Hypothyroid management

[Mayflower53]

Hi, I was diagnosed hypothyroid in the Spring and started on 25mg levo. After 2 visits to a gp this was increased to 50mg. I am now finally feeling better than I have for over a year and beginning to loose some weight too. My question is what aftercare should I expect from my doctor? Do I have to wait until I start to feel unwell again before they will do a blood test and decide whether I can have an increase in dose or should they do a regular blood test to monitor my TSH level? I have no confidence in my gp and I want to stay on top of this condition. Thank you.

[greygoose]

They should do a blood test six weeks after every change in dose. So, six weeks after your increase to 50, go back and ask for a test - they tend to forget! And, if your TSH is still above one, and you still have symptoms, as for an increase to 75 mcg. 50 mcg is still a starter dose, and you probably have a long way to go to get to your optimal dose. The rule is : an increase of 25 mcg every 6 weeks, until all the symptoms have gone - but not all doctors know that.

When you go for your next test, make the appointment for early in the morning - as early as possible - and fast over-night. Leave a 24 hour gap between your last dose of levo and the test. And, yes, I know your doctor didn't tell you that, but doctors don't know about that!

And, when you have your next test, ask him to test for vit D, vit B12, folate and ferritin, too. These need to be optimal - not just in-range - for your body to be able to use the hormone you're giving it. But, don't expect your doctor to know about that, either!

Always remember to get a print-out of your results - it is your legal right to have a copy under the 1998 Data Protection Act. Then, post them on here - with the ranges - and let's have a look. We'll be able to advise you on supplementing any deficiencies.

And, most important, read as much as you can. Learn about your disease. You absolutely need to know how it works if you want to get well.