Do I have hypothyroidism?
Posted , 5 users are following.
I went to my gp recently as ive been struggling with fatigue, weight gain despite exercise, brain fog, sheer exhaustion, tingly fingers sometimes and anxiety. Every day I feel awful and I can no longer workout because if I do I feel terrible fatigue and pain for 3 days afterwards. My gp wanted to check my thyroid and b12 as he suspected both weren't right.
I've had low ferritin for 10 years, I struggle taking iron tablets so intake spatone supplement which is gentler. I put my tiredness down to the low ferritin but it's been lower in the past and I've not felt this tired.
I rang for my results and was told all normal by the receptionist. I didn't trust this so asked for a copy of my results. The are as follows
Serum TSH 5.33 mu/L ( 0.35-5.50)
Serum Free T4 - 11.0 pmol/L (7.0-17.0)
B12 - 212 ng/L ( 150-900)
Intermediate level. Consider treatment if evidence of deficiency.
Serum Folate 23.20
Serum Folate 15 ug/L (15-300)
I am speaking to my gp next week to discuss this I worry challenging him as he's marked all as normal but are they? I am in the UK.
Thank you
Ju
0 likes, 16 replies
kathleen61417 Jingyd36
Posted
When I was first diagnosed they simply kept an eye on the tests before prescribing Levrothyroxine, but if that does not help you could face problems as they won't prescribe T3 or NDT.
mvwaugh Jingyd36
Posted
barbara98940 Jingyd36
Posted
Did you mean to write 'serum folate' twice, or was one of them intended to be something else?
It might make it feel less daunting if, instead of thinking of it as 'challenging your GP', you think of it as: 'working with them and giving them the information they need to make you better'. This isn't meant to sound patronising, it's just that I've found that if I go into a situation in a collaborative frame of mind, I often get a better response from the person I'm talking to. Though I have to admit, that with some people, nothing works! In which case try another GP in the same practice.
There are a number of iron supplements from which your doctor can choose - have you fed back to them that you don't tolerate the ones you were prescribed? A couple of other ideas are: check your vit D and selenium levels; take a list of your symptoms and ask if the results are normal why do I feel so bad? What else can be wrong?
Jingyd36
Posted
Yes sorry I meant to type serum ferritin, not folate twice. My ferritin is 15.
I have had iron that's made me feel unwell and my gp is aware and that's why I am on spatone instead.
I shall speak to my gp tomorrow and ask about a retest and treating the low b12 and ferritin for now and see if he agrees to retest the thyroid. I am just concerned he will dismiss my thyroid is tsh is high
Thanks again.
Ju
barbara98940 Jingyd36
Posted
for energy and to metabolise food. So, what this means is, if TSH is high your body is asking for more T4. If T4 is low your thyroid isn't producing enough of it. If T4 is ok but T3 is low your body isn't converting T4 to T3 properly. A ferritin level of 15 is too low for your thyroid to function correctly.
Jingyd36 barbara98940
Posted
Yes my ferritin is far too low. If I get this level up does this mean my thyroid will work normally? It's not true hypothyroidism?
I'm speaking to my gp in a couple of hours and I am nervous.
barbara98940 Jingyd36
Posted
Scazzoh Jingyd36
Posted
Jingyd36
Posted
He said my ferritin was in my boots so I am on ferrous gluconate 300mg once a day.
My B12 he just said 'that's normal, no need to treat it'. I tried to question him but he wasn't budging.
My thyroid, he agreed my TSH at 5.33 was high end of normal so borderline result. He said that is likely to flip over to the other side then we can treat it, he said he wants to do a blood test again in 6 months. 6 months??!!! He said 'there is no point checking it every 2 minutes'. Not that I asked him too. He said 'with hypothyroidism being through your mums side you will probably end up with the same and need thyroxine but I can't give you thyroxine until you got over the 5.5'. I asked would I be symptomatic at my result and he said 'probably not'. I told him how unwell I feel and how bad the fatigue was but he just dismissed it was being my ferritin and nothing to do with my thyroid.
I will leave this 6 weeks then I will see my GP for a chat and ask for my bloods done be redone maybe beginning of November, that way it's been about 10 weeks. I cannot carry on feeling like this if it is my ferritin.
In the meantime I will take my iron for my ferritin. Should I be taking something for b12? as I know 212 is a low result. I take a multivitamin from Biocare and that contains 30ug of b12. I have been taking that for a while now.
So I now feel silly, as though I have imagined how ill I feel, he probably thought oh it's Julie the worrier, as I have anxiety on my notes. He didn't seem to take how I felt seriously and just said it would be my ferritin. I didn't feel there was much else I could say as he said it can't be my thyroid at 5.33.
Thank you all for your help.
Scazzoh Jingyd36
Posted
barbara98940 Jingyd36
Posted
barbara98940
Posted
It's worth making an appointment to see a different doctor in two weeks time. (At my surgery we have to book at least 2 weeks in advance unless its something that you need to be seen that day for. (You might have picked up the odd hint that I don't rate your GP at all). I'll PM you some good sites to look at. This will help you become more knowledgeable and increase your confidence when talking to your GP. A couple of things to watch out for: GPs ate supposed to check afrenal glands before starting you on thyroxine, but rarely do. Also you could do with a whole load of vitamins and minerals checking, as deficiencies often occur when the thyroid is struggling. Well done! You got as much out of your GP as anyone could have done.
barbara98940
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Jingyd36 Scazzoh
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Jingyd36 barbara98940
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I shall be going back to my GP, he is lovely and very helpful. I know he will agree to a retest and I know he will agree to test antibodies. THe last 2 GPs I have had to deal with aren't so good. The GP that called me I don't have faith in and the one who sent me for the tests is a GP i used to see and he is nice but I prefer the younger GP that joined a few years ago and he has been brilliant through my anxiety and medication process. I shall be going to speak to him in a few weeks with my husband.
Jingyd36 barbara98940
Posted
I did what I could, he wasn't very helpful at all over the phone. Everything I said I had read he just slammed down as wrong and wouldn't take me on.