Guest guest Posted June 7, 2008 Report Share Posted June 7, 2008 Hi , Your FT4 being only one point from the bottom of the range is concerning- good to hear the TPO antibodies are being done. In the meantime try to do as much reading as possible on the subject! If you tell Sheila you area then she can suggest an endo nearby. Subject: Blood results - a little feedback if possible Hello again, She has assurred me that my blood results could not be interpreted as borderline at all. My FSH was 1.29mu/L (0.34-5.6) and Free T4 8.80 pmol/L (7.5-21.1, which is way above my level of understanding, so I would be grateful to hear back from you knowledgeable folk. She is going to now run TPO, Cortisol, and Glucose level tests and has suggested I go forward with all the results to an endicrinologist. Best wishes, ------------------------------------ Messages are not a substitute for professional medical advice. Always consult with a suitably qualified practitioner before changing medication. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 7, 2008 Report Share Posted June 7, 2008 Thanks for that , I really do not understand at all anything about FT4 results, I am a clear novice in all this. Could you expand for me if you have the time? I am trying to do much reading, and from that so far think that my TSH result might be a touch suspect too? I think the modern opinion might be that 5.6 is a bit high? I could do with some guidance on this though to say the least. Yes, thanks for that I will ask Sheila's advice on an endocrinolgist within my area. Take care, Best wishes, > > > Subject: Blood results - a little feedback if > possible > > Hello again, > She has assurred me that my blood results could not be > interpreted as borderline at all. My FSH was 1.29mu/L (0.34-5.6) and > Free T4 8.80 pmol/L (7.5-21.1, which is way above my level of > understanding, so I would be grateful to hear back from you > knowledgeable folk. > > ------------------------------------ > > Messages are not a substitute for professional medical advice. Always > consult with a suitably qualified practitioner before changing > medication. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 8, 2008 Report Share Posted June 8, 2008 , I have now rechecked my results from reading your response, a bit bamboozling for me, as it's just a computer print out with masses of numbers and no explanation, but I can see, I think, that my tsh is fine at 1.29 within the reference range and that my free t4 then is on the low side of the range. The british thyroid association suggest that Free t4 range should begin at 10 as opposed to 7.5? Phew, all this maths is hard. So, what could be the implications for low t4, do you have time to explain just a little? Huge thanks, > > Hi , > Your FT4 being only one point from the bottom of the range is > concerning- > > > Subject: Blood results - a little feedback if > possible > > Hello again, > She has assurred me that my blood results could not be > interpreted as borderline at all. My FSH was 1.29mu/L (0.34-5.6) and > Free T4 8.80 pmol/L (7.5-21.1,> > ------------------------------------ > > Messages are not a substitute for professional medical advice. Always > consult with a suitably qualified practitioner before changing > medication. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2008 Report Share Posted June 9, 2008 Hi , 90% of the population has a TSH of around 1.0. T4 is low in its range. What meds are you taking? And how do you feel? Subject: Re: Blood results - a little feedback if possible Thanks for that , I really do not understand at all anything about FT4 results, I am a clear novice in all this. Could you expand for me if you have the time? I am trying to do much reading, and from that so far think that my TSH result might be a touch suspect too? I think the modern opinion might be that 5.6 is a bit high? > > Hello again, FSH was 1.29mu/L (0.34-5.6) and > Free T4 8.80 pmol/L (7.5-21.1, ------------------------------------ Messages are not a substitute for professional medical advice. Always consult with a suitably qualified practitioner before changing medication. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2008 Report Share Posted June 9, 2008 Hi , Most folk who feel well have a FT4 in the top quarter of the range. If you FT4 is low then there will not be enough T4 available to convert into T3 which is the active hormone, resulting in hypothyroidism and all its attendant metabolic symptoms such as lethargy and unreasonable weight gain. I would be a little careful with the assertions of the BTA as the full story is not told there. Subject: Re: Blood results - a little feedback if possible , I have now rechecked my results from reading your response, a bit bamboozling for me, as it's just a computer print out with masses of numbers and no explanation, but I can see, I think, that my tsh is fine at 1.29 within the reference range and that my free t4 then is on the low side of the range. The british thyroid association suggest that Free t4 range should begin at 10 as opposed to 7.5? Phew, all this maths is hard. So, what could be the implications for low t4, do you have time to explain just a little? Huge thanks, > > Hi , > Your FT4 being only one point from the bottom of the range is > concerning- > > > Subject: Blood results - a little feedback if > possible > > Hello again, > She has assurred me that my blood results could not be > interpreted as borderline at all. My FSH was 1.29mu/L (0.34-5.6) and > Free T4 8.80 pmol/L (7.5-21.1,> > ------------------------------------ > > Messages are not a substitute for professional medical advice. Always > consult with a suitably qualified practitioner before changing > medication. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 9, 2008 Report Share Posted June 9, 2008 Hi again , I guess this is the nature of my difficulty, I don't take any meds and I feel increasingly under par, worse of the symptoms being consistent general and unexplained weakness, mental fog, pallor etc. I also have an enlarged thyroid gland for the second time in life, twenty years ago I had a partial thyroidectomy. I'm at a stage where I feel the need to sort out what exactly is my problem, with a feeling that my thyroid might hold the answers. To date GP has said all is fine based on tsh, but has now agreed to test for antibodies and send me to an endocrinologist due to persistent symptoms. When she printed of my blood results for me last week, the last few years history came spouting out. Based on your feedback I am able to see that over this period my T4 has about halved. Am I putting 2+2 and making 5 here? Also what might be considered a reasonable reference range for free t4 do you know? Thanks for your concern , much appreciated. Best wishes, > > Hi , > 90% of the population has a TSH of around 1.0. > T4 is low in its range. What meds are you taking? And how do you feel? > > > > Subject: Re: Blood results - a little feedback if > possible > > Thanks for that , > I really do not understand at all anything about FT4 results, I am a > clear novice in all this. Could you expand for me if you have the > time? > I am trying to do much reading, and from that so far think that my > TSH result might be a touch suspect too? I think the modern opinion > might be that 5.6 is a bit high? > > > > > Hello again, > FSH was 1.29mu/L (0.34-5.6) > and > > Free T4 8.80 pmol/L (7.5-21.1, > > > > ------------------------------------ > > Messages are not a substitute for professional medical advice. Always > consult with a suitably qualified practitioner before changing > medication. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 10, 2008 Report Share Posted June 10, 2008 Hi , Working for years on only a piece of thyroid is seems as if it has now started to give up the struggle ( my aunt had the same problem, but forceful back up from uncle got doc to see sense)and now you need supplementation. As the failure can go very slowly and docs are fixated on TSH levels it can be years before TSH goes out of range. BUT with your previous history, symptoms etc it would be sensible to have a trial if T4 to 'see if it helps', which is a tactic that sometimes works. The tests are flawed, but a reasonable T4 would be in the top quarter of the range eg if it is 12 to 20 then around 18 would be good. Artificial T4 doesn't go into the system as easily as your own so that is why levels need to be high/normal. If you ask Sheila will send list of endos in your area that have helped other hypo's. Subject: Re: Blood results - a little feedback if possible Hi again , and send me to an endocrinologist due to persistent symptoms. When she printed of my blood results for me last week, the last few years history came spouting out. Based on your feedback I am able to see that over this period my T4 has about halved. Am I putting 2+2 and making 5 here? Also what might be considered a reasonable reference range for free t4 do you know? Thanks for your concern , much appreciated. Best wishes, --- In thyroid treatment@ ------------------------------------ Messages are not a substitute for professional medical advice. Always consult with a suitably qualified practitioner before changing medication. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2008 Report Share Posted June 11, 2008 Thanks , I so appreciate your time and knowledge, I'm beginning to learn quite a bit more from you. What you're saying makes complete sense, I hadn't even considered the fact that for 20 years half my thyroid has been trying to do the whole job, which ofcourse is putting it under stress. Before I see my GP again, who is completely hooked up on tsh result, not even referring to free t4, I need to empower myself further and learn about t4 & t3 function and relationship. So I'm going to post a general message asking for some direction on this, as getting started and knowing where to look is the hardest part. I feel like I'm ask ask ask all the time at the moment, which sounds pushy, but I can't tell you how helpful and informative I have found thyroid patient advocacy UK. Although I'm feeling quite unwell myself at the mo, compared to other messages I realise I'm still on the lucky side. Thanks again, have a good day! > > Hi , > Working for years on only a piece of thyroid is seems as if it has > now started to give up the struggle > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 11, 2008 Report Share Posted June 11, 2008 Hi Your thyroid should excrete the thyroid hormones thyroxine (T4) and a little triiodothyronine (T3). However, the T4 is an inactive hormone, and it should convert through the liver to the active hormone T3. T3 needs to get into every cell in your body to make it function. With your results, you should be treated with some form of thyroid hormone replacement as your TSH (thyroid stimulating hormone) is at the top of the range, and your Free T4 is almost at the bottom of the range. There is no need to carry on like this, your GP obviously is not one of the guys with a knowledge of thyroid function and you need to ask to be referred to an endocrinologist. I will send you a list of the 'good' guys so hopefully, you will not be wasting your time with one of the 'bad' buys. Write down all your symptoms and signs. Check them against the list in our website www.tpa-uk.org.uk and click on Hypothyroidism and then on Symptoms and Signs. Ask your GP to test your ferritin and also test your Free T3 and antibodies. Ask for a trial of thyroid hormone replacement from your GP first, and if he refuses, then she must refer you to an endocrinologist. We recommend writing, because this way, the letter has to go into your medical notes, and if anything is found later and it was found your doctor had done nothing, somebody will be in trouble. Your doctor will, of course, be aware of this. Have you done the quesitonnaires in our FILES on Adrenal and Candida Albicans, to see if you could be suffering with either of these. If not, go there and let us know how you score. Doctors are not aware of these conditions within the NHS, so you will get no help from there unfortunately. Luv - Sheila>> Thanks for that ,> I really do not understand at all anything about FT4 results, I am a > clear novice in all this. Could you expand for me if you have the > time? > I am trying to do much reading, and from that so far think that my > TSH result might be a touch suspect too? I think the modern opinion > might be that 5.6 is a bit high? I could do with some guidance on > this though to say the least.> Yes, thanks for that I will ask Sheila's advice on an endocrinolgist > within my area.> Take care,> Best wishes,> > > > > > > Subject: Blood results - a little feedback > if> > possible> > > > Hello again,> > She has assurred me that my blood results could not be > > interpreted as borderline at all. My FSH was 1.29mu/L (0.34-5.6) > and > > Free T4 8.80 pmol/L (7.5-21.1, which is way above my level of > > understanding, so I would be grateful to hear back from you > > knowledgeable folk. > > > ------------------------------------> > > > Messages are not a substitute for professional medical advice. > Always> > consult with a suitably qualified practitioner before changing> > medication. Quote Link to comment Share on other sites More sharing options...
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