Lab Results: I am a hypothyroid patient and... - Thyroid UK

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Lab Results

naveed123 profile image
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I am a hypothyroid patient and taking 2.71tab of thyroxine daily.Tab is of 50mcg.I take 3 tab dialy for 5 days and 2 tab for 2 days in a week.My recent Tsh level is 0.2uIU/ml(0.4_4.9) and vit B12 level is 405(189_883).Is Tsh level and vit B12 levels are ok?

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naveed123
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shaws profile image
shawsAdministrator

The TSH is fine but your B12 could be higher. Even though it is in the middle of the range, it is better if it is higher. You can supplement with B12 methylcobalamin (not cyanocobalamin) and it is in either sublingual or spray whichever suits you.

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The main point when on thyroid hormones is how you feel, and the doctor shouldn't mess about with the dose if you feel well otherwise it upsets our metabolism and we feel bad or get new symptoms.

Clutter profile image
Clutter

Naveed, TSH is a little under range but if you feel well on your current dose I wouldn't reduce it. I agree with Shaws that you should supplement B12, particularly if you are vegetarian and have stopped the B12 injections. 1,000mcg daily should be enough.

greygoose profile image
greygoose

TSH is irrelevant. A very bad, useless test once you are on Thyroid Hormone Replacement. What counts are you frees - FT4 and FT3 - and your symptoms. Don't ever agree to your doctor lowering your dose according to the TSH.

Heloise profile image
Heloise

Have you ever had a test for you free T4? Are you feeling well, naveed?

Yes, B12 could be higher.

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