Dr begrudgingly increased my Levo : Finally got... - Thyroid UK

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Dr begrudgingly increased my Levo

Denny333 profile image
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Finally got an appointment to see my Dr & she has increased - albeit reluctantly - Levo to 75mg every other day. So I'm now taking 50mg one day then 75mg and a re test in 6 weeks.

Every so often my throat hurts to swallow, it was awful yesterday but not as bad today. Is this related to my thyroid?

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Denny333
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SlowDragon profile image
SlowDragonAdministrator

When you go for your retest in 6 weeks, the usual advice on ALL thyroid tests, (home one or on NHS) is to do early in morning, ideally before 9am. No food or drink beforehand (other than water) As you are taking Levo, then don't take it in 24 hours before (take straight after). This way your tests are always consistent, and it will show highest TSH, and as this is mainly all the medics decide dose on, best idea is to keep result as high as possible

Suggest you ask GP to check levels of vitamin d, b12, folate and ferratin. These all need to at good (not just average) levels for thyroid hormones (our own or replacement ones) to work in our cells

Also have you had thyroid antibodies checked? There are two sorts TPO Ab and TG Ab. (Thyroid peroxidase and thyroglobulin) Both need checking, if either, or both are high this means autoimmune thyroid - called Hashimoto's the most common cause in UK of being hypo.

(NHS rarely checks TPO and almost never checks TG. NHS believes it is impossible to have negative TPO and raised TG. It's rare, but not impossible, there are a few members on here that have this.)

Make sure you get the actual figures from tests (including ranges - figures in brackets). You are entitled to copies of your own results. Some surgeries make nominal charge for printing out. Alternatively you can now ask for online access to your own medical records. Though not all surgeries can do this yet, or may not have blood test results available yet online.

When you get results suggest you make a new post on here and members can offer advice on any vitamin supplements needed

If you can not get GP to do these tests, then like many of us, you can get them done privately

thyroiduk.org.uk/tuk/testin...

Blue Horizon - Thyroid plus eleven tests all these.

This is an easy to do fingerprick test you do at home, post back and they email results to you couple of days later.

If you find that you have Hashimoto's then you may find adopting 100% gluten free diet can help reduce symptoms, and lower antibodies too.

Assume you know that Levo generally should be taken on empty stomach and no food or drink for at least hour after. Many of us take on waking, some prefer bedtime, either as more convenient or perhaps more effective. No other medications at same time, especially iron, Vit D, HRT or magnesium, these must be at least 4 hours away

Best advice is to read as much as you can. Vitamin and minerals levels are very important, but standard NHS thinking, doesn't at the moment seem to recognise this. You will see, time and time again on here lots of information and advice about importance of good levels of B12, folate, ferritin and vitamin D, leaky gut and gluten connection to autoimmune Hashimoto's (& Grave's) too.

vitamindcouncil.org/tag/aut...

chriskresser.com/the-gluten...

verywell.com/should-i-take-...

SmallBlueThing profile image
SmallBlueThing

A painful throat; a longstanding non-productive cough; difficulty swallowing; hoarseness are all "par for the course" I'm afraid.

You may be offered an ultrasound beforehand, but your doctor is unlikely to be interested unless your breathing is affected.

Summer64 profile image
Summer64

Can't really answer your question but I too have had episodes of very painful throat which isn't like sore throat you get with a cold. Went to the docs who said he didn't think it was thyroid related, I've had RAI in the past, and gave me some antifungal lozenges which did the trick.

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