Sub clinical hypothyroidism : Hello. My name is... - Thyroid UK

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Sub clinical hypothyroidism

squashabe profile image
13 Replies

Hello. My name is Adrian and I'm looking for help and advice. I'm currently being monitored for sub-clinical hypothyroidism. My blood test in February 2025 had the following readings.Serum TSH 6.48

Serum free T4 14.3

April 2025

Serum TSH 6.36

Serum Free T4 15.0.

I have to have another blood test in 3 months.

I currently don't take any medication for my health.

I'm just checking if there is anything I can do to lower my TSH level to avoid medication or is it inevitable that it will continue to rise?

Thanks

Adrian

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13 Replies
SlowDragon profile image
SlowDragonAdministrator

GP should have done more extensive testing at April test

They should have tested thyroid antibodies and vitamin levels

What symptoms do you have?

Were both tests done early morning

Is there autoimmune disease in your family?

Are you currently taking any vitamin supplements, if yes….what exactly

Would recommend getting FULL thyroid and vitamin testing initially via either Medichecks or Blue Horizon as they include BOTH TPO and TG antibodies

ALWAYS test early morning, ideally just before 9am, only drink water between waking and test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

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...

IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endocrinenews.endocrine.org...

In days 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

Low vitamin levels are extremely common with low thyroid hormone levels

Can be chicken and egg…..low vitamin levels lead to low thyroid levels

Low thyroid levels result in even lower vitamin levels

Spiral downwards

First step is to see EXACTLY what is going on

squashabe profile image
squashabe in reply toSlowDragon

Hello and thanks very much for your detailed reply and links. The test in February was in the afternoon and the one in April was at 9:20 in the morning. The only symptoms I have is that I sometimes feel the cold, but I thought that was down to having little body fat. I don't think there is any family history of autoimmune disease and I don't take vitamins.

I exercise regularly and I think that I eat a good diet, but I was stopped from giving blood once due to a low iron level. I don't give blood now. I'll do what you suggest and go for Thyroid and vitamin testing.

I've been looking into taking vitamins and I understand that B12 may be worth taking, but I suppose I should wait until I have the above tests.

Thanks again for your help.

Regards

Adrian

SlowDragon profile image
SlowDragonAdministrator in reply tosquashabe

GP could have started you on levothyroxine after 2 tests with TSH over 5 and they definitely should have tested thyroid antibodies and vitamin levels in April

Always test FIRST before starting any vitamin supplements

Come back with new post once you get results

squashabe profile image
squashabe in reply toSlowDragon

I will and thanks very much for your help

DippyDame profile image
DippyDame

How do you feel ?

It is probably inevitable that you will need replacement thyroid hormone for lifr ..but correct testing first!

Please can you add reference ranges to these results.

That looks like hypothyroidism....full stop!

3 months is a long time to wait if you feel unwell

Your GP should be acting now!

I would also want an FT3 test but that might be too complicated for the GP!

This a basic affordable test

monitormyhealth.org.uk/thyr...

thyroiduk.org/testing/priva...

In addition optimise vit D, vit B12, folate and ferritin to support thyroid function

squashabe profile image
squashabe in reply toDippyDame

Hello and thank for your help. The reference range for Serum TSH is 0.3 to 4.5 and for Serum free T4 it's 11-22I don't have any symptoms

I'll arrange for the Thyroid and Vitamin testing and I'll report back when I have the results.

Thanks again

Regards

Adrian

DippyDame profile image
DippyDame in reply tosquashabe

The results will help to find the answers!

Tina_Maria profile image
Tina_Maria in reply tosquashabe

It is good that you currently don't have any symptoms, although feeling cold can be related to the low thyroid hormones, as your body literally has less 'fuel'; thyroid hormones are the key element for your metabolism.

Also, even though you don't seem to have many symptoms at present, please bear in mind that thyroid hormones are involved in many processes in our body and if levels are too low for too long, this can lead to further imbalances.

For example, thyroid hormones are involved in immunity, so low hormones could lead to more frequent infections. They are also involved in the processing of lipids and glucose, so if you have less thyroid hormones available, cholesterol and glucose levels can rise, as the liver will struggle to process these dietary components. And last but not least, thyroid hormones regulate the production of serotonin and noradrenaline in your brain, and if levels of these neurotransmitters are too low, you could experience anxiety or depression.

Even though you still feel okay at present (which is great), this may not stay this way and why you should be investigated further so you can correct your low thyroid hormone levels to prevent further damage.

squashabe profile image
squashabe in reply toTina_Maria

Hello and thanks for your message. I will arrange for Thyroid and Vitamin testing and try to get to the bottom of why my TSH reading is high. I've looked at the symptoms that can be expected with a high reading and the coldness appears to be the only obvious symptom that I have. My last cholesterol reading was 4.8 and 4.5 before that. Blood pressure was 144/80 and 142/80 in January. I don't take any medication and I would prefer not to, but if it's the only way to control my Thyroid, then so be it.

I'll be back in touch when I have my results.

Thanks again for your help.

Regards

Adrian

AKatieD profile image
AKatieD

RTo answer the point about prevention, there does not seem to be a way of changing your lifestyle or adding supplements that stops this disease.

If the cause is autoimmune (you find out by testing thyroid antibodies), there will not be an accepted cure or treatment (by g.p.s especially).

Some say that Low Dose Naltrexone (LDN) damps down the immune response. But you would not find a g.p. who knows about it or would prescribe, so you would need to pay private consultation and prescription charges. The result is uncertain too, it may help or may not.

There is a US thyroid FB group that claims people who are being treated for thyroid disease can stop taking it, but I thought it was fake so paid no attention

The chances are you have a progressive illness that will require lifelong treatment, which if you are very lucky the NHS may do ok by, if not come back here...

P.s hope you are enjoying your squash.

squashabe profile image
squashabe in reply toAKatieD

Thanks very much for your message and advice.I'm afraid that my squash days are over due to a damaged knee, but it doesn't stop me swimming and going to the gym.

Thanks again

Regards

Adrian

elwins profile image
elwins

just follow good advice on this site they know what they are talking about.

squashabe profile image
squashabe

Thanks. I will be back in touch when I have my Thyroid and Vitamin results.Regards

Adrian

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