I am looking for advise please!
I had a total thyroidectomy in Oct 2009 due to substernal multinodular goitre. I have coped fairly well over the years on Levothyroxine 150mcg with only one or two episodes of medication affecting my health. Last year I had an episode of a lot of symptoms but following a brand change I improved dramatically so have stayed on the Actavis. Also I changed my diet to gluten free with good effect. I lost 2 stone and do not have to try to keep the weight off.
The last 6 months I have suffered with a range of symptoms - palpitations, poor sleep, fatigue, night sweats, severe mood swings, itchy skin to breasts, enlarged breasts at end of month, tearful, no libido, foggy head, anxiety and feeling stressed. I have also been struggling with blurred/double vision. So I went to GP after feeling at rock bottom - had the usual range of blood tests and agreed to go on Fluoxetine 20mg. I was signed off work and have now been away from work for 6 weeks. Was it stress? Peri-Menopause? (I am 46yrs and had an ablation 2 yrs ago with good results). Thyroid?
My bloods were initially 19/4/17 - TSH 12.69 (unsure of others but said to be in normal range). Following this 29/4/17 - TSH 6.4 T3 3.7 T4 15. 9/5/17 - TSH 4.69 - all other tests for aspects of bloods have come back normal ranges (and I have been tested for everything!).
Since being off work my symptoms have improved and I am now having more good days rather than bad and can actually get out of bed and stay up for most of the day. From reading information on this site I decided to try and take my levo at night with the fluoxetine in morning (I am still not convinced I need the antidepressant but am scared to stop now as symptoms are improving) - My usual GP is away and I had a conversation with duty GP and on telling her I had changed the time of levo she became quite insistent I must take it in the morning and that the fluoxetine does not make you sleepy when first taking and to just take it later in the day and that it is perfectly interactable with the Levo.
So I still have no idea what has caused me to go Hypo - Stress? Meds? Menopause? Depression? Do I continue to take the Levo at night at least for a week to see if any further improvement? My GP does not warrant looking at any other treatment with regards to seperate meds or NDT? I need to look at going back to work but am worried this will restart my symptoms if I cant cope with the pressures.
Any advise is appreciated.