Advice on bloods after dropping Levo.

[chriscross66]

Hi there. Really grateful for this site and would like some advice on my recent bloods. I have been taking t3 10 mg in the morning and thyroid s at night. 1 tablet. My endo prescribed the t3 and I kept reducing my Levo from 190g to zero at night before taking the thyroid s. I still feel exhausted all day. Any help much appreciated. Thanks

[chriscross66]

Also I have been taking b6 and b12 sups and selenium.

[Clutter in reply to chriscross66]

Chrscross66,

I find the text is too small and too feint to read. Could you re-upload the results to see if they are clearer or could you manually type the results and ranges.

[chriscross66 in reply to Clutter]

Hope this is much better. thank you

Thyroid Function

THYROID STIMULATING HORMONE 3.23 mIU/L 0.270 - 4.200

FREE THYROXINE *9.63 pmol/L 12.000 - 22.000

TOTAL THYROXINE(T4) *55.3 nmol/L 59.000 - 154.000

FREE T3 4.27 pmol/L 3.100 - 6.800

REVERSE T3 12 ng/dL 10.000 - 24.000

Thyroid Antibodies

THYROGLOBULIN ANTIBODY *589.100 IU/mL 0.000 - 115.000

THYROID PEROXIDASE ANTIBODIES 10.01 IU/mL 0.000 - 34.000

HAEMATOLOGY

Vitamins

VITAMIN B12 534.6 pg/ml 191.000 - 663.000

FOLATE (SERUM) *3.65 ug/L 4.600 - 18.700

25 OH VITAMIN D 69.46 nmol/L 50.000 - 200.000

[Clutter in reply to chriscross66]

Chrisscross66,

Thyroglobulin antibodies are positive for autoimmune thyroid disease (Hashimoto's) which causes 90% of hypothyroidism. 100% gluten-free diet may improve symptoms and reduce antibodies.

chriskresser.com/the-gluten...

thyroiduk.org.uk/tuk/about_...

You are under medicated to have TSH 3.23 and FT3 is still low in range. Increase Thyroid-S by half a grain (tablet) and then by a further half grain two weeks later. Hold at 2 grains for 6 weeks and retest before increasing further.

Folate is deficient. Your GP should prescribe 5mg folic acid. Alternatively buy 400mcg folic acid or methylfolate but it will take longer to correct the deficiency.

B12 is adequate but PA Society say 1,000 is optimal. Wait until folate deficiency is corrected and then supplement 1,000mcg methylcobalamin with a B Complex vitamin.

VitD is suboptimal. 75-200 is replete and most people are fine around 100. Supplement 1,000iu D3 daily and increase to 2,500iu Oct-Apr when ultraviolet light is too low to stimulate vitD.

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I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.

[chriscross66 in reply to Clutter]

Thank you. That is very helpful. I just feel that I no longer want Levo in my body and want to try everything I can to relieve myself of the exhaustion and weight gain!

[shaws Administrator]

1 gr of ThyroidS is equal to around 100mcg levo in its effect (some believe it's about 80), plus 10mcg of T3 (approx 30mcg of levo) so you are taking roughly around 130mcg of levo so maybe that's why you are still feeling unwell.

When switching to NDT, you can increase the dose by a small amount about every 2 weeks till your symptoms are alleviated. If your pulse/temp rises too high drop to the previous dose.