Help with Results

[Guest guest]

I now have my test results from Genova and

would very much appreciate some help in deciphering them before I see an

endocrinologist for the first time on Tuesday.

Thyroid Hormone 24 Hour Urine

T3 516 ref 592-1850 This is outside of the bottom of the reference

range and you need to be given a trial of some form of T3 in combination with

thyroxine (T4), either synthetic or natural thyroid extract,

T4 454 ref 347-1994 If you

are not taking any form of thyroid hormone replacement, this number should be

above the middle of the reference range. You must be feeling really poorly,

Ratio T3/T4 1.1

I have already shown these to my GP who will not take any notice of them - says

she has never heard of this test!

Then your GP should refer you to a

specialist who understands about thyroid problems and not leave you to worry

about this on your own.

Total Thyroid Screen

Central Thyroid Function:

T4 105 ref 58-154 - This is Total T4, which tells us little to

nothing.

TSH 5.95 high ref 0.4-4.0 - Understandable with such low fT3

and fT4

FT4 13.0 ref 10-22 - this should be over 17

Peripheral Thyroid Function:

FT3 5.98 ref 2.8-6.5 - This result I don't understand

B12 522 ref 211-911 B12 is one result that should be very close to the

top of the reference range, i.e. over 800 at least. You would benefit from B122

sublingual tablets 1000mcgs daily.

Folate 4.9 3.4-17.5 - This is very low. What dose

Folic Acid are you taking?

I have not had ferritin checked - it is VERY important that you get this checked and did

they do any other iron tests?

My liver function (taken about 5 weeks ago):

Total Bilirubin 8 Ref 0-17

AST H53 ref 0-40

ALT H88 ref 0-40

GGT H96 ref 0-55

I don't have latest results from docs but I know it's still high as saw the red

on the screen. It's important to get the latest liver results and ask

your GP what you need to do about this, and the possible cause - it could be

untreated hypothyroidism.

I'm on very high dose statins following a heart attack and stent so don't know

if they are affecting my liver. My liver levels were high previous to the heart

attack (a friend who is a nurse got it done for me )) My cholesterol was

slightly raised before the heart attack but not enough to need medication.

Yesterday I was also diagnosed with a slightly enlarged heart whigh is assumed

to be from the heart attack. Statins

are pretty evil and get rid of the good cholesterol as well as the bad

cholesterol - and leave you with all sorts of problems. Statin prescription is

often discussed on this forum, with the general belief you should stop Statins

and take natural CoEnzyme Q10 and Niacin (vitamin B3) instead. My husband also

had a heart attack and Dr Peatfield made him stop the Statin and also one of

the blood thinners, which were causing him to bruise so easily. He now takes

300mgs CoEnzymeQ10 and 350 mgs of the 'flushing' Niacin. This might be

something you want to look into

Anyway, following all that, any clarification, especially between the

difference of the urine and blood tests would be very helpful. I want to be as

armed as I can be for next Tuesday.

The 24 hour urine thyroid function

tests are more reliable than they blood tests. Blood tests ONLY show the level

of thyroid hormone that is in your blood, which is useless, and the urine tests

shows the level of thyroid hormone that has been used in the tissues and cells

over the past 24 hours, which is what we need to know.

Does anyone know if they actually do the 24 hour urine thyroid test on the NHS?

Would be useful to know so I could push for it.

Sorry, but the answer is No, they do

not do the 24 hour urine thyroid function test within the NHS.

Many many thanks in advance. I'm so glad I have

found such a wonderful site - without your help yesterday and the day before I

probably wouldn't have

pushed so hard to see an endocrinologist.

Problem with NHS endocrinologists is

that the majority of them have diabetes as their speciality and know little to

nothing about thyroid disease so don't be surprised if you meet up with one of

them Jane. This will probably still leave you with no particular step forward

and not quite knowing which way to turn, but let's wait and see.

Luv - Sheila

Jane

[Guest guest]

Hi I am currently on 30 mgs of HC a day for adrenal fatigue and have recently had my blood results back and wondering what my next step should be.RT3       Range  .09 - .35       Result .35Free T4  Range 9.0 - 19         Result 14

Free T3  Range 2.63 - 5.7      Result 4.1T3          Range 1.3 - 3.1       Result 1.5T4          Range 66 - 181       Result 93In Past tests I do have antibodies aswell but don't have the results I have an app. next week so I'm wondering what course of treatment would be best for me

any advice is very welcome.Thanks.

[Guest guest]

Hi to Sheila and all

An update on my visit to endo privately last week.

He totally ignored the 24 hour urine test done by Genova but did take note of my

symptoms, some of which, he said, could be down to the meds I'm taking for my

heart attack 10 months ago. He also suggested that I might be depressed.

I gave him my tsh etc blood results from Genova, plus he had my doctors results,

and he finally agreed to give me a trial of thyroid med. He said he was aiming

to get my tsh under 4. I'm still waiting for my prescription so don't know

what I've been prescribed yet but I do know that he said T3 med was unnecessary.

He's starting me on 25 mg for a few weeks. Will that be enough to make a

difference? I feel like it will be a drop of water on a sponge.

I have a question to ask. Does anyone else have a really itchy scalp? Mine

itches so much I sometimes scratch and make it very sore. I worry my hairdresser

is going to say I've got nits!! Has anyone any solutions to this problem?

Thanks again to Sheila for being so helpful and no doubt I'll have many more

questions.

Jane x

[Guest guest]

Hi Jane, I presume you mean 25mcg thyroxine as thyroid meds. That is normal as a

starting dose for an older person or a person with cardiac problems. Don't let

him keep you on that for too long though as it is more or less a " testing " dose

probably as you had a heart attack. You probably won't notice much, if any,

difference on that dose for several weeks. I was put on 25mcgs thyroxine a few

years ago as I have a cardiac problem. As I wasn't very ill with my thyroid and

that particular doctor left the surgery I had no follow up and stayed on that

dose for a couple of years through my own ignorance. I got wise only about 18

months ago and have been self medicating with the help of TPA and most of my

symptoms have gone all of which had remained on 25mcgs thyroxine

obviously....Val

>

>

>

>

> Hi to Sheila and all

>

> An update on my visit to endo privately last week.

>

> He totally ignored the 24 hour urine test done by Genova but did take note of

my symptoms, some of which, he said, could be down to the meds I'm taking for

my heart attack 10 months ago. He also suggested that I might be depressed.

>

> I gave him my tsh etc blood results from Genova, plus he had my doctors

results, and he finally agreed to give me a trial of thyroid med. He said he was

aiming to get my tsh under 4. I'm still waiting for my prescription so don't

know what I've been prescribed yet but I do know that he said T3 med was

unnecessary. He's starting me on 25 mg for a few weeks. Will that be enough to

make a difference? I feel like it will be a drop of water on a sponge.

>

> I have a question to ask. Does anyone else have a really itchy scalp? Mine

itches so much I sometimes scratch and make it very sore. I worry my hairdresser

is going to say I've got nits!! Has anyone any solutions to this problem?

>

> Thanks again to Sheila for being so helpful and no doubt I'll have many more

questions.

>

> Jane x

>

[Guest guest]

Your doctor should

be aiming to get your TSH around 1.0, never mind under 4. I bet you his

speciality is diabetes and not thyroid disease. If it was, he wouldn't be

making such a statement. I should imagine that he will have prescribed

levothyroxine only for you, but don't worry, many do well on levothyroxine, at

least, for quite a few years, so you may be one of them.

Have you tried Neem

Shampoo for your itchy scalp - or alternatively, when you have washed your

hair, make a vinegar solution - half vinegar ha\lf water and rinse it over your

hair, then just wrap a towel around it loosely and leave it for 10 minutes. This

works wonders. After that, don't forget to rinse it with clear water so you

don't smell like fish and chips.

Luv - Sheila

I gave him my tsh etc blood results from Genova, plus he had my doctors

results, and he finally agreed to give me a trial of thyroid med. He said he

was aiming to get my tsh under 4. I'm still waiting for my prescription so

don't know what I've been prescribed yet but I do know that he said T3 med was

unnecessary. He's starting me on 25 mg for a few weeks. Will that be enough to

make a difference? I feel like it will be a drop of water on a sponge.

,_._,___

[Guest guest]

Hello again

Thanks for the responses I've had.

I'm due to have my tsh levels checked in about 8 weeks (after a few weeks of

25mg thyroxine) and noticed that the consultant has asked for folate and

ferritin also to be checked. I think I need D3, magnesium, copper and zinc

checking but can't work out which test to order from Genova. I'm probably being

incredibly thick and would be grateful If someone would tell me which test to

order.

Btw Sheila his speciality is definitely diabetes and not thyroid. I can see me

going down the self medicating route before too long! You should see the letter

he's written to my doc - talk about depression and anxiety! I'll say no more.

Jane

> >

> > I have a question to ask. Does anyone else have a really itchy scalp? Mine

itches so much I sometimes scratch and make it very sore. I worry my hairdresser

is going to say I've got nits!! Has anyone any solutions to this problem?

> >

> > Thanks again to Sheila for being so helpful and no doubt I'll have many

more questions.

> >

> > Jane x

> >

>

[Guest guest]

Your GP should order the tests for you Jane, these are all

available within the NHS and any of these, if they are returned low within the

reference range, will stop the thyroid hormone (even your own) from being fully

utilised at the cellular level. Ask your GP to test iron, transferrin

saturation%, ferritin, vitamin B12, vitamin D3, magnesium, folate, copper and

zinc and to let you have the results, plus reference range for each test done

when they have been returned. Post them on the forum and we can help with their

interpretation.

Luv - Sheil

I'm due to have my tsh levels checked in about 8 weeks (after a few weeks of

25mg thyroxine) and noticed that the consultant has asked for folate and

ferritin also to be checked. I think I need D3, magnesium, copper and zinc

checking but can't work out which test to order from Genova. I'm probably being

incredibly thick and would be grateful If someone would tell me which test to

order.

[Guest guest]

I now have some new blood test results and would appreciate someone taking the

time to have a look over them for me.

Just a note to say that I rang my Doctors for the results and was told all was

OK so I asked for a print out and here it is. Even I can see that B12 is a

little high (I take folate with B12 – so maybe I should just take folate alone

as I was folate anaemic in the past) and total vitamin D is too low. No advice,

nothing.

I was ill with a lower respiratory infection in India so I've had a full blood

count done to check the infection has definitely gone – plus other tests.

Here goes:

Full Blood Count (424..)

Total White Blood count (XaldY) 6.6 10*9/L (3.8 – 11.0)

Haemoglobin concentration (Xa96v) 12.9 g/dL (11.5 – 16.5)

Platelet count – observation (42P..) 197 10*9/L (150.0 – 450.0)

Red Blood Cell Count (426..) 4.18 10*12/L (3.8 – 5.8)

Haematocrit (X76tb) 0.38 ((0.36 – 0.47)

Mean cell volume (42A..) 89.9 fL (80.0 – 100.0)

Mean cell haemoglobin level (XE2pb) 30.8 pg (27.0 – 32.0)

Mean cell haemoglobin concentration (429.) 34.2 g/L (31.0 – 26.0)

Differential white blood cell count (421..)

Neutrophil count (42J..) 3.60 10*9/L (2.0 – 7.5)

Lymphocyte count (42M..) 2.20 10*9/L (1.5 – 4.1)

Monocyte count – observation (42N..) 0.50 10*9/L (0.2 – 0.8)

Eosinophil count – observation (42K..) 0.10 10*9/L (0.04 – 0.4)

Basophil count (42L..) 0.00 10*9/L (<=0.2)

Percentage neutrophil count (XE2mP) 55.0%

Percentage lymphocyte count (XE2mQ) 34.1%

Percentage monocyte count (XE2mR) 8.1%

Percentage eosinophil count (XaCJj)) 2.2%

Percentage basophil count (XE2mS) 0.6%

Serum vitamin level (XalzD)

Total Vitamin D 21 ng/mL (30.0 – 100.0)

I've just had nearly 5 weeks in the Indian sunshine so thought this would be

fine. Can anyone tell me why I might have such low levels?

Blood haematinic levels (XaDsm)

Serum Iron level (X76tH) 16 umol/L (5.0 – 33.0)

Serum transferrin level (XE2dx) 2.20 g/L (2.15 – 3.8)

Serum TIBC (XE2mF) 49 umol/L (36.0 – 77.0)

Saturation of iron binding capacity (XaFvN) 33% (15.0 – 50.0)

Serum vitamin B12 level (XE2pf) 982 ng/L (180.0 – 910.0)

Serum folate level (42U5) 16.42 ng/ml (5.4 – 24.0)

Serum ferritin level (XE24r) 241.0 ug/L (10.0 – 291.0)

Trace element level (X7730)

Serum Zinc level (XM0m1) 15.0 umo/L (12.0 – 20.0)

Unfortunately, didn't manage to get copper, magnesium etc. done.

I'm seeing my endo (and he's also done some tests, iron, cholesterol, etc.) in a

couple of weeks so would appreciate knowing what, if anything, I should ask for

or indeed tell him I'm doing supplement wise.

Many thanks

Jane x

[Guest guest]

Your Ferritin level and range look too high as well. The usual female

pre-menopausal range is much lower, more like 150 as the upper range. If you are

post menopausal then its fine.

2

> Serum ferritin level (XE24r) 241.0 ug/L (10.0 – 291.0)

>

> Jane x

>

[Guest guest]

Hi Jane, I have

deleted those results that appear to be fine and just left the following.

Luv - Sheila

> Total Vitamin D 21 ng/mL (30.0 – 100.0)

Ooops! Talk to your doctor, you need a prescription for Vitamin D3

> Serum vitamin B12 level (XE2pf) 982 ng/L (180.0 – 910.0) This is OK, but stop taking vitamin B12. B12 should be

at the top of the range.

> Serum folate level (42U5) 16.42 ng/ml (5.4 – 24.0) You can take 400mcgs Folic Acid if this level needs to

be built up.

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