Sorry for the long story, just thought it would be useful to have some background!
I'm 46 and had a thyroidectomy 10 months ago, no hyper or hypothyroidism had been diagnosed as my blood tests always came back within range but my gland had grown to 10 times the size of a normal one. Following surgery I was put on 150, then 125 then 100 mcg of levothyroxine. All this time I had symptoms of strong anxiety, heart pounding, panic attacks, restlessness etc. Results on 100 mcg after 8 weeks were TSH 0.7 (0.35 – 5.5), 15.8 (10 – 19.8) but we lowered to 75 because of symptoms. And of course after feeling amazing for 10 days I started suffering from strong depressive and anxious symptoms so increased to 90 and started feeling better if not great. After 8 weeks results were TSH 1.79 and T4 12.9 and still feeling anxious and depressed. Usual story, GP didn't want to run any other tests and said I was quite simply suffering from depression and anxiety that cannot be linked to thyroid treatment and should consider antidepressants and therapy (or HRT). I’ve now been on 95 for 7 weeks and here are the Blue Horizon results I received today. Could the B12 vitamin explain my symptoms? GP said she might refer me to endo if I really want to but I’m wondering if it is really necessary if the results are within range. I’m also thinking of seeing a nutritionist.
Any advice more than welcome as I’m getting desperate. Thank you in advance!
CRP 0.40 <5.0
Ferritin 26.0 (20-150)
TSH 1.28 (0.27-4.20)
T4 Total 99.8 (64.5-142.0)
Free T4 16.85 (12-22)
Free T3 5.12 (3.1-6.8)
Anti-thyroidperoxidase abs 13.8 <34
Anti-thyroglobulin abs 13.0 <115
Vitamin B12 230 Deficient <140 Insufficient 140-250 Consider reducing >725
Serum Folate 20.76 8.83 – 60.8