march bloods now all in range : I don’t know... - Thyroid UK

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march bloods now all in range

Twixandolive profile image
17 Replies

I don’t know what to do now

So my feb thyroid results and now my march results so different and in range

the t3 is a massive jump

All done same lab

Same time of day 8:15 fasted

Same point in cycle day 14

I have all the symptoms

On paper GP is going to say I am now back to normal and it was a blip

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Twixandolive profile image
Twixandolive
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17 Replies
SlowDragon profile image
SlowDragonAdministrator

as discussed in your previous post

healthunlocked.com/thyroidu...

Looking at some degree of central hypothyroidism

Are you now improving low B12 and folate

Are you being treated by thyroid specialist endocrinologist

Twixandolive profile image
Twixandolive in reply toSlowDragon

I don’t know what to do now

Not started and supplements yet

No I am seeing a private gp

Not started the 25mg Levo yet

The jump of Ft3 is huge gone from right at bottom to almost at the top

fT4 hovering low end

I don’t know what to do and I doubt my gp will either

SlowDragon profile image
SlowDragonAdministrator in reply toTwixandolive

Levels often hop about with Hashimoto’s

You could work on improving low B12 and folate first

Retest thyroid levels again in another 6 weeks

Then review

Twixandolive profile image
Twixandolive

so not take Levo now

Re test in 6 weeks

Same lab same time ect and see what it’s doing?

My bloods don’t show signs of any autoimmune Hashimoto

My thyroid scan also all healthy

SlowDragon profile image
SlowDragonAdministrator in reply toTwixandolive

You don’t appear to have had thyroglobulin antibodies tested

TPO 28 range 0-60

ThAB 1 range positive more 4.5 neg less than 4.5

This looks like Trab test - testing for hyperthyroid

You need Thyroglobulin antibodies test

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...

Or use Medichecks or Blue horizon and pay for private blood draw

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

TPO antibodies often reduce on gluten free diet

Your other health issues include autoimmune disease

helvella profile image
helvella

When converted to the same units, the results become:

February:

Free T4 (fT4) 11.67 pmol/L (11.91 - 20.0111) -3.0%

Free T3 (fT3) 2.1198 pmol/L (3.1029 - 6.8049) -26.6%

T4:T3 Ratio 5.505 

March:

Free T4 (fT4) 13.0  pmol/L (12 - 22) 10.0%

Free T3 (fT3) 5.59 pmol/L (3.1 - 6.8) 67.3%

T4:T3 Ratio 2.326 

Twixandolive profile image
Twixandolive in reply tohelvella

What does this actually mean?

Have I got a thyroid problem I have all the symptoms

Thanks crystal

helvella profile image
helvella in reply toTwixandolive

It means your FT4 is low. But your FT3 has risen and could be acceptable. But we are all different and might need our levels higher or lower than each other.

Are you taking anything at all? Whether thyroid hormone or anything else.

Tina_Maria profile image
Tina_Maria

Your February results show that your T4 and T3 are very low, despite your TSH not being elevated much, this is unusual in itself. For the March results, your T4 is still quite low, but there is a jump in T3. Sometimes, when a thyroid is failing, it can compensate for the lack of T4 by producing more T3 but the TSH appearing normal despite your T4 only being 10% through the range does not look right.

I think you should ask for a referral to an endocrinologist, preferably someone that may have experience in central hypothyroidism?

Twixandolive profile image
Twixandolive in reply toTina_Maria

My FT4 has been low since 2021

TSH 2.57 range 0.27-4.2

fT4 13.2 range 12-22

Ft3 4.6 range 3.1 -6.8

Tsh 2.31 range 0.27-4.2

FT4 12.8 range 12-22

Tested twice in one year convinced something was wrong

Both times told I was in range

So I have clearly had Low FT4 for while now

And it’s starting to fluctuate more and give me stronger symptoms

Specially with my FT3 all over the place

Tina_Maria profile image
Tina_Maria in reply toTwixandolive

That is a long time for being unwell and having symptoms. The problem is, as long as everything is anywhere within those ranges, GPs are not interested and tell you all is normal and you should feel okay.

If you cannot get referred to an endocrinologist by your GP, could you perhaps see one privately? I have found a publication in the BMJ that lists the things that should be tested when looking for central hypothyroidism, maybe something to keep at hand, if you manage to get an appointment with an endocrinologist?

bestpractice.bmj.com/topics...

Sasah profile image
Sasah

Are you on medication ATM? Are are you wantingbto start Levo based on your first result?

Twixandolive profile image
Twixandolive in reply toSasah

Not starting Levo yet so on no meds currently

My gp prescribed Levo 25mg after Feb thyroid bloods

I then got March bloods which have changed

So now thinking test again April see if it changes again

Sasah profile image
Sasah in reply toTwixandolive

Why did you do blood in the first place. You not had a thyroid op? X

Twixandolive profile image
Twixandolive in reply toSasah

No

I had Curley veins noted at optician

I then went for tests at gp to check

Blood pressure mine is low

Then bloods came back high cholesterol

Low b12 low folate low iron not deficient but all boarder line low

I then decided to to a full body blood test private and this is how I found the thyroid tests done Feb to be low Ft4 low FT3 TSH low end normal

I have had all the symptoms for many years

Low blood pressure

Poor circulation already had veins done in left leg pins needles edema swelling ankles

Raynards feeling cold cold hands feet

Constipation bloating indegestion

Tried fatigue if I work out I can’t do anything else

Low heart rate which then spikes doing any exertion

Poriassis scalp dry itchy skin

Beaus lines and lines up and down across on toes nails fingernails

Scalloped tongue

Eyes browns thinning

Feeling low unmotivated emotional forgetful can not focus concentrate

Poor sleep even though I sleep 8 hours I am very restless and my sp02 dips so I don’t re charge for the amount of time I am in bed

My periods always we heavy painful had ablation

Andeiimiosis and endo

Low sex drive it’s zero my testosteron is low

🫣😬😂

Sasah profile image
Sasah in reply toTwixandolive

Have the meds helped. Do you feel like you need a higher dose of levo.

Twixandolive profile image
Twixandolive in reply toSasah

I am not on meds yet

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