Finally got some blood test results . Need explaining please.

[BlueKeith]

I've finally got a copy of some blood test results after 2 years. I had blood test because of waking up saturated on a night. Serum tsh level(xaELV) 7.5 mu/L above range

Serum free T4 level(XaERr) 10 pmol/L

Serum c reactive protein level(XaINL) 11mg/L above range

Platelet count 464 above range

Hematocrit(X76tb) 0.409 below range

Monocyte count 1.01 above range

Basophil 0.11 above range

Cholesterol now good but was very high

Doctor wants to see me about it but in 2 weeks .

If anyone can make sense of any of it would be appreciated. Thanks

[Jaydee1507 Administrator]

So your TSH at 7.5 and above range is far too high. 75mcgs Levo is a low dose for a male. Your TSH should be close to 1 and even slightly under.

Did you get your key vitamins tested as advised in your last post?

[BlueKeith in reply to Jaydee1507]

I did mention it to the doctor (about vitamins) initially and he said we are doing a full blood test. I mentioned it the receptionist, she said wait till the 7th to see doctor.

[Jaydee1507 Administrator in reply to BlueKeith]

Well they haven't done a 'full' blood test, but it's probably all you'll get on the NHS. A full thyroid function test includes TSH, FT4 and FT3, NHS almost never does FT3 which is what we need to know if we are converting properly. People in this group buy private tests to show that and get better treatment.

Sounds like you've been given a routine appointment and I would seriously hope they will put your dose up by 25mcgs. You need to push for that if they don't suggest it, night sweats are caused by under replacement.

Try and see a different GP who's less patronising and ask for the vitamin tests. You have an abnormal full blood count and it should be investigated further. If they refuse to test vitamins then you will need to test privately yourself.

[PurpleNails Administrator]

can you add ranges please, needed to interpret accurately.

wouldn’t recent results help you more? or are you fact finding to understand original diagnosis.

Your previous posts show doctor advised you at time you have Hashimoto’s (there are no antibody results were these tested at another time)

I just trying to understand what you need advice on. These are results from 2 years ago - advice on what to do next based on results isn’t what you require.

[BlueKeith in reply to PurpleNails]

These results are recent . I probably worded it wrong. I meant for two years I've been having tests but the surgery has been reluctant to print out results. They were quite accommodating this time . Will rewrite results

[PurpleNails Administrator in reply to BlueKeith]

I should have realised. Your TSH too high / above range & FT4 low is range.  

Definitely merits a dose increase, then retest in 6-8 weeks. 

High CRP likely due to having Hashimoto’s (non specific inflammation marker) 

Platelet & other blood count results are always looked at in context of full blood count.  Doctor may not be concerned.  

[BlueKeith in reply to PurpleNails]

Yeah I agree. The doctor said when I went a week ago that I was probably over medicated which is obviously wrong. I don't understand why certain doctors are so reluctant to increase medication.

[BlueKeith in reply to PurpleNails]

No need to bother with antibody test as it wouldn't make a difference the doctor said

[SeasideSusie Remembering]

Tigershull

Reference ranges vary from lab to lab. Can you please add the ranges so that we can interpret your results properly. You've put "above range" and "below range" but for FT4 you've not given anything so presumably it's within range. However, where in range is it? Ranges we see here are

7-17

9-19

11-23

12-22

Plus others

So you can see that you could be below range, very low in range or 30% through range or something else.

Serum c reactive protein level(XaINL) 11mg/L above range

The range for this is generally <5 so as this is an inflammation marker (but non-specific) it's showing that you have some inflammation but can't say where/what it is.

If you have autoimmune thyroid disease (Hashimoto's) this can cause inflammation.

[BlueKeith]

Tsh 7.5mu/L range (0.35-4.7)T4 level 10 pmol/L (7.8-21.0)

Serum c reactive protein 11mg/L (0-8.0)

Platelet count 464 (150-400)

Heamatocrit 0.408 (0.41-0.53)

Monocyte count 1.01(0.2-0.8)

Basophil count 0.11(0.01-0.1)

It says on sheet that discussing the tsh and serum c reactive protein to me at appointment so the others can't be anything but was curious

[SlowDragon Administrator]

ESSENTIAL to test vitamin D, folate, ferritin and B12

Being extremely under medicated and not on high enough dose levothyroxine your vitamin levels are likely terrible

Low B12 associated with drenching night sweats

Test BEFORE starting any supplements

Guidelines on dose levothyroxine by weight is approx 1.6mcg per kilo of your weight per day

Dose levothyroxine needs increasing to 100mcg immediately

Bloods retested in 6-8 weeks

Likely to need further increase after that

Which brand of levothyroxine are you currently taking

all thyroid blood tests early morning, ideally just before 9am and last dose levothyroxine 24 hours before test 

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

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

List of private testing options and money off codes

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

If you can get GP to test vitamins then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

Monitor My Health also now 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/getting-a-dia...

Only do private testing early Monday or Tuesday morning. 

Watch out for postal strikes, probably want to pay for guaranteed 24 hours delivery 

[BlueKeith]

Thanks slow dragon.My brand of levothyroxine is accord 50mcg and wockhardt 25mcg. Both seem to agree with me apart from being too low a dose. Will push doctor for vitamin test if not already done. When I asked if the tested for vitamin he said for everything but no results .