I right?

Thank you

[SlowDragon Ambassador]

TSH higher than average and Ft4 very low

As you have autoimmune thyroid disease she definitely needs FULL thyroid including thyroid antibodies and vitamin D, folate, ferritin and B12 tested

Were any vitamin levels tested or cholesterol or GFR

Was thyroid test early morning?

[HollyF86 in reply to SlowDragon]

thank you slow dragon. Her folate are ferritin and tanked at rock bottom. She is currently at university and so under a different doctors while studying. They haven’t even commented on these results or asked her to come back in

Yes the bloods were done early morning

[SlowDragon Ambassador in reply to HollyF86]

So you need to try to explain to her the importance of maintaining GOOD vitamin levels

Test folate, B12, ferritin at least annually

Ideally test vitamin D twice a year

[HollyF86 in reply to SlowDragon]

I have and I’ve asked her to go back for an antibody test and full vitamins test. I will make sure nothings missed… I think I was just wondering if you thought these bloods warranted a trial of levo given she’s symptomatic AND low in iron as a result of her low thyroid

[SlowDragon Ambassador in reply to HollyF86]

She won’t get diagnosed via a GP until had 2 tests with TSH over 5

High thyroid antibodies would help persuade them to start treatment before TSH reaches 10

Starting levothyroxine - flow chart

gps.northcentrallondonccg.n...

Low vitamin levels need regular retesting and maintain at GOOD levels

[SlowDragon Ambassador]

Free T4 (fT4) 13.7 pmol/L (12.6 - 21) 

Ft4 only 13.1% through range

Graph showing median TSH in healthy population is 1-1.5

web.archive.org/web/2004060...