Guest guest Posted August 9, 2011 Report Share Posted August 9, 2011 Hi I joined the group about a month ago and have just received my test results from Genova Diagnostics. Currently on 150 mcgs Levo not taken on test day. Reference range Total Thyroxine (T4) 105 58-154 nmo/L TSH 6.01 0.4-4.0 mIU/L Free T4 14.2 10-22 pmo/L Free T3 3.61 2.8-6.5 pmo/L FT4:FT3 Ratio 3.9 2.0-4.5 ratio Reverse T3 0.30 0.14-0.54 pmo/L Thyroglobulin (TG) >3000 0-40 IU/ml Peroxidase (TPO) >1000 0-35 IU/ml I would be eternally grateful if a kind heart would look at these results and give comment. My intention has been to start on Armour Thyroid following the correct protocol. Regards B Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2011 Report Share Posted August 9, 2011 Currently on 150 mcgs Levo not taken on test day. TSH 6.01 0.4-4.0 mIU/L Ouch! TSH is FAR too high - should be around 1.0 when on treatment or suppressed if taking any form of the active thyroid hormone T3. Free T4 14.2 10-22 pmo/L That's too low. When taking L-thyroxine, it should be in the upper third of the reference range. Free T3 3.61 2.8-6.5 pmo/L Not high enough, again, when taking thyroid hormone replacement it should be in the upper third of the reference range. Thyroglobulin (TG) >3000 0-40 IU/ml Peroxidase (TPO) >1000 0-35 IU/ml You have Hashimoto's disease. This is a cause of your symptoms of hypothyroidism. The treatment is usually with T3 and not T4 when you have autoimmune hypothyroidism. Dr Datis Kharrazian also says people with Hashimoto's need to go gluten free as antibodies thrive on gluten. Are you cutting out gluten from your diet? You need a trial of some form of the active hormone T3, and if your GP refuses you a trial. Send him a letter setting out your present symptoms and signs, list any members of your family who have an autoimmune disease, list the following blood tests you need to be done: ferritin, vitamin B12, vitamin D3, magnesium, folate, copper and zinc because if any of these are low in the reference range, no amount of thyroid hormone is able to be fully utilised at the cellular level. Ask for these test results together with the reference range for each test done and post them on the forum so we can help with their interpretation. Ask for a referral to an endocrinologist, preferably one who has a genuine interest in thyroid disease rather than just a specialist in diabetes. If you need my list of recommended doctors, let me know and I will send this too you. Sounds like you have to fight your corner , but we will help you. Luv - Sheila ,___ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2011 Report Share Posted August 9, 2011 > > Currently on 150 mcgs Levo not taken on test day. > TSH 6.01 0.4-4.0 mIU/L > > Ouch! TSH is FAR too high - should be around 1.0 when on treatment or Dear Sheila >Thanks for your reply. I had been extremely hyper for 9 years (never controlled) so much my eyes would'nt shut from bulging and then Hypo for the past 11 years with extreme weight gain. My Doctor has point blank refused to carry out any vitamin and mineral tests has refused to send me to an Endo and has told me the protocol of the practice is to treat with Levo only and no matter what I bring her that will not change. She has agreed to look at my test results from Genova. I know the other Doctors in the practice take the same stance. As for gluten free diet I actually gave up bread three weeks ago and I am on a low Carb diet but will look further into gluten free. I know that I will have to self treat and would do it carefully I have started taking NAX and vitamin C to prepare and have read all the files about self treatment. I am not ignoring vitamins tests but will probably have to fund myself so need to give some thought to that. Are you able to indicate whether Cytomel or Armour Thyroid would be the best way forward I lean towards Armour as there would be no reliance on GP for prescript of T4 if my TSH dropped below her liking. Thank You B > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2011 Report Share Posted August 10, 2011 Sounds like hashis to me as well. With regard to self treatment and armour or T3 i would go with the T3 option for now. It is much cheaper than buying armour. You will still get your T4 on the NHS and you will just buy the T3 yourself. You may only need a smaller amount and this may not mean your TSH will go down to suppression. Your T4 results are low though (total T4 and FT4). You may simply need to increase the T4 and this is all you need. This needs to be done before you use T3 or armour. If it works you will save a bundle in money and dosing schedules etc. I would try this first. However, you may need to buy the T4 yourself as it sounds like your doc is not very proactive with your illness. Try asking for a raise to 175 or 200 and see what they say. They may go for it. Like Sheila says get it in writing that this is what you want to do and you do have recent bloods to show the lowish values. Very often the first solution to solving a thyroid problem is just to increase the T4. If your blood tests show you have high levels of T4 in your system and you are still unwell then this is the sign to go onto the next stage of treatment, which to me is trying T3 with T4. If this doesnt work you then try T3 only. After this has been tried i would then try armour. This is the order i would do things in, but only you can choose which path to follow. Quote Link to comment Share on other sites More sharing options...
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