Any thyroid specialist in N.Ireland

Does anyone know off a specialist in Northern Ireland that that understands nature thyroid and how the T3 will suppress the TSH . My NHS specialist had me drop my dose as TSH was 0.02 ,he isn't interested that my T4 is 12.4 .He says reducing will raise my TSH but i have tried and I was so ill I went back to my usual dose . I need a specialist that understand NDT and that my blood test are ok and will provide support for me. Does anyone use NDT and a small amount off levothyroxine maybe to raise TSH ,maybe this helps ,any advice please.

4 Replies

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  • Maggiemay, adding T4 to your NDT will lower your TSH, not raise it.

    Email louise.warvill@thyroiduk.org.uk for a list of member recommended endos.

  • I thought that as TSH is higher on levothyroxine then it must be the T 4 that raises it .

  • Maggiemay, all thyroid replacement lowers TSH. The only way to raise TSH is to reduce dose. TSH 0.02 is suppressed due to the dose you are taking. My TSH has been undetectable to <0.01 for 3 years. There may be an increased risk of osteoporosis or atrial fibrillation with suppressed TSH so you have to weigh up the pros and cons of feeling well today versus possible future adverse health outcomes.

  • TSH is produced by the pituitary gland and signals to the thyroid gland to produce more thyroid hormones. The pituitary monitors the amount of thyroid hormones in the blood and makes more or less TSH depending on the levels of thyroid hormones in the blood. Therefore if you take thyroid hormone medication your TSH will be lowered.

    There can be an issue for many people that it you take a small amount of thyroxine the pituitary produces a bit less TSH and so the thyroid makes less thyroid hormones, meaning that you do not feel any better and can actually feel worse. For these people the only way to feel better is to take a larger dose which will bring TSH to near zero but will raise the levels of thyroid hormones in the blood.

    The active thyroid hormone is T3 and it is T3 which regulates the metabolism. including bones. Any half informed doctor should not be concerned about suppressed TSH.

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