Re Blood Test

[Guest guest]

Hi,

Please may I have some help from you experts, with the interpretation of my

bloods - thanks!

TFT

free T4 15.8 (12.0-22.0 pmo/L)

TSH <0.02 L (0.27-4.20 mU/L)

T3 (TOTAL) (SERUM)

Total T3 2.1 (1.3-2.6 nmol/L)

FOLATE (SERUM LEVEL)

serum folate >20.0 H (4.6-18.7 ug/l)

VITAMIN B12 (SERUM COLBALAMIN)

serum vit B12 1189 H (191-663 ng/L)

FERRITIN

serum ferritin 64 (13-150 ug/L)

UREA & ELECTROLYTES

urea (serum) 4.0 (2.5-7.5 mmol/L)

Creatine 45 (44-80 umo/L)

Sodium (serum) 139 (135-145 mmol/L)

Potassium (serum) 4.0 (3.5-5.3 mnol/L)

CREATINE KINASE

Creatine Kinase 88 (24-170 U/L)

C-REATIVE PROTEIN (SERUM)

C-Reative Protein <0.5 (<10.0mg/L)

GLOMERULAR FILTRATION RATE ESTIMATE

CREATININE 45 (44-80umol/L)

GAMMA-GLUTAMYL TRANSFERASE:

Gamma glutamyl transpeptidase 12 (<40 U/L)

BONE PROFILE & LIVER FUNCTION TEST

corrected calcium 2.06 L (2.10-2.60 mmol/L)

Phosphate (serum) 0.92 (0.80-1.60 mmol/L)

ALT: 26 (2-50 U/L)

Alkaline Phosphatase 47 (35-105 U/L)

protein: 69 (62-82 g/L)

Albumin 47 (35-50 g/L)

globulins: 22 (20-35 g/L)

Total bilirubin 4 (0-20 umol/L)

GLUCOSE (RANDOM PLASMA)

random plasma glucose 4.2 (3.0-6.0 mmol/L)

ANTI TISSUE TRANSGLUTAMINASE ANTIBODIES

Anti tTG IgA antibodies 0.3 (0.0-3.0 U/ml) I had been off wheat for a while and

tests states unlikely to have coeliac provided patient was on gluten for at

least six wks.

The following tests were requested, however, no serum sample/edta was received

THYROID ANTIBODIES REQUESTED

ERYTHROCYTE SEDIMENTATION REQUESTED

FULL BLOOD COUNT

Haemoglobin

RBC

HCT

MCH

MCHC

RDW

WBC

IM SCREEN

Your interpretations/thoughts would be really appreciated. From what I have

noticed is my B12 is majorly high and folate is high too - I've stopped

supplementing for these now. I can see that my ferritin is too low at 64 but it

is a massive improvement from 15 - what amount of ferrous sulphate should I be

taking now to up this evem further? My calcium is slightly low, now I can't

work this one out as over the years it is not responding to calcium tablets. I

would like to sort this as there is osteoporosis in the family. I think

somebody mentioned recently about problems with calcium metabolism so wondered

if the problem is more complex, than just taking calcium supplements.

Also, is my T3 high enough, I feel like it isn't due to my symptoms but I'm not

sure. I'm taking 2 1/4 grains NDT and I don't know whether my TSH is too low at

<0.02? Do you think I need to twik my thyroid meds in anyway. I feel that I'm

not there yet with symptoms still and wondered if my thyroid results or others

reflect anything that is needed. Of course I do have adrenal fatigue with high

cortisol in evening and melatonin and phospahtidylserine are really helping. I

think I may have high cortisol in the morning too.

Thanks for your help and reading

Lv

[Guest guest]

Hi , your thyroid function tests appear OK for somebody

who is taking natural thyroid extract - TSH is ALWAYS suppressed because when

you are taking the thyroid hormones your body needs, the pituitary recognises

this and therefore has no need to secrete any TSH to tell the thyroid gland to

pump out more. You don't need the total T3, you need the free T3 testing though

they are trying to convince everybody that free T3 testing is not needed. I am

pleased you have stopped the folate and B12, but keep an eye on these to see

your levels don't drop too much and also, your ferritin level has improved

considerably. You should be able to maintain this level and perhaps increase it

a bit more by taking one 200mg tablet of ferrous sulphate daily with food and

eat plenty of red meat and iron rich foods.

I would ask again for your thyroid antibodies to be tested and for

a full blood count to be done.

The calcitonin in the natural thyroid extract should help

strengthen your bones, I know it has done mine. If I was you, I would try

another half grain increase in your NDT to see if that helps. We recommend to

keep increasing by half a grain every 3 weeks until you find you have

overstepped the mark, in which case, you take no more that day, and the

following day, you go back onto the dose you were on before the increase. That

is how you find out the dose your body actually needs.

Luv - Sheila

Also, is my T3 high enough, I feel like it isn't due to my symptoms but I'm not

sure. I'm taking 2 1/4 grains NDT and I don't know whether my TSH is too low at

<0.02? Do you think I need to twik my thyroid meds in anyway. I feel that

I'm not there yet with symptoms still and wondered if my thyroid results or

others reflect anything that is needed. Of course I do have adrenal fatigue

with high cortisol in evening and melatonin and phospahtidylserine are really

helping. I think I may have high cortisol in the morning too.

Thanks for your help and reading

[Guest guest]

Hi Sheila,

So does the total T3 result not tell anything really as regards to whether it is

my T3 is too low or ok? How about the T4 level how high should that be ideally?

Although they seem ok the results, I've been thinking about how I'm doing and

there is still big room for improvement. I've still got fatigue and hair loss

and I really thought that my bloods would reflect a low T3. I was wondering if

it would be appropriate to add in some T3 to the NDT I'm already taking, or do I

need to get the free T3 test done first. Does my T4 need to be higher? The

thing is when I've tried add in half a grain (NDT), I got heart flutters. So

would it be worth me trying to add a bit of T3 instead, could this do the trick?

Also, is my TSH likely to become unexistent as it is already <0.02, if I

increase and is this ok?

If Nick is around would he mind casting his eye on my results with reference to

a RT3 issue, I asked at the hosp but was told they didn't do the test, so just

wanted to rule this one out really.

Here are my results again:-

TFT

free T4 15.8 (12.0-22.0 pmo/L)

TSH <0.02 L (0.27-4.20 mU/L)

T3 (TOTAL) (SERUM)

Total T3 2.1 (1.3-2.6 nmol/L)

Many thanks

Lv

>

> Hi , your thyroid function tests appear OK for somebody who is taking

> natural thyroid extract - TSH is ALWAYS suppressed because when you are

> taking the thyroid hormones your body needs, the pituitary recognises this

> and therefore has no need to secrete any TSH to tell the thyroid gland to

> pump out more. You don't need the total T3, you need the free T3 testing

> though they are trying to convince everybody that free T3 testing is not

> needed.

[Guest guest]

Hi Sheila,

>

> Thanks for that, you would think that a hospital that prescribes T3 would

measure it properly would'nt you. This particular hospital was investigating me

for CFS, so I have my other endo and will request a Free T3, if I have no joy,

then the lab 21 that you have suggested is a good option. The trouble is I have

tried increasing the NDT and can't stay on 21/2 grains and have to go back onto

2 1/4, I could try again but will deffo get this test done, to find out exactly

what's going on -thanks.

>

> Lv

>

>

> >

> > What is the Difference Between T3 and Free T3?

> > http://thyroid.about.com/cs/testsforthyroid/a/freet3.htm

> >

> > Triiodothyronine (T3) is a thyroid hormone that circulates in blood almost

> > completely bound (]99.5%) to carrier proteins. The main transport protein is

> > thyroxine-binding globulin (TBG). However, only the free (unbound) portion

> > of triiodothyronine (free T3) is believed to be responsible for the

> > biological action.