FULL THYROID PANEL: Can someone point me in the... - Thyroid UK

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FULL THYROID PANEL

D911 profile image
D911
11 Replies

Can someone point me in the right direction of what a NHS full thyroid blood test panel should consist of please? I have Hashimotos

Am finally seeing endo and want to make sure I get the right tests. Its been a while since Ive seen an endo and while since I had a full panel and cant remember.

I did try and search for it without much success.

Thank you

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D911
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11 Replies
GlowCoach profile image
GlowCoachAdministrator

With the NHS it can vary by post code as to what test you might be able to get. Many areas only offer TSH, a few include FT4 as well, rarely if ever FT3.

Recommend getting your own tests in advance with Monitor My Health which is an NHS lab, so your results should be accepted by the Endo.

D911 profile image
D911 in reply toGlowCoach

Thankyou - It doesn’t really matter whether they do the actual test or not - I just want to know what I ‘should’ get in a full panel to test bloods and vitamins etc I’m trying to work out where I am deficient so need to know what one might test in the first place

GlowCoach profile image
GlowCoachAdministrator in reply toD911

In that case you need: TSH, FT4 & FT3

Vitamins: ferritin, folate, B12 (active) & D3.

If you arent supplementing anything then likely you are low or deficient in several & best get them optimal before adding T3 if thats what you need.

SlowDragon profile image
SlowDragonAmbassador

And ideally test BOTH Tpo and TG thyroid antibodies

And cholesterol and cortisol

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)

T3 ….day before test split T3 as 2 or 3 smaller doses spread through the day, with last dose approximately 8-12 hours before test

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 you 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...

Just TSH, Ft4 and Ft3 test - £32

monitormyhealth.org.uk/thyr...

10% off code here

thyroiduk.org/testing/priva...

Randox FULL thyroid test including both thyroid antibodies just £31

Test at home or in clinic

Also available via Amazon

randoxhealth.com/en-GB/at-h...

IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 5-7 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endocrinenews.endocrine.org...

In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg) and continue separate B12 if last test result serum B12 was below 500 or active B12 (private test) under 70:

Mickeydooley profile image
Mickeydooley in reply toSlowDragon

Sorry for jumping in here but what effect does eating have on test results? I know we’re meant to fast but not sure why

tattybogle profile image
tattybogle in reply toMickeydooley

research found eating breakfast can lower TSH by up to 30% in some people (but not in everyone )

so advice to fast removes this potential variable from our test results. and also ensures highest tsh

. .healthunlocked.com/thyroidu.... research details are in 4th and 5th reply to this post

Mickeydooley profile image
Mickeydooley in reply totattybogle

Thank you for the information

SlowDragon profile image
SlowDragonAmbassador in reply toMickeydooley

Ideally……Just don’t have anything other than water between waking and test

As tattybogle explained in some people eating lowers TSH

Also you want to take your morning Levo on empty stomach after blood test

Mickeydooley profile image
Mickeydooley in reply toSlowDragon

Thank you!

Juli_a profile image
Juli_a

Hello I managed to get TSH, FT3, FT4, TPO antibodies and TSH antibodies (also know as TRAB) through the GP but they said no to the vitamins so I had to buy medicheks separately still. You are right to double check what is being ordered, because from my experience these don't come as a package on the NHS.

D911 profile image
D911

Thabkyou all - this is really helpful

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