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Thyroid UK
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Swollen eyes in the morning

Hi I'm new here wonder if anyone can help, have been hypothyroid (hashimotos) for 7yrs with multinodular goitre have been on 50mg lev for 2yrs and have had regular checks to nodules and generally have felt quite ok until now. . Recently had a blood test :

TPO >1300 iu/ml.

serum free T4. 15. Pmo/l

Serum TSH. 1.7. Mu/L

Serum ferritin. 19

Antibodies sky high and and can't get appointment with endo for 8 weeks. For the last 2 months I've been waking with a swollen eye which clears after an hour or so and puffy under the eyes which dosnt seem to clear. Now my other eye is starting to swell in the night to. Really scareD I might have TED

Hpothyroid is in the family but not graves. I am also a coeliac of 8yrs and 2 months ago ate flour without realising so wondered if that may have had anything to do with the above. Greatful for any advise. Many thanks X

2 Replies


Welcome to our forum and sorry to hear you are not feeling well and in particular about your eyes.

T4 looks low but it is difficult to judge without the ranges. Ferritin is too low and should be supplemented. When iron levels are low it slows down the conversion of T4 to T3 (deiodinase activity) as requires iron containing enzyme thyroid peroxidase to produce the thyroid hormones.

Members supplement Ferrous Fumarate, taking each iron tablet with 500mg-1,000mg vitamin C to aid absorption and minimise constipation, taken four hours away from thyroid meds. I don't supplement iron and can't comment on dosing so post another question re dosing..

Elevated thyroid antibodies can encourage inflammation in the body causing fatigue, weight gain//puffiness, muscle//joint pain, difficulty in concentration//brain fog, irregular menstrual cycles, frequent infections and dry skin, etc.... Eight weeks is a long time to wait as it is possible to have both Graves and Hashi antibodies so ask your GP to test for TRAb before you see endo. Also Vit B12, folate and Vit D as deficiencies are common in hypothyroidism.

Supplementing 100-200mcg selenium is known to reduce TPOAb and members have found eating a gluten free diet to be beneficial.

It will help members if you post thyroid blood test results together with ranges (numbers in brackets).





Thyroid//Gluten Connection






Selenium helps reduce TPOAb



Hi thank you so much for your reply it was really helpful,, yes I thought eight weeks way to long so will go back to docs to get the tests done you suggest. Many thanks again 😃👍🏼

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