My symptoms started in sep 2011 with tingling and numbness in fingers. I was referred to an RA consultant while waiting for my next appointment my condition deteriorated. My hands and fingers were extremely painful and my joints swollen. I could not sleep and had no energy and fatigued.
I went private and was given a steroid injection and 5mg daily. My symptoms calmed down, however I could not sleep and did not feel myself. So in the October with my symptoms manageable I decided to stop the steroids. I gained weight and still felt weak with no energy and my hair had been falling out since July. My RA consultant decided to check my thyroid and said my TSH was to high and started me on 25mcg of thyroxine in Nov 2012 I felt a slight improvement but still nowhere able to do the things I used to. I had an increase to 50mcg in feb.
In august I had pain in wrists and tingling in my fingers like a cramp in my hands. I was told I was presenting carpal tunnel syndrome however can be associated with under active thyroid. So thyroxine increased to 75mcg to see if it settled. It did settle no more tingling but still have one permanent swollen finger and always weak hands and wrists. Sometimes have swollen feet too ! I have had two increases this year am currently take 125mcg thyroxine.
After joining this site is I have read through all the different posts and advice given and realise how complexed the thyroid is. I have had recent blood tests which I would appreciate any advice on. I am currently taking the nasal spray suprecur and will have a scan and blood test tom am to see if I am ready for the next stage on my journey of ivf. Also I have read that you should not take your thyroid tablets until after b/t, why ? The docs do not know when I have asked.
April blood test/ taken in morning
TSH 3.03 ( 0.27-4.20) mu/L
Free T4 22.9 ( 12.0-22.0) pmol/L
free T3 4.2. ( 3.1-6.8) Pmol/L
Th1:Th2 cytokine Ratio
24.4 (13.2-30.6) ratio
IFN-g: IL10 (CD3+CD4+)
13.6 (5.8-20.5) Ratio
Thyroid peroxidase antibodies
144 IU/mL ranges <50 50-75 >75
Anti thyroglobulin antibodies
380 IU/ml <100 100-150 >150
11 July b/t 1630
Serum Vit D 87 nmol/L 75.00-200.00
Serum Ferritin 26ug/L 15.00-250.00
Serum free T3 3.9 pmol/L 3.50-6.50
Serum free T4 20.4 pmol/L
Serum TSH 0.21 mu/L 0.35-5.00
Serum folate 11.4 ug/L 2.00-17.00
Plasma Vitamin B12 level 308ng/L