Hello kind + learned folk
Need your advice on what next, two years after Hashimoto's diagnosis. I've supplemented like a demon over the past year - Vitamins D, B12, C, selenium, multi-vitamins with minerals, iron, Omega 3 fish oil.
Bloods much improved but still have borderline low levels of FT4 and FT3, ice-block feet, puffy face and body despite Paleo eating, low basal temp (35.4 to 36.2), dry thinning hair, threadbare outer eyebrows, dry, itchy skin, low mood and bouts of knock-me-over fatigue.
Stopped taking Nutri Thyroid glandular regime (from functional meds doc) last November to get a clearer picture of thyroid hormone levels. Had been on them since last March and, though TSH fell <1, thyroid hormones remain stubbornly low, just within lower NHS range.
Also stopped bio-identical HRT for two months to see if it was a factor in 2.5 stone weight gain just before and after Hashimoto's diagnosis in April, 2013. Weight did not budge but insomnia returned with a vengeance, along with joint inflammation (history of sero-negative Rheumatoid Arthritis).
Still doing water aerobics, bodypump (strength training with weights) and yoga - gives me energy, keeps me sane.
Gluten-free since March, 2014 - making everything from scratch, nothing processed - and sugar intake remains near zero.
Latest blood results:
Folate 14.9 (<2.7)
Ferritin 68 (20.0 - 300.0)
Vitamin D 76.2 (70.0 - 150.0)
B12 766 (160.0 - 800.0)
TSH 1.25 (0.3 - 4.2)
FT4 11.2 (9.0 - 23.0
FT3 3.7 (2.5 - 5.7)
TPO antibodies only down to 260 from 598 (despite gluten-free)
Endo visits were useless but seeing nice, newbie GP on Tuesday.
How best to boost thyroid hormones? Trial of levothyroxine? If so, what starting dose and when increase? Was on Synthroid for a year at puberty when first had low thyroid hormone levels. Now 57, post-menopausal. Frightened of all the stories of hair falling out and the rest but need to try something.
Huge thanks for your advice