Thyroid knowledge needed

[bigmix]

Symptoms are hair loss, fatigue, low mood, muscle aches (particularly in legs) and anxiety.
Also have quite itchy skin.
one had a range of bloods done, I’ve to repeat bloods for liver as this has come back abnormal.
my gut feeling was my thyroid, my results are below.
Gp is saying no further action for another three months and basically just to get on with my symptoms.
any advice would be welcome

Hmm those results are edging in the direction of an overactive thyroid but aren't quite 'there' as yet. That's why your doctor's asking you to come back in 3 months. I know this is really frustrating with thyroid issues. In the meantime, make sure you are eating a good diet and getting enough rest.

The symptoms you describe, if related to the thyroid at all, would suggest hypothyroidism (underactive thyroid), but your blood tests suggest mild hyperthyroidism (overactive thyroid). Given that your symptoms do not match hyperthyroidism I would say that your GP is right, and you need to look elsewhere for an answer, as it doesn't seem to be the thyroid.

I ran your results through ChatGPT. Here's what it said:

The thyroid function test results suggest possible subclinical or early hyperthyroidism, though further testing is recommended to confirm.

Here’s a breakdown:
Your Results:

• Serum free T4: 22.9 pmol/L (Normal: 11.0 – 26.0) → Normal
• Serum TSH: 0.16 mU/L (Normal: 0.27 – 4.2) → Low
• Serum free T3 (triiodothyronine): 5.1 pmol/L (Normal: 3.1 – 6.8) → Normal

What This Means:

• Your TSH is low, which typically suggests your pituitary gland is reducing its signal to the thyroid (possibly because it senses too much thyroid hormone).
• However, your T3 and T4 are still within normal ranges, which could indicate subclinical hyperthyroidism (early or mild overactivity of the thyroid).
• The note suggests repeating thyroid tests in 3 months (“3/12 TFTs”) to monitor for any changes or progression, as this may be a transient fluctuation or an early sign of an underlying thyroid condition (like Graves’ disease, thyroid nodules, or thyroiditis).

Next Steps:

• Follow-up with your GP: They might refer you to an endocrinologist or repeat the tests in a few months.
• Watch for symptoms like unexplained weight loss, palpitations, anxiety, tremor, or menstrual changes, as they might indicate your thyroid is becoming overactive.

Thanks all, it’s so frustrating. I’m usually the get up and go type of person but the fatigue is really getting me down

Have you got any family history of autoimmune disease?

I have Hashimotos and though the ‘typical’ disease results in an under active thyroid in the early stages there can be periods of over activity, though my symptoms were only ever of an under active thyroid.
If you think this might be the case you’ll need testing for thyroid antibodies.

Read isabella wentzs book it really changed my whole outlook. NHS sadly doesnt understand thyroid disorders much at all www.amazon.co.uk/Hashimotos-Protocol-Reversing-Thyroid-Symptoms/dp/006257129X/ref=mp_s_a_1_2?crid=1X98Z30D9U11X&dib=eyJ2IjoiMSJ9.N5UIPgQLlMI97HtoqZkMxT0Twyn3wyDTCeEU0U7W_Gg3qN_wFlnxISMx_izimeNreNnEZerzTZ2PqiUha3lVJQQWHtEjE9PnNVG4K7Pu2pspjFDaaDKSE9nmBXiu4PalGiQklrH3vIk4mhvB7cVCaQ.t01ROAkgK01yiqS3sQIrT2o1cP55LeByecYnX08wuZ4&dib_tag=se&keywords=isabella+wentz&qid=1743627382&sprefix=isabella+wen%2Caps%2C95&sr=8-2

My mum had/has overactive thyroid and had radiotherapy to treat. Dad has diabetes.
No other concerning family history

Ahhhh then it's in your family OP and so that tips the scales in the direction of thyroid issues for you as well. My mother had an overactive thyroid, I developed an underactive one. Both of us autoimmune but in different directions!

All you can do is keep a close eye on it and test regularly for the moment. Fatigue is an awful thing to deal with, though.