Will doctor call me to increase dose or do I need an appointment?

[lisan1]

I'm on 25mcg thyroxine.

Just got my testresults back and the nurse said : all normal no action. But I knew better and asked for the numbers and I obviously need and dose increase. Will My doctor normally call me and increase the dose of all I need to make an appointment?

[Clutter]

Lisan1,

If your nurse has said results are normal and no action required you will need to make an appointment to discuss the results and an increase with your GP.

[lisan1 in reply to Clutter]

Oh, why is it so hard for them to treat you according to the NICE guidelines? I will book an appointment.

Thank you for your kind reply!

[Clutter in reply to lisan1]

Lisan1,

What guidelines? I wasn't aware there were guidelines to dosing.

[lisan1]

You'll find them here:

cks.nice.org.uk/hypothyroid...

Aim (in most people) to reach a stable TSH level in the lower half of the reference range (0.4–2.5 mU/L).

[Orbitolina in reply to lisan1]

Whoa! Thanks for that. I'll print this out and give to my GP. Wonder what is arguments are for leaving me on 37.5mcg.

[Fio1331]

This NICE quote is from the section on 'subclinical hypothyroidism', but it doesn't seem to say the same in 'overt' - and I'm not really sure what the difference is. Is 'overt' when you have obvious symptoms?

[lisan1 in reply to Fio1331]

Subclinical is when ft4 and ft3 is within range and tsh is elevated.

[Fio1331 in reply to lisan1]

Thank you. Useful info - if my doc ever tested them!!