Blood results advice - should I increase my NDT... - Thyroid UK

Thyroid UK

141,182 members166,423 posts

Blood results advice - should I increase my NDT slightly?

Jacquie-Mac profile image
14 Replies

Hi all,

With lots of help I am almost at optimal NDT dose. I just received back my latest results and could do with some advice.

Firstly my Vit B12 and Folate are low, so i will improve them through suplements - and thanks to other posts I have ordered 1000mg Vit B12 and 400g Folate.

I could do with some thoughts on my Thyroid results. I took my blood before my morning dose of NDT - and I am currently taking 2 1/4 grains a day.

FT4 - 14.46 range (12-22)

FT3 - 5.45 range (3.1 - 6.8)

Total T4 - 79.1 range (64.5 - 142)

TSH 0.02- range ( 0.27 - 4.20)

Do you think I can increase by a further 1/4 to improve my FT4 or would this be too much. Generally I am feeling better on my NDT, but I still get very tired. I did notice that on this dose that my temperature is finally improving, but also for the first time my sleep is disturbed.

I wondered if the disturbed sleep could be a hyper symptom, but I don't have any other hyper symptoms - and have only had heart palpitations on Levo.

I would really appreciate your thoughts

Many thanks

Jacquie

Written by
Jacquie-Mac profile image
Jacquie-Mac
To view profiles and participate in discussions please or .
Read more about...
14 Replies
Jazzw profile image
Jazzw

How long have you been on 2 and a quarter grains? If it's been more than a month, then I'd say you could try raising a quarter, even another half grain and see how you go. You'll sense if it's too much for you pretty quickly, but if it helps and you suffer no ill effects you'll have your answer.

Jacquie-Mac profile image
Jacquie-Mac in reply toJazzw

Thanks Jazzw,

Yeah it's been over a month - so I will try another 1/4 and see how I feel.

Thanks for the advice

Jacquie

NatChap profile image
NatChap

Your results are almost the same as my last ones. If you still feel the need to increase then there is room to do so. I had problems increasing from 2 1/4 due to high cortisol, every time I tried I would get anxious. I took Holy Basil, got the anxiety under control and have now increased to 2 1/2. I am going to have some blood tests done again in a month and may possibly try going up to 2 3/4 depending on how I feel by then and what my FT3 is. Disturbed sleep could be cortisol problems, have you had a saliva test done?

Jacquie-Mac profile image
Jacquie-Mac in reply toNatChap

That's interesting. No I haven't done the saliva test - do you know who does them? And what is the treatment if do have high cortisol?

All the best with your next blood test

Thanks

Jacquie

NatChap profile image
NatChap in reply toJacquie-Mac

Genova do the test. If you go to the thyroid uk website there is info there regarding cortisol and testing. Also take a look at the Stop The Thyroid Madness website where there is also lots of info about cortisol and how to treat it. I took Holy Basil which seemed to work for me although I haven't had another test done my symptoms are much better.

Nat x

Jacquie-Mac profile image
Jacquie-Mac in reply toNatChap

Thanks Nat, I'll definitely look the test - anything that can help me feel better is worth exploring

NatChap profile image
NatChap in reply toJacquie-Mac

Good luck..as long as we are going in the right direction eh?!

Jacquie-Mac profile image
Jacquie-Mac

Hi Jazzw,

Thanks for your advice.

I have been cautious on this dose and have been taking it for 2 months now.

I'll try another 1/4 as you suggest and see how I feel - if I feel ok, then I'll try another and then get some more bloods done

Thanks again

Jacquie

SeasideSusie profile image
SeasideSusieRemembering

Jacquie-Mac Are you taking a B Complex? It's not just folate you need, you need to balance all the B Vits and a B Complex covers that.

Jacquie-Mac profile image
Jacquie-Mac in reply toSeasideSusie

Thanks Susie, I have ordered individual B12 and Folic Acid - but will consider a B Complex next time. Out of interest when do you take yours? Monrning or evening?

Thanks

Jacquie

SeasideSusie profile image
SeasideSusieRemembering in reply toJacquie-Mac

Jacquie-Mac I take the B vits in the morning. They are supposed to be stimulating so it's best not to take them in the evening in case it disturbs sleep.

When you look for a B Complex, get one with methylfolate. That's the natural, bioavailable form. Folic acid is synthetic and needs to be converted into folate by your body, we're not all good at that :)

Jacquie-Mac profile image
Jacquie-Mac in reply toSeasideSusie

Thanks Susie that's really helpful - I didn't know that folic acid was synthetic.

Is it ok to take the B vits at the same time as the NDT, or is it best to space them part?

Thanks

Jacquie

SeasideSusie profile image
SeasideSusieRemembering in reply toJacquie-Mac

Jacquie-Mac No, you treat NDT the same as Levo, take it away from vits and mins. I take my Levo/T3 in the early hours of the morning when I get up for the loo, then go back to bed for a few hours. Saves all the hassle of timing. If I do happen to sleep through and take my Levo/T3 later, I leave at least an hour, take my Vit C, then potter about a bit, have breakfast and then my B Vits so I suppose it would be about 2 hours in that case. But I know NDT is usually taken in divided doses so it's not so easy.

Jacquie-Mac profile image
Jacquie-Mac in reply toSeasideSusie

Thanks - I can take it after breakfast, which is about 1,5hrs after I take my NDT.

I also decided to take you advice on the B Compex and have ordered the Thorne Reasearch Basic B Complex

Thanks again

Not what you're looking for?

You may also like...

New Blood results - Thiroyd NDT - Vitamins low. Should I take vitamins first to bring them in range and then adjust NDT?

Hi. Just had results of vitamins and wondering if anyone can help with brands of vitamins and...
princess20 profile image

Should I increase NDT?

4 weeks ago I began AIP diet and switched to NDT from Levothyroxine. I am disappointed to see that...
HarrietJW profile image

Results on NDT

Hi everyone. I have been on NDT now for a littleover a year. I have been OK at 2.5 grains, but...
Shonnyuk profile image

I switched from Levo to NDT - interim blood test results as expected?

Hi, So a quick summary of my previous posts, I switched from 100mg Levothyroxine to Natural...
davidlee72 profile image

NDT and results

Afternoon everyone. I am currently taking two grains a day of NDT (thyroid S) and have Hashimotos....
motojay profile image

Moderation team

See all
Jaydee1507 profile image
Jaydee1507Administrator
PurpleNails profile image
PurpleNailsAdministrator
SlowDragon profile image
SlowDragonAdministrator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.