I've got Hashis and am on 75mcg Levothyroxine. Had to fight to get 75mcgs (they were happy to leave me at 50mcgs (and, in fact 25mcgs!) even though I was still symptomatic. I am starting to feel much better now but still not 100%.
I did a test with Medichecks to see where I am as my GP won't measure T3, and am wondering if I need more T4, or if adding T3 would be better? I think the GP's are unlikely to increase my T4 anymore as they were so reluctant to increase to 75mcgs, but I think I'm still under medicated. I'm happy to take matters into my own hands if the GP won't budge and order online, but considering if it's best to go T4 only, or T3 as well?
You are under medicated to have TSH 3.12 on 75mcgs. The goal of Levothyroxine is to restore the patient to euthyroid status. For most patients that will be when TSH is 1.0 or lower with FT4 in the upper range. FT4 needs to be in the upper range in order that sufficient T3 is converted. Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email louise.roberts@thyroiduk.org.uk if you would like a copy of the Pulse article to show your GP when you request a dose increase.
I would see how you feel on 100mcg which will raise FT4 and FT3 before considering adding T3.
Thyroid peroxidase antibodies are positive for autoimmune thyroid disease (Hashimoto's). There is no cure for Hashimoto's which causes 90% of hypothyroidism. Treatment is for the low thyroid levels it causes. Many people have found that 100% gluten-free diet is helpful in reducing Hashi flares, symptoms and eventually antibodies.
Ferritin is sub optimal, 75-100 is optimal. You can raise ferritin by supplementing iron which should be taken with 1,000mcg vitamin C to aid absorption and minimise constipation. Retest 4-6 months after you start supplementing and take iron 4 hours away from Levothyroxine.
As you have Hashimotos you really need to try a strictly gluten free diet. Very many of us find it helps significantly - reducing symptoms and may lower antibodies slowly over time
Also selenium supplements can improve T4 to T3 conversion
See The Thyroid Pharmacist website for how important diet & lifestyle are
Also Amy Myers & Chris Kresser run good sites too
Hashimotos is connected to leaky gut, leading to poor nutrient levels, food sensitivities- usually gluten
Have you had vitamin D level checked? Very common to be low with any autoimmune disease, but especially Hashimotos.
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