Hi all I am new to this site and would like some advise on which thyroid meds to take and dose please I had previosly taken T4 25mg for 2 years and always had brain fog, fatigue etc increase in weight but my gp kept telling me to continue taking 25mg as it was keeping my Gfr stable anyway to cut a long story short I stopped taken the T4 and kept excercising, eating a healthy diet taking vitamins and still felt the same until 1 day I couldnt get out of bed, I was told by endo this was not to do with stopping T4 but I did need to start it again according to blood results, I had an mri done as I could not move my neck and i was sent to a spinal surgeon who said I needed cervical disc fusion for compression on spinal cord, which I had done and again stpped taking T4 approx 3 weeks ago told gp I had stopped them and got blood tests done to get some advise from you knowledgeable people on this site please.
TSH. 8.78 - range 0.4 - 4.00
Free T4 - 12.4 - range 10.0 - 25.0
Free T3 - 3.5 - range 2.8 - 7.0
TPO 441.8 - range 0 - 34
Vit D 129.2 - range 50 - 175
Haematology Test
B12 1083 - range 191 - 663
Serum folate - haemolysed
Serum ferritin - 83ng/L - range 15-150
S Chem val req - yes
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Your thyroid results show you are hypothyroid not hyperthyroid. Levothyroxine is the treatment for hypothyroidism. TSH is high, and FT4 and FT3 are low in range so I estimate you will require 25-50mcg Levothyroxine to restore your thyroid levels. Levothyroxine is usually required to be taken daily for life.
TPO antibodies are positive for autoimmune thyroid disease (Hashimoto's) which causes 90% of hypothyroidism. 100% gluten-free diet may improve symptoms and reduce antibodies.
For maximum absorption Levothyroxine should be taken with water 1 hour before or 2 hours after food and drink, 2 hours away from other medication and supplements, and 4 hours away from calcium, iron, vitamin D supplements and oestrogen.
It takes 7-10 days for Levothyroxine to be absorbed before it starts working and it will take up to six weeks to feel the full impact of the dose.
You should have a follow up thyroid test 6-8 weeks after starting Levothyroxine. Arrange an early morning and fasting (water only) blood draw when TSH is highest, and take Levothyroxine after your blood draw.
Most people will find symptoms resolve after their TSH drops to around 1.0 with FT4 in the upper range but symptoms can lag a couple of months behind good biochemistry.
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.
Thankyou Clutter as I suffered from anxiety whilst taking T4 only a friend recommended that I tried a small dose of T3 which I bought whilst in greece this did make me feel more energetic but sometimes I felt hyper and stopped as I was worried I was doing some harm to myself, If I was to combine again how much of each would you recommend.
You could try 25mcg Levothyroxine plus 6.25mcg (a quarter of a tablet) T3. Make sure you have a thyroid test including FT3 six to eight weeks after starting the combination.
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.
Thankyou is it best to take T4 and T3 at night or in the morning its just I start work at 7.30 so I find it difficult to have breakfast before work if I take on a morning as from what i've read you need to have on empty stomach then nothing within a couple of hours but if I take T3 at night it only stays in system for upto 12 hours. I appreciate your help with this.
Hi has anybody had face puffiness when taking levo the brand is wockhardt (I think that is how its spelt) and if so can I ask the chemist to swap for a different brand?
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TSH results, please advise
New Blood Results 27/2/23
Latest blood results following request for increased dose
update re: blood tests please?
