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Genova Diagnostics Test Results

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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

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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

,___

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Guest guest

>

> 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

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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.

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