test results, advice on to how to get gp to increase dose.

[bd79og]

Last Nov I was finally given levo (50mcg) by my gp after months of increasing TSH tests and feeling really bad and when retested was told I was in range although still feeling rough and in the higher part of the range (I think it was 3.7). I successfully used the nice guidelines to get an increase to 75 mcg and my TSH in April was down to 1.2 (GP did not test F3 or F4) so I was told all fine now and to come back in a year! Also a private blood test done in May showed insufficient vitamin D (38.7 nmol l). since then I have been taking supplements of vitamin d3 and also recently iron and other minerals (Zinc, calcium, magnesium, selenium, boron, molybidum and others but not folate). I have been taking vitamin B12 since August last year when I had a deficiency.

Recently I have been feeling tired and sad and have had a very swollen face every morning and also fairly dizzy with a nasty thudding noise in one ear and I have had no sense of smell at all for months but my asthma has been a lot better since starting the minerals. I am seeing someone from Ear Nose and Throat and in the waiting list for a sinus scan. These are my latest blood results from blue horizon.

Test Patient Result Normal Range Units Comment

Biochemistry

CRP 0.30 <5.0 mg/L

Ferritin 93.2 20 - 150 ug/L

Thyroid Function

TSH 2.04 0.27 - 4.20 IU/L

T4 Total 94.7 64.5 - 142.0 nmol/L

Free T4 15.28 12 - 22 pmol/L

Free T3 4.46 3.1 - 6.8 pmol/L

Immunology

Anti-Thyroidperoxidase abs 14.5 <34 kIU/L

Anti-Thyroglobulin Abs 13.2 <115 kU/L

Vitamins

Vitamin D (25 OH) 75 Deficient <25 nmol/L

Insufficient 25 - 50

Consider reducing dose >175

Vitamin B12 H 1130 Deficient <140 pmol/L

Insufficient 140 - 250

Consider reducing dose >725

Serum Folate 17.91 10.4 - 42.4 nmol/L

I took the blood test 24 hours after my levo tablets first thing in the morning before breakfast. I think that my TSH is still a bit high and that the thyroid levels are a bit low but know that the GP will be reluctant to rise my prescription.

I eat a gluten and dairy free, low salicylate and low histamine diet free from preservatives and colourings but have managed to expand this a tiny bit one pea and one slice of banana at a time over the summer without an attack but I'm due to start a stressful few months and would love to feel a lot better and able to cope.

I would be interested to see if other people here agree with me and also some hints as to a good approach to use with the GP. Thank you.

[puncturedbicycle]

Have you read the Dr Toft Pulse article where he states that some people don't feel better until the tsh is low in range/under 1? That might help. Find Louise Warvill here and ask and I believe she will email you a copy.

[NatChap]

Make sure you're taking vit K2 with your Vit D x

[Maggiemay12]

But some people are not well on a tsh of 1.0 or below as I need a higher tsh to feel well as my specialist said some need a lot higher to feel well enough so think this is important as we all differ ,