Re: Test - Help With Results - Please!

[Guest guest]

Hi Judy,

Welcome.

COuld you give us a bit of background please about what brings you to our forum

and what prompted the private tests.

Test results on their own are difficult to comment on, however I would comment

that the FT4 and FT3 look a bit on the low side to me. Your TSH is well within

the normal range (according to how the GPs see it), so you won't get a diagnosis

of hypo from a GP with those test results. However there are things to check/do

to help yourself if you are having hypo symptoms, some of which you may be able

to get checked through your GP.

Without knowing anything about you only assuming yoyur are struggling for energy

etc, then I would get your ferritin (iron stores) checked, along with your

folate, vit B12, magnesium, copper, zinc and D3. If you are low on any or a

several of these, then your body won't be able to use properly the thyroid

hormone it is making. (see file sections, under tests there is a document

called " low vitamins and minerals and the thyroid connection " which is good to

read and explain this more with references backing up each arguement.

Your ferritin needs to be between 70 and 100, B12 should ideally be towards the

upper end of the reference range and so does magnesium.

Even if you can only get the GP to test for a few, it's a step int he right

direction. Get the results and post on here.

If these all come back ok, then there is adrenal insufficiency to look at, but

that's a whole other topic!

If you give us some more info, I'm sure we will be able to help.

regards

Nadia

> This is a test done by a private Lab, of which their feedback was all in

Normal?

> limits. The bloods were taken @ 4.30pm. results as follows.

>

> The Free T3 looks lowish to me?

>

> TOTAL THYROXINE(T4) 97 nmol/L 59 - 154

> THYROID STIMULATING HORMONE 1.81 mIU/L 0.27 - 4.2

> FREE THYROXINE (T4) 15.2 pmol/l 12.0 - 22.0

> FREE T3 3.6 pmol/L 3.1 - 6.8

>

> THYROID ANTIBODIES

> Thyroglobulin Antibody <10.0 IU/mL 0-115(Negative)

> Thyroid Peroxidase Antibodies <5.0 IU/mL <34 (Negative)

>

> Many thanks for any insights

> JT

>

[Guest guest]

Hi judy, i will just make a quick comment,

the thyroid antibbodies test resuts are good

suggesting that you hopefully do not have the autoimmune type of thyroid disease

where your body id fighting your thyroid causing it to work slower. however this

may mean that when they took the teat your body was not having an active flare

up againnst the disease. ( ia m not sureif once you are postive always positve,)

if you would like more imformation just look up hashimotos.

the other tests are difficult as I do not have any information re your situation

if youa re on thyroid repacement etc at the persent time.

teh tests say withinn the normal limit whic is good but some peopel functio

better on the optimum levels again difficult to think about it without more

information.

sorry hope that is slightly helpful pittucoo

-> TOTAL THYROXINE(T4) 97 nmol/L 59 - 154

> THYROID STIMULATING HORMONE 1.81 mIU/L 0.27 - 4.2

> FREE THYROXINE (T4) 15.2 pmol/l 12.0 - 22.0

> FREE T3 3.6 pmol/L 3.1 - 6.8

>

> THYROID ANTIBODIES

> Thyroglobulin Antibody <10.0 IU/mL 0-115(Negative)

> Thyroid Peroxidase Antibodies <5.0 IU/mL <34 (Negative)

[Guest guest]

Thanks Nadia

You asked for some background. I came to the Forum as I know I am HyPO, have

been for a good while and needed to re-examine Everything again, get more

knowledgeable re Adrenals, Thyroid Function etc etc.

Main symptoms, chronic insomnia, hair loss, Basal Temp averages 35.9.

I had a private test cos my GP would not give me full Thyroid(only part) screen.

Although has done B12, Ferritin, D3 and other bits Liver Function... I fact I

just got the GP test Thyroid test back, the Lab only tested TSH (was 1.9), even

though T4 was requested - so useless really! In fact verbally when I asked for

blood test my GP told me I was likely HyPER - just cos i have insomnia....

beyond belief really.

SOME GP results back today

Ferritin - 35 ug/L (15-250)

Serum folate - 21.3 ug/L (4-26)

B12 - 716 ng/L (200-900)

D3 - test not back

ZINC/COPPER - GP did not how I could get that tested!

ADRENALS - have done a 24hr Saliva Test - private Lab

Results

CORTISOL

06:00 - 08:00 AM - 27 Elevated - 13-24 nM

11:00 - 1:00 PM - 11 - Elevated 5-10 nM

04:00 - 05:00 PM - 5 Normal - 3-8 nM

10:00 - Midnight - 4 Normal - 1-4 nM

DHEA

Pooled Value 3 Borderline Adults (M/F): 3-10 ng/ml

Comment - shows your cortisol-DHEA correlation was in:Zone 4 - Maladapted phase

II

>

> Your ferritin needs to be between 70 and 100, B12 should ideally be towards

the upper end of the reference range and so does magnesium.

>

> Even if you can only get the GP to test for a few, it's a step int he right

direction. Get the results and post on here.

[Ed]

[Guest guest]

Ferritin - 35

ug/L (15-250) - - ooops! ~This is FAR too low. A woman's ferritin (stored

iron) level should be around 90 to 130 in that range. You need some form of

elemental iron and urgently at that. Talk to your GP. Probably the laboratory

did not test your D3. Your GP should know that all NHS laboratories will test

zinc and copper levels, but often when asked, if there was insufficient blood

drawn at the time, these will not get done. Copper testing needs a lot of blood

to test. My endocrinologist wanted mine testing and the girl who drew my blood

didn't realise this, and it wasn't done, so I had to go back again to get more

blood drawn just to get copper tested.

Your early

morning cortisol level should be the highest of the day to enable you to

through the demands of the day, but it should not be outside of the top of the

range. A healthy person’s output of cortisol always follows the

same curve, which can be plotted on a graph (you can see this on the results

that were sent back to you. It normally drops throughout the day until it falls

to its lowest level by 11 p.m. or midnight, thus enabling us to be ready for

bed and to sleep restfully throughout the night. Whenever this curve departs

from the normal there is a problem. High night time cortisol means that you are

probably finding it difficult to relax from the stress of the day and have

trouble going to sleep. This results in reduced REM sleep, a kind of sleep that

is neither restful nor restorative, and which can produce depression and

reduced energy levels the next day.

You have a

normal cortisol output in the afternoon, but have too high and too sudden a

release of cortisol in the early morning. You probably find you are waking very

early- around 5 or 6 a.m, or even 4 a.m. and can't get back to sleep. Initially,

DHEA levels may also be high in order to provide some compensation for this,

but if stress becomes chronic the adrenals can no longer maintain the

production of extra DHEA with the result that there will be an elevated

Cortisol-to-DHEA ratio.

I would show

these results to your GP. Do you have an appointment with Dr Peatfield at any

time Judy?

Luv - Sheila

ADRENALS - have done a 24hr Saliva Test - private Lab

Results

CORTISOL

06:00 - 08:00 AM - 27 Elevated - 13-24 nM

11:00 - 1:00 PM - 11 - Elevated 5-10 nM

04:00 - 05:00 PM - 5 Normal - 3-8 nM

10:00 - Midnight - 4 Normal - 1-4 nM

[Guest guest]

Thanks Sheila

I WISH!! I slept till 4am - I used to, now I am awake after 1.5hrs.

Dr Peatfield - I am considering this. Have a teleconference with my

practitioners (not GP) on Monday and will see what they make out of these latest

test. If not convinced will see Dr P.

Thanks

JT

> too sudden a release of cortisol in the early morning. You probably find you

> are waking very early- around 5 or 6 a.m, or even 4 a.m. and can't get back

> to sleep. Initially, DHEA levels may also be high in order to provide some

> compensation for this, but if stress becomes chronic the adrenals can no

> longer maintain the production of extra DHEA with the result that there will

> be an elevated Cortisol-to-DHEA ratio.

>

> I would show these results to your GP. Do you have an appointment with Dr

> Peatfield at any time Judy?

>

> Luv - Sheila

>

> ADRENALS - have done a 24hr Saliva Test - private Lab

> Results

> CORTISOL

> 06:00 - 08:00 AM - 27 Elevated - 13-24 nM

> 11:00 - 1:00 PM - 11 - Elevated 5-10 nM

> 04:00 - 05:00 PM - 5 Normal - 3-8 nM

> 10:00 - Midnight - 4 Normal - 1-4 nM

>