I had a text to make appt with my GP after full blood count has been done. Receptionist gave me one piece of paper (will ask for more when I see the doctor)
Serum TSH level (XaELV). Range 0.3 - 5.0
Result 2.41 mU/L
Serum free TSH level (XaERr) Result: Above Range 20.3 pmo/L (Range 7.9 - 16.0) Above high reference limit
Hope to see GP Monday
In the meantime is this bad please. I’m unbelievably tired, anxious and heart pounding
Thank you Sheila
I think there is something wrong!
Fairly sure XaERr is Serum Free T4 level. 
Superficially looks like TSH showing under-dosed/hypo - with FT4 showing over-dosed.
Is that the sum total of the testing?
Yes.
Serum Free T4 level (XaERr) - Above range Result: 20.3 pmoI/L (7.9 - 16.0); Above high reference limit
This is on one page titled: Thyroid Function test (X77Wg)
And on Serum TSH level (XaELV) the result was 2.41 mU/L (0.3 - 5.0)
This was all I was given by the receptionist but I’m sure there’s more pages which I hope the Doctor will give me on Monday
These tests don’t look right. Are sure these are right????
Was test done as recommended
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)
ESSENTIAL to get TSH, Ft4 and Ft3 and vitamin D, folate, B12 and ferritin too
what vitamin supplements are you taking
TSH shows you very likely need dose increase in levothyroxine
Yes I think you’re right. I expect I’ll be given a higher dose. I take vitamin D with K2
I’m afraid I couldn’t get a blood test until the afternoon and I had taken my thyroxine
TSH would have been higher early morning….possibly over 3
Ft4 is falsely high as took levothyroxine before test
I really find it almost impossible to understand all this medical information. I don’t understand why you say they don’t make sense. So because my FT4 is falsely high I suppose I’ll be falsely medicated by my GP. I know I won’t be allowed to do another test. My surgery is unbelievably overstretched with the number of patients they have. I know they don’t have enough knowledge of the thyroid so I know I won’t be treated as I’d like to be. I feel quite depressed about it. I just wish I could afford private tests and a private endocrinologist.
Your GP may want to reduce levothyroxine dose because Ft4 (levothyroxine) result is high
You may need to explain you took levothyroxine before test and therefore test result is inaccurate
Your low TSH shows you need dose INCREASE in levothyroxine
Request GP retest including vitamin D, folate, ferritin and B12
ALWAYS only test early morning, only water to drink between waking and test any last dose levothyroxine 24 hours before test
or if GP won’t test …..do so privately
Likely low Ft3 and/or low vitamin levels
Thousands of U.K. thyroid patients test privately
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)
Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins
Testing options and includes money off codes for private testing
Medichecks Thyroid plus antibodies and vitamins
medichecks.com/products/adv...
Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins
bluehorizonbloodtests.co.uk...
Only do private testing early Monday or Tuesday morning.
Link about thyroid blood tests
thyroiduk.org/testing/thyro...
Link about Hashimoto’s
thyroiduk.org/hypothyroid-b...
Symptoms of hypothyroidism
thyroiduk.org/signs-and-sym...
Tips on how to do DIY finger prick test
See detailed reply by SeasideSusie
healthunlocked.com/thyroidu...
Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee
examples of private test results
Medichecks
healthunlocked.com/search/p...
blue horizon
That’s why the results make little sense. This test needs repeating as per protocol described above.
Hello Sidneymark :
Once on T4 thyroid hormone replacement we generally feel best when the TSH is under 2 likely under 1 and towards the bottom end of the range -
and just explain that you took your dose before the blood draw and that should explain away your false high T4 reading and because you are still symptomatic a dose increase in Levothyroxine the next step.
If you could get your core strength vitamins and minerals run that would be useful as no thyroid hormone replacement works well until ferritin, folate, B12 and vitamin D are up and maintained at optimal levels.
I now aim for a ferritin at around 100 - folate around 20-active B12 75 ++ ( serum B12 500++ ) and vitamin D at around 100:
Thank you everyone for your replies. I envy you all for having so much understanding of what seems (to me) such a complicated illness.
Oh no! I do not fall into that camp of forumites. I’ve been learning as I go too, from the forum to reading outwith it.
We’ve all got to do it to survive what is a global disgrace in diagnosing and treating thyroid diseases.
Start by reading the news feed everyday. That helps a lot! Ask a lot of questions! These lot are wonderful at answering them. Use the search facility, although it isn’t the greatest. If you have an audio app, I like listening to podcasts on hypothyroidism.
And, you too will be able to pass on the knowledge you’ve learned to others who desperately need it.
No worries -
I knew nothing when I fell in this forum researching low ferritin some 6/7 years ago :
I presume the message was for me - we can all read all you write but if wanting to reply to someone in particular you need to make sure you reply in the reply box within their message as then they get notified there is a message for them.
We generally try and answers questions as fully as possible within the 24 hours of posting - and you can see all that you have ever written and all your replies by pressing the Profile icon above to right if you get a bit lost as the forum gets very busy.
If you wish to read anybody else's thyroid journey simply press the icon alongside their name and that shoud take you to their Profile page and all they have ever written on this patient to patient forum.
You can also ' edit ' your post, once posted, I'm dyslexic and do this often - simply press the More button within the post you are wanting to correct.
Blood test results - advice please
thyroid blood test results
Thyroid blood test results 
More blood test results
