Uncertain

[Welshlady88]

Hello, my TSH has always fluctuated over 30 years. I am primary Hypothyroid currently taking 100 mg each morning. I have an annual blood test at my surgery and also do an annual blood test with Medichecks. The Medichecks test was done this month showing my TSH reading as 0.23 (0.27-4.20) so it's slightly out of the acceptable range. (T4 19.6(12-22),T3 4.2(3.1-6.8)

The suggestion was I go to see my GP, do you think I need to? The reading is just slightly under and I don't want to go to the doctor and feel I should not have taken up an appointment.

I have entered all the vitamin/antibody results on my profile. I have Hashimotos with thyroglobulin antibodies of over 2000.

Many thanks for your valued advice.

[greygoose]

Well, I wouldn't, if I were you. TSH is the least important number. And it's low because your FT4 is high-ish. But nothing to worry about. These Medichecks doctors are not thyroid experts, just common or garden GPs, who know no more about thyroid than any other average GP. So, I would just ignore it if I were you.

[Welshlady88 in reply to greygoose]

Thank you Grey Goose

[greygoose in reply to Welshlady88]

You're welcome.

[TiggerMe Ambassador]

Free T4 (fT4) 19.6 pmol/L (12 - 22) 76.0%

Free T3 (fT3) 4.2 pmol/L (3.1 - 6.8) 29.7%

T4:T3 Ratio 4.667 

Vitamin B12 105 nmol/L (37.5 - 150) 60.0%

Vitamin D 76 nmol/L (50 - 200) 17.3%

How are you feeling?

Not really interested TSH as the important ones are fT3/4 and these are showing that your conversion has actually improved a little since your Nov 23 results possibly due to an improvement in your B12 levels?

Your Vit D is still a little on the low side at 76 so you could look to up this, magnesium helps with uptake and if you ever suffer from cramp this is a sign your levels are low

Also though improved you could still boost your B12 higher, top of range is good

Your very high antibodies show your thyroid is still under attack and it could be that trying gluten free or cutting out dairy could help to calm this down