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First, are you sure they have sent you YOUR blood results Barb and not somebody else's? I think the fact that you have Hashimoto's disease would take account of the difference in your TSH range - research has shown that TSH is not a helpful test in people with antibodies. They can be up and they can be down - you can be hyper one minute and hypo the next and this is what is probably happening to you. This shows this test in your case should be ignored. I have met you, I KNOW you are hypothyroid - you are screaming out that you are hypothyroid - absolutely classic. Your Free T3 is at the bottom of the range - it should be into the upper quartile of the range - your Free T4 means absolutely nothing to me as I do not have the reference range for that. Dr Burrows will diagnose you hypothyroid and start you on thyroid hormone replacement - I could almost bet on that, but as nothing is certain in this life, I will save my money *grin*. BUT if he says otherwise,I WILL eat my hat.

Luv - Sheila

Hi Sheila, Gill etc :-)I see the Endocrinologist (Dr Burrows) on Tuesday and something very weird has happened. I decided to have some thyroid blood tests done privately through Genova diagnostics to take with me to the appointment and they have come back predominately normal.(I had some done about 4 weeks ago through the NHS and the TSH was raised at 4.25. I decided to have private tests done as the NHS did not test for T3 or T4 and I wanted to have these results at hand to give Dr Burrows. Dr P thought it would be a good idea) The TSH is now mildly elevated at 2.54 (according to the US ranges)but my Free 3, Free 4, T4, and Free T4:Free T3 ratio are all within normal limits. However, my TPO remains elevated at >1000. Here are the results:TSH 2.54Free 3 4.30Free 4 128T4 128Free T4:Free T3 ratio 3.93Thyroglobulin 28.4Peroxidase (microsomal) >1000I have been on a gluten and dairy free diet- eating only salads, veggies, meat, fish, legumes and nuts - for the past 10 days and am wondering if this detox diet has perhaps changed my thyroid profile.I wonder what Dr Burrows will say now. Anyway, the good thing is that I am feeling heaps better on the diet :-):-)Barb

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Thanks Sheila. Will let you know how I get on. :-)

>

> First, are you sure they have sent you YOUR blood results Barb and

not somebody else's? I think the fact that you have Hashimoto's

disease would take account of the difference in your TSH range -

research has shown that TSH is not a helpful test in people with

antibodies. They can be up and they can be down - you can be hyper

one minute and hypo the next and this is what is probably happening

to you. This shows this test in your case should be ignored. I have

met you, I KNOW you are hypothyroid - you are screaming out that you

are hypothyroid - absolutely classic. Your Free T3 is at the bottom

of the range - it should be into the upper quartile of the range -

your Free T4 means absolutely nothing to me as I do not have the

reference range for that. Dr Burrows will diagnose you hypothyroid

and start you on thyroid hormone replacement - I could almost bet on

that, but as nothing is certain in this life, I will save my money

*grin*. BUT if he says otherwise,I WILL eat my hat.

>

> Luv - Sheila

>

>

>

>

> Hi Sheila, Gill etc :-)

> I see the Endocrinologist (Dr Burrows) on Tuesday and something

very

> weird has happened. I decided to have some thyroid blood tests

done

> privately through Genova diagnostics to take with me to the

> appointment and they have come back predominately normal.(I had

some

> done about 4 weeks ago through the NHS and the TSH was raised at

> 4.25. I decided to have private tests done as the NHS did not

test

> for T3 or T4 and I wanted to have these results at hand to give

Dr

> Burrows. Dr P thought it would be a good idea) The TSH is now

mildly

> elevated at 2.54 (according to the US ranges)but my Free 3, Free

4,

> T4, and Free T4:Free T3 ratio are all within normal limits.

However,

> my TPO remains elevated at >1000. Here are the results:

> TSH 2.54

> Free 3 4.30

> Free 4 128

> T4 128

> Free T4:Free T3 ratio 3.93

> Thyroglobulin 28.4

> Peroxidase (microsomal) >1000

> I have been on a gluten and dairy free diet- eating only salads,

> veggies, meat, fish, legumes and nuts - for the past 10 days and

am

> wondering if this detox diet has perhaps changed my thyroid

profile.

> I wonder what Dr Burrows will say now. Anyway, the good thing is

that

> I am feeling heaps better on the diet :-)

> :-)

> Barb

>

>

>

>

>

>

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Hi Barb,

Hmmm! There is difference between labs but.....

Hashi's is not a continuous attack on your thyroid- it comes in waves, so it

look like the earlier results were at a time of attack, which has now

subsided.- It's up to you who you show these to and when and how much you

feel you need thyroid replacement.

Good that you feel better on the diet- food intolerances can have some odd

effects- mine subsided as soon as I got the right thyroid replacement.

Hi Sheila, Gill etc :-)

I see the Endocrinologist (Dr Burrows) on Tuesday and something very

weird has happened.............

I wonder what Dr Burrows will say now. Anyway, the good thing is that

I am feeling heaps better on the diet :-)

:-)

Barb

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  • 1 month later...
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Hi Lizzie

This WILL explain why you have been feeling so bad. I would make it plain to your GP that you are very aware that both your FT4 and FT3 are far too low (your FT4 is outside the range and your FT3 is very low too. Beg him/her to increase your T4 and your T3. It seems you are functioning on hardly anything at all. If you have low adrenal reserve, candida or low ferritin - any of these will stop your body from absorbing the thyroid hormone supplements?

Luv - Sheila

Hi everyoneI have just received my blood results from 12/2/08This is whilst on T4 75 mcg and T3 10mcg and with a 24 hour break frommedication.T4 7.7T3 4.0TSH 1.50I am due to see endo at end of March, however looking at these resultsI am not happy to wait knowing how low the T4 is. No wonder my legsache and I am up and down. Could anyone advise me of what I should beasking for, an increse in T4 or both. I would welcome your comments.Thankyou Lizzie

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--- Hi Sheila

It is Dr B who I need to convince. I have just composed an email to

his secretary asking for an increase which I will send now. I will let

you know how I get on.

Love Lizzie

>

>

>

>

>

>

>

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Yes, of course, you are right Lizzie, I am getting mixed up - again LOL! I hope he responds and I think he will definitely increase one or both. I would ask him to let you try Armour if his next recommendation doesn't work out.

Let me know as soon as you hear back from him.

Luv - Sheila

--- Hi SheilaIt is Dr B who I need to convince. I have just composed an email tohis secretary asking for an increase which I will send now. I will letyou know how I get on.Love Lizzie>> > > > > >----------------------------------------------------------> > > No virus found in this incoming message.> Checked by AVG Free Edition. > Version: 7.5.516 / Virus Database: 269.21.4/1310 - Release Date:04/03/2008 08:35>

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-ote:

>

> Hi Sheila

I have received an email from Dr B's secretary this morning. He has

said that I can increase the T3 from my dose of 10mcg to 20mcg. I am

also taking 75 mcg of T4, but he has not mentioned increasing this. I

am due to see him at the end of the month, I'm not sure what to do

now. I have to have a blood test on Friday ready for my appointment

with him but that will mean that I will only have been on the T3 for a

few days before the blood is taken, and I'm not sure if when I see him

I will have had long enough to be able to see if it has helped. Help!

>

Love Lizzie

> I have just received my blood results from 12/2/08

> This is whilst on T4 75 mcg and T3 10mcg and with a 24 hour break from

> medication.

>

> T4 7.7

>

> T3 4.0

>

> TSH 1.50

>

>

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You don't need to increase your Thyroxine (T4). T4 is inactice and has to convert to the active hormone T3. By giving you extra T3, you don't need more T4. He will probably wean you right off T4 and you might do really well on just T3.

Don't worry about your T3 blood results. T3 works almost instantaneously, so there will be plenty in your blood. However, don't take ANY T3 for 24 hours before you have a blood test so he can see what is happening, also, don't take any thyroxine for 24 hours before a blood test (it is even better if you can sotp it for a week before the test). If you don't stop your thyroxine, you get a false reading. Dr B will appreciate this. You can tell him you stopped both medications before your blood test. Once the test is over, you can start taking them again.

Luv - Sheila

I have received an email from Dr B's secretary this morning. He hassaid that I can increase the T3 from my dose of 10mcg to 20mcg. I amalso taking 75 mcg of T4, but he has not mentioned increasing this. Iam due to see him at the end of the month, I'm not sure what to donow. I have to have a blood test on Friday ready for my appointmentwith him but that will mean that I will only have been on the T3 for afew days before the blood is taken, and I'm not sure if when I see himI will have had long enough to be able to see if it has helped. Help!> Love Lizzie> I have just received my blood results from 12/2/08> This is whilst on T4 75 mcg and T3 10mcg and with a 24 hour break from> medication.> > T4 7.7> > T3 4.0> > TSH 1.50> >

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Hi Lizzie, I would phone Dr B's secretary and ask her to clarify what he meant, though I would guess he means to just increase the T3.

I would also suggest to her that you put your appointment back a few weeks, that should not be a problem.

Gill

I have received an email from Dr B's secretary this morning. He hassaid that I can increase the T3 from my dose of 10mcg to 20mcg. I amalso taking 75 mcg of T4, but he has not mentioned increasing this. Iam due to see him at the end of the month, I'm not sure what to donow. I have to have a blood test on Friday ready for my appointmentwith him but that will mean that I will only have been on the T3 for afew days before the blood is taken, and I'm not sure if when I see himI will have had long enough to be able to see if it has helped. Help!> Love Lizzie> I have just received my blood results from 12/2/08> This is whilst on T4 75 mcg and T3 10mcg and with a 24 hour break from> medication.> > T4 7.7> > T3 4.0> > TSH 1.50> >

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---Hi Gill

Yes it's all sorted. I have to increase the T3 to 20mcg and to take as

one dose at bedtime. His secretary confirmed this for me and also

rearranged my appointment, she is very helpful. Have you been to see

him yet and persuaded him to let you try T3?

Love Lizzie

> Hi Lizzie, I would phone Dr B's secretary and ask her to clarify

what he meant, though I would guess he means to just increase the T3.

> I would also suggest to her that you put your appointment back a few

weeks, that should not be a problem.

> Gill

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Hi Lizzie, glad its sorted. No I go back to see him in April. What made him decide/agree to try you on T3? Im loads better just on the levothyroxine but do still have lots of aches and pains, thinking of talking to him about fibromyalgia and T3 to see if he will give me some, so your experience might help! I think he will increase the T4 again and not want to try the T3 unless I push it but I think that would help with the pains.

Gill

---Hi GillYes it's all sorted. I have to increase the T3 to 20mcg and to take asone dose at bedtime. His secretary confirmed this for me and alsorearranged my appointment, she is very helpful. Have you been to seehim yet and persuaded him to let you try T3?Love Lizzie> Hi Lizzie, I would phone Dr B's secretary and ask her to clarifywhat he meant, though I would guess he means to just increase the T3.> I would also suggest to her that you put your appointment back a fewweeks, that should not be a problem.> Gill

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Hi Gill

He suggested we try a small amount of T3 as my bloods were showing

normal range but I was still suffering with thigh cramps and general

fatigue. I asked if he would consider Armour but he said it would b

the last thing he would try. I think if you ask for a trial of T3 you

might well get some. Good luck.

Lizzie

What made him decide/agree to try you on T3? Im loads better just

on the levothyroxine but do still have lots of aches and pains,

thinking of talking to him about fibromyalgia and T3 to see if he will

give me some, so your experience might help! I think he will increase

the T4 again and not want to try the T3 unless I push it but I think

that would help with the pains.

> Gill

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Hi Lizzie, thanks - I will try! What dose of thyroxine were you on?

Gill

Hi GillHe suggested we try a small amount of T3 as my bloods were showingnormal range but I was still suffering with thigh cramps and generalfatigue. I asked if he would consider Armour but he said it would bthe last thing he would try. I think if you ask for a trial of T3 youmight well get some. Good luck.LizzieWhat made him decide/agree to try you on T3? Im loads better juston the levothyroxine but do still have lots of aches and pains,thinking of talking to him about fibromyalgia and T3 to see if he willgive me some, so your experience might help! I think he will increasethe T4 again and not want to try the T3 unless I push it but I thinkthat would help with the pains.> Gill

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Hi Lizzie, that's encouraging - Im on 100 mcg officially, though raised this myself to 125 mcg and am still having aches and pains, my knees are dreadful coming downstairs although my feet are much better but still not pain free. I left off taking T4 for a couple of days last time and he increased the dose so Im now wondering whether to take it on the day so they look normal and Im still having pains, or not! Hmm need to think about it but bedtime now!

thanks for this,

Gill x

Re: Blood Results

Hi GillI was on 75 mcg T4, he left that the same and added 10 mcg T3.Love Lizzie> Hi Lizzie, thanks - I will try! What dose of thyroxine were you on?

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  • 2 weeks later...
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Hi Jus

Quite simply, your results look as if you are not converting the inactive thyroxine (T4) into the active hormone triiodothyronine (T3). T3 is needed by every cell in your body to make it function.

If you were converting the T4, that would be around 17/18 in the reference range - but it is WAY over the top of the range which means it is floating around in your blood doing absolutely nothing. If it was converting, your Free T3 would be somewhere in the region of 5. Your Ferritin is FAR too low and you need some elemental iron to boost this level or you will become amaemic and with a low ferritin, no amount of thyroid hormone replacement is going to get absorbed into your body and low ferritin also stops your T4 converting into T4. You need combination therapy using both T4 and T3 or natural thyroid extract like Armour to bring your levels to where they should be and make you feel better.

What comments did your doctor have to make?

If you have low adrenal reserve and/or Candida Albicans, these also stop your thyroxine from converting or being absorbed by your tissues. Have you checked the adrenal and candida questionnaires that are in our files on this forum?

Luv - Sheila

Hi all,

I would be very grateful if you could interpret my blood results for me. I've finally got my FT3 one back, so I now have the full range. I know something isn't right as I want to sleep all the time and the brain fog is awful. I had a total thyroidectomy back in 1994 (ish) due to Graves.

Latest results :

FT4 - 28.30 (12-22)

TSH - 0.01

Ferritin - 24

FT3 - 4.4 (3.0-6.2)

Many thanks for all your help!

Jus

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Hi Sheila,

This forum has been a great resource. I am now armed with lots of information and will be seeing my GP shortly. He has already seen some previous documents that I took along to my last visit and he's prepared to listen. He was also in agreement with me having the FT3 test privately. With any luck, he will either prescribe T3 or Armour, along with the iron I need so I can get on the road to recovery. If not, I'll then go down the private route!

Thanks so much for your help!

Jus

Hi Jus

Quite simply, your results look as if you are not converting the inactive thyroxine (T4) into the active hormone triiodothyronine (T3). T3 is needed by every cell in your body to make it function.

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Hi Jus,

The T3 is lower in the range

than the rather high T4 so this points to a conversion problem. What meds are

you taking? If T4 than maybe Armour would suit better. Have you considered

Adrenals? Also zinc and selenium are needed for conversion- if either is low

then this may be the problem as there is some T3 there! See http://wwwithyroid.com for mineral info.

Subject:

Blood Results

Hi all,

I would be very grateful if you could interpret my blood results

for me. I've finally got my FT3 one back, so I now have the full

range. I know something isn't right as I want to sleep all the time and

the brain fog is awful. I had a total thyroidectomy back in 1994 (ish)

due to Graves.

Latest results :

FT4 - 28.30 (12-22)

TSH - 0.01

Ferritin - 24

FT3 - 4.4 (3.0-6.2)

Many thanks for all your help!

Jus

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Hi ,

I'm currently on 200mcgs levythyroxine which was increased from 150 a couple of months ago. I'm also on Carbamazepine which I know can affect levels.

I couldn't open the link to the site... Obviously I'm interested in as much information as I can find. Retaining the information is the difficult bit :) I have to keep re-reading everything.

How do I go about testing for low zinc and selenium?

Jus

Hi Jus,

The T3 is lower in the range than the rather high T4 so this points to a conversion problem. What meds are you taking? If T4 than maybe Armour would suit better. Have you considered Adrenals? Also zinc and selenium are needed for conversion- if either is low then this may be the problem as there is some T3 there! See http://wwwithyroid.com for mineral info.

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Hi Jus,

A quick and easy way to test for zinc which I got from the Hyperactive childrens’

support group is just to suck a zinc gluconate tablet. If you cannot taste it,

you are low. A taste after 30 seconds means borderline and an immediate yeuch! With

a strong metallic taste means OK If you are low, supplementing with zinc

then trying the test again you will see what I mean by yeuch! Sucking the

tablets on the first sign of a cold can stop the cold developing in a decent

proportion of people.

Sorry, no quick tests for selenium, except that it is very low in the soils of

the UK ( we

used to get it through Canadian Bread wheat) therefore low selenium is probably

endemic in the UK population. I use a Selenium ACE with Zinc as my source. Thereis lots

of info on http://www.ithyroid.com

Hi

,

I'm

currently on 200mcgs levythyroxine which was increased from 150 a couple of

months ago. I'm also on Carbamazepine which I know can affect levels.

I

couldn't open the link to the site... Obviously I'm interested in as much

information as I can find. Retaining the information is the difficult bit

:) I have to keep re-reading everything.

How do I

go about testing for low zinc and selenium?

Jus

Hi Jus,

The T3 is lower in the range than the rather high T4 so this points to a conversion

problem. What meds are you taking? If T4 than maybe Armour would suit better.

Have you considered Adrenals? Also zinc and selenium are needed for conversion-

if either is low then this may be the problem as there is some T3 there! See http://wwwithyroid.com for mineral info.

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  • 3 weeks later...
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Hi Chan

Indeed, your FT4 and FT3 are low considering that you are taking Armour. You might be like me, needing a little extra T4 to put you in the place where you feel better - however, see how you feel when you have started on an extra half grain. Do you take it twice a day. Your antibodies are high, showing that you have Hashimoto's disease. This means that the antibodies are attacking your thyroid gland and this is the reason you are unable to put out the thyroid hormones your body requires. Stopping your Armour for 48 hours is fine - this is recommended by the majority of doctors (and professors) who know about natural Armour.

Are you taking any adrenal support - have you had a 24 hour adrenal profile to see where your cortisol and DHEA lie?

Luv - Sheila

Hi all

Went to see Dr B yesterday to get my blood test my FT4 was 6.2 FT3 was 3.4 TSH was 0.8 & antibodies were 622 he agreed my FT4 & FT3 was low and antibodies were high so has suggested that I up my armour from 2.5 to 3 grains and to go back in 4 months to see how I am doing.

He did lots of other blood tests i.e ferritin, cholestral, calcium etc and and they all were fine.

I know I should have asked yesterday but are your antibodies supposed to be 0 and also I stopped my armour 48hrs previous to having blood tests is this too long should I stick to just 24 hours in future?

Regards

Chanbetween 0000-00-00 and 9999-99-99 <hr size=1> for Good helps you <a href="http://us.rd./mailuk/taglines/isp/control/*http://us.rd./evt=51947/*http://uk.promotions./forgood/">make a difference</a>

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Hi Chan,

48 hours will only affect

your T3 reading as this has a short half life- the T4 has a half life of 5-9

days so will be affected very little.

Subject:

Blood Results

Hi all

Went to see Dr B

yesterday to get my blood test my FT4 was 6.2 FT3 was 3.4 TSH was 0.8 &

antibodies were 622 he agreed my FT4 & FT3 was low and antibodies were

high so has suggested that I up my armour from 2.5 to 3 grains and to go back

in 4 months to see how I am doing.

He did lots of other

blood tests i.e ferritin, cholestral, calcium etc and and they all were fine.

I know I should have

asked yesterday but are your antibodies supposed to be 0 and also I stopped my

armour 48hrs previous to having blood tests is this too long should I stick to

just 24 hours in future?

Regards

Chan

between 0000-00-00 and 9999-99-99 <hr size=1> for Good helps you

<a href= " http://us.rd./mailuk/taglines/isp/control/*http://us.rd./evt=51947/*http://uk.promotions./forgood/ " >make

a difference</a>

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My thoughts are after doing some reading on here that the TSH result

should be nearer 2 to be healthy. So this means my pituatary is

producing too much hormone because not enough thyroxine hormone is in

my system.

does this make sense?

> hi i have my results today. they are all normal, but i would be

> interested to see what you think.

>

> TSH = 3.2

> T4 12

> Ferettin = 137

>

> sugar = 4.4

>

> Testosterone = 10.91

> LH = 3.6

> FSH = 9.5

>

> Thanks

>

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TSH is not normal - had you been tested in the UK, you would have been diagnosed as hypothyroid because their reference range for TSH is 0.3 to 3.0. Had you been tested in Germany, again, you would have been diagnosed hypothyroid, because their reference range for TSH is 0.3. to 2.5. Your Free T4 is also on the low side - ferritin is fine. Has your GP told you to go back for further blood tests - if not, you should ask for this to be done in about 3 months time to see whether your TSH is rising. Also, you should get checked to see if you have antibodies to your thyroid.

luv - Sheila

hi i have my results today. they are all normal, but i would beinterested to see what you think.TSH = 3.2T4 12Ferettin = 137sugar = 4.4Testosterone = 10.91LH = 3.6FSH = 9.5Thanks

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TSH should be around 1.0 to make most people feel good. 2 is a little suspect and needs watching. Your pituitary sends out Thyroid Stimulating Hormone (TSH) to tell your thyroid to produce more T4 because it is not producing enough to make your body function. The more TSH your pituitary has to send out, the higher it goes. You are getting the hang of things *grin*!

Luv - Sheila

My thoughts are after doing some reading on here that the TSH resultshould be nearer 2 to be healthy. So this means my pituatary isproducing too much hormone because not enough thyroxine hormone is inmy system.does this make sense?> hi i have my results today. they are all normal, but i would be> interested to see what you think.> > TSH = 3.2> T4 12> Ferettin = 137> > sugar = 4.4> > Testosterone = 10.91> LH = 3.6> FSH = 9.5> > Thanks>

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