Thyroid UK

GP will NOT increase Levo from 50mcg - what next?

Well...... GP said she will NOT increase my Levo any further from 50mcg!

She will not do blood test again until October so I am going to do a Blue Horizon Blood test myself around the same time to prove (hopefully) that my private blood test results correlate with the TSH and T4 done on the NHS!

But she will not increase, she openly admitted it. She will not order T3 (or cannot) so now I am in a quandry about what to do next!

Shall I purchase more T4 to enable me to increase the dose or get some T3 myself to see if a little helps.

I would like to try NDT but would need to ask people to p.m. me with suppliers that they use and needs to be gluten free as I am celiac too.

GP agrees that there MAY be an absorption problem as Vit D and Calcium low in range but is not wholly convinced!

I have sent off for some Calcium as recommended by KalicoCat so should arrive tomorrow.

Any thoughts from people would be much appreciated!



2 Replies


First of all you need to know what your thyroid levels are to determine whether or not you need a dose increase or T3. It's increasingly rare that GP practices can order FT3 testing and as yours can't you will have to order a private thyroid from Blue Horizon or Genova if you want it done.

What are your calcium and vitD results and ranges? Supplementing D3 will raise vitD and raising vitD can raise calcium levels. It's not advisable to supplement calcium unless calcium is deficient.


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.

1 like

blood test results as sent in another post yesterday.

The results are below:-


basic testing

TSH - 2.95 (0.27-4.2)

Free T4 - 17 (12-22)

Serum Iron - 18.8umol/L (6.6-26)

Serum transferrin - 2.42 (2.0-3.6)

Transferrin saturation index - 34% (15.0-50.0)

Serum ferritin - 41 ng/mL (no range given)

B12 - 1081 (197-771)

Anti-tissue transglutaminase level - 1.2 (0.0-7.0) - [Celiac]

D3 - 63.9 nmol/L

calcium - 2.20 (2.2-2.6)

24th March - BLUE HORIZON private blood test

TSH - 4.39 - (0.27-4.20)

T4 Total - 100 (64.5-142.0)

Free T4 - 14.86 (12-22)

Free T3 - 4.51 (3.1-6.8)

Reverse T3* - 23.0 (10-24)

Reverse T3 Ratio - 19.61(>20

Anti-thyroidperoxidase abs 10.5 (,34

Anti-Thyroglobulin Abs - 86.2 (,115)

Vit D - 86

Vit B12 - 573

Serum Folate - 28.07 (10.4-42.4)


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