TSH should be done again with the Free T3 and Free T4, as they should be done from the same blood draw. It's not necessary to have the RBC/blood count/blood type done. The Ferritin and B12 tests will help determine anemia, but you can have the blood count done if you want. Blood type is not necessary.
Selenium is not a "standard" blood test; it's typically done with micro-nutrient testing, so your doctor may not order that... Don't worry if it's not ordered.
Hello,TSH,LH,FSH,Prolactin tests are already done so its not listed.So will ask her to do these remaining tests then post results here(since last test weeks ago shes been eating stuff to increase blood count incase of anamia or this cant afford to keep testing again and again losing alot of blood as it is no periods).
So here is the list of tests will ask her to get done then post results online
Free T3,Free T4
TPOab, TgAb
Ferritin,Selenium
Vitamin D, Vitamin B12
Cholesterol,Triglycerides
Should this have Rbc/Blood count with Blood Type
Thank you very much :)
Of what you have listed, Free T3, Free T4, TSH, TPOab, TgAb, Ferritin, Vitamin D, Vitamin B12 and Cholesterol would be the tests you need.
T3 and T4 are Total T3 and Total T4 and they're obsolete, so there's no need to waste money testing them.
I'm not sure what you mean by "reflex T4"... Some doctors will order a test called TSH w/reflex FT4 - this is an instruction to the lab to run TSH and if it's out of range, they should then, analyze FT4, but if TSH is in range, they should do nothing further... this test is obsolete and there's no reason to ever order it.
A single blood cortisol is not very useful.
I don't know what you mean by "reflex T4,T3,FT4, FT3". Please type out the name(s) of the test(s) precisely. It's best to list them one under the other to eliminate confusion.
Also, by "t3,t4" at the end, do you mean total T3 and total T4?
I can comment on Thyroid tests, but am not well versed in pituitary tests.
This list looks pretty comprehensive to me. The FREE T3 and FREE T4 are usually the only ones that help us titrate the meds (versus TOTAL or other T4 & T3 tests). I do not see TSH (Thyroid Stimulating Hormone)- but this is almost always done with the Free T3 and Free T4.
If one has been hypothyroid for awhile the cholesterol and triglycerides can be elevated. Even the A1C (diabetes test) can be elevated too, until proper treatment is in place (if there is no other underlying reason).
Some people like to test their blood Selenium levels as this is needed to convert T4 into T3 in the peripheral cells. Selenium, if low, can be supplemented.
And the cortisol test that is said to be most accurate is the 24 hour SALIVA test (4 vials of saliva taken over 24 hours). Most insurance doesn't pay for this and it is then ordered by the individual online (about $125).