Thyroid Question, please advise: Hi Everyone, I... - Thyroid UK

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Thyroid Question, please advise

activelazy profile image
28 Replies

Hi Everyone,

I started levo 25 mcg on a trial basis end of March 2017 (for 8 weeks). My GP prescribed this after much insistence from me to bring my tsh to about 1. It was 3.2 then. I got tested again after 7 weeks so I could see my GP again before running out of medicine.

So my results on 17 May sample were:

tsh 2.3 (0.3 - 4.5)

ft3 5.3 (3.1 - 6.8)

ft4 18.5 (11 -22)

I cant say if I felt any different after 8 weeks. My symptoms included chronic pains in various muscles. The front of my hands is most common. Trouble climbing stairs (hard work), pain around my knees (I think weak leg muscles for 1.5 years now) and some sort of nervousness / palps.

For last several months, I have monitored my weight. Genetically, I am a slim and underweight man. At 5'10" my weight had always been 58 kilos (9.13 st) for about 20 years. I think ideal weight is about 11 stones. I know this is underweight but this is how I have been for years without any health problems. My dad was similar. No matter how much or what I ate, my weight would not go up.

After I started recovering from my sub acute thyroiditis in March 2016, my tsh had shot up to 6.3. My doctor told me that this will come down so no medication needed. This was first time then when I had pain in my hands, feet, thighs, hips, etc. Sharp pains. Sub acute thyroiditis started in Nov 2015 which gave me typical over active symptoms. This was a phase of thyroid inflammation with negative antibodies.

TSH of 6.3 in March 2016 (after inflammation was over) was followed by tsh of 4.5, 4.2, 3.6, 2.5, 2.7 and again 3.2 in March 2017 when I got 25mcg levo. Then before increasing to 50mcg in May 2017 (5 weeks ago) it was what I wrote on the top of this post. (tsh 2.3). Before any illness, a routine blood work recorded a tsh of 1.08.

After a couple of weeks on 50 mcg, I felt a bit improved. I don't know if it was temporary phase or an actual effect of medicine. Nothing that I could call a major improvement though.

Anyhow, I am in my 5th week of 50 mcg now and due for a re test on 4th July (7th week on 50 mcg). My weight is still the same around 63 kilos. I know this is underweight by general standards but for me this is an extra weight from my standard of years as explained before.

I was going steady (very bravely - despite loosing my job) and happy that I was getting better but; for the last 4-5 days I am feeling uncomfortable. This discomfort is coming from my belly. Although I have been feeling the bulge on my slim structure for last few months, it was still allowing me to eat normally. I am mostly a vegetarian and eat home cooked food. Now, despite a clear stomach, I feel bloated (no stomach pain) and feel the stress up to my chest and struggling to eat. Don't feel like eating.

Throughout my illness since Nov 2015, I have had no problems eating food except for the time when I had pain in my neck due to thyroid inflammation. I am kind of feeling the weakness that you get when you don't eat enough. This is making me nervous once again. Till recently, I was taking one tablet of iron (ferrous sulphate 200 mg) a day with 500 mg vit c. I took it for about a couple of months to raise my ferritin from 40. I was taking these at least 4 hours away from levo. I was tolerating it well too. Eating plenty fruit and veg (fibre) to avoid constipation/ bloating); and it worked well. I have stopped the iron and C now for 3-4 days to see if these are causing problem.

Some of my pains have come back too, like in my hands and feet. My one feeling is that this little bulge of stomach that I have is putting stress on my chest making me feel somewhat nauseated and some sort of exhaustion/ palps. The stomach is tight to touch (not painful). Basically, I am not feeling light despite clear bowels.

Could this be an effect of levo? I am on a trial. I was happy until 5 days ago that I was improving. I want to continue taking levo as I don't think that I have any typical over active symptoms. I know what they are as I experienced them when thyroid inflamed - severe sweating, shaking hands, fever.

But could this new symptom of nausea and bloating and nervousness be due to levo? I will retest on 6th July now for TFT. But I am definitely struggling to eat. Another thought is, could I have caught some bug from somewhere? Don't want to give up on levo in the trial stage when this is my hope but I want to be able to eat normally.

I have also been feeling a need to pee a bit more than usual.

Please throw some light if you can. Could I be going over?

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28 Replies

I'm sure someone knowledgeable will be along shortly to give you a full reply, but I've one question - what brand of Levo are you taking? Is it Teva? Many people have various unpleasant side effects from taking it, due to the acacia filler. If you search 'Teva' on this forum you'll find a lot of threads about it. :)

activelazy profile image
activelazy in reply to

Hi, thx for your reply.

My 25 MCG was Mercury and 50 MCG is almus.

in reply toactivelazy

Hmmm from the TUK site:

"NB

Almus is simply the name of a distributer of generic medications, not a manufacturer.

You need to check the PIL (patient information leaflet) that comes inside the box to find out the details of the actual manufacturer, and the ingredients of the particular medication that you have been given."

Perhaps check the leaflet and I think also the brand is on the foil (yep just checked mine, they have 'Teva' written on the foil pack).

thyroiduk.org.uk/tuk/treatm...

helvella profile image
helvellaAdministrator in reply to

Very helpful response.

activelazy profile image
activelazy in reply to

It says actavis on the foil. Is that same as teva?

in reply toactivelazy

No it isn't - a bit further research shows they don't contain acacia, at any rate:

medicines.org.uk/emc/medici...

"The active substance (the ingredient that makes the tablets work) is anhydrous levothyroxine sodium. Each tablet contains either 50 micrograms or 100 micrograms of the active substance.

The other ingredients are lactose, magnesium stearate, maize starch, stearic acid and pregelatinised maize starch."

I don't suppose you're lactose intolerant are you?

(Side note: we really shouldn't have to be detectives to sort out our health issues. What is the purpose of doctors?? Grrr.)

activelazy profile image
activelazy in reply to

Dear Jadzhia,

Thank you so much for being a detective for me. I am not lactose intolerant. I suppose I will have to carry on until my next blood test. And I think life will be what it is now. Few good (actually not so bad) days here and there. Many chapters closed.

Thank you

in reply toactivelazy

You're welcome - I do think you're still under-medicated as yet which probably accounts for the aches and pains but the bloating thing sounds like some kind of reaction to food/medication. (Should stress I'm not medically qualified :D ) I too am doing detective work on my own niggling symptoms, it's not easy sifting out the causes. I hope you can figure it out, it's no good if it's preventing you from eating normally.

activelazy profile image
activelazy in reply to

Just thought, is an occasional drink bad for me? Like once a week. And just 1 or 2 small ones.

in reply toactivelazy

I honestly don't know - but some hypo folks find their tolerance for alcohol plummets as time goes on.

Btw are you gluten-free? Perhaps you need to consider that if you're developing gut issues.

activelazy profile image
activelazy in reply to

I am not. If time warrants, I will have to try that too, hope not though.

in reply toactivelazy

Well since you have Hashi's (i.e. antibodies attacking your thyroid), it is recommended to go gluten free. Honestly not as bad as you fear. :D I've been gluten-free for 10 months now and wouldn't go back. Also dairy free. But do your research on it first so as not to get discouraged if you do decide to give it a try. I've found all of this (waves hand at thyroid issues/gut issues in general) has to be at one's own pace and at times one can feel like a walking chemistry experiment. XD

activelazy profile image
activelazy in reply to

Thx. My main reason for reluctance is that I am NOT Hashis. My thyroiditis was viral in nature and not antibodies related. My both antibodies were negative. And on more than one occasion. Reading various posts suggests that it indeed is useful to go gluten free if you have Hashis.

Let's see!!

in reply toactivelazy

Interesting! Well that's good news, I guess. :)

activelazy profile image
activelazy in reply to

I thought so as well. But in the end it's being symptoms free that matters I guess.

activelazy profile image
activelazy in reply to

Hi,

I saw a nutritionist recently and she advised that I am lactose and dairy intolerant. I am currently not taking milk, etc. Today when it was time to get my new prescription, I remembered this reply from you. You said there is lactose in my almus/actavis levo. It means I have not been adhering to my dairy and lactose free programme. The pharmacist said that for 50 MCG, this is really the benchmark. What should I do. The other one had some other substance you said was not good - acacia!

Please help.

in reply toactivelazy

Well, you may be OK with acacia, not everyone reacts badly to it. It is a bummer that the only lactose free Levo is one with acacia. I can only suggest you try Teva and see how you get on with it.

There is a lactose free liquid Levo I believe, you might be able to get that prescribed if you can prove you are allergic to dairy... perhaps talk to your doctor about that.

activelazy profile image
activelazy in reply to

Thx. To be honest, I am not allergic to dairy. I just happened to see a nutritionist recently, who checked me for various foods through a machine and said I am dairy and tomato intolerant. Not allergic anyway. Dairy products are my favourite and had them for years - well, all life. I still thought I will give it a try for 4 weeks as she suggested and see if my health improves. So far, it has been 8 days with no difference. Today I went to get my levo to a different pharmacy who had actavis on its own name and I got confused. I usually go to boots who give me almus 50 MCG. Then I remembered this conversation that we had and realised after revisiting that almus was actavis anyway. But then I read your sentence saying that I am not lactose intolerant which I was not then. Hope not now either. I am so stuck with life.

in reply toactivelazy

Ha yes I can relate to the dairy thing, I love cheese and yoghurt but am now dairy-free as I discovered, on doing a dairy elimination then attempt to reintroduce after a 3 week break, that unfortunately dairy products give me wind and discomfort. Sigh. I believe it's to the casein protein, rather than lactose, as butter makes me react but it has precious little lactose in it. Thus you may be OK with Levo containing lactose, I am, based on my elimination diet.

I am fed up with Levo at the moment as right now am having all sorts of itching and think it might be the acacia catching up with me (am only on a low dose of Levo, 50 mcg, which doesn't make me feel well anyway). If it's not one thing, it's another!

activelazy profile image
activelazy in reply to

Hmm. Thank you for quick replies. My 25 is Mercury and I have found Mercury 50 at one of the local pharmacies. I will go with my new increased dose of 75 (from 50) from tomorrow, all Mercury. Whatever it contains, it never harmed me. Let's see. And hope you get better soon.

I am on a trial, never was sure if even needed it as my results have always been in range and good levels. I just never recovered after my sub acute thyroiditis which sometimes makes people hypo (no anti bodies - just inflammation to thyroid gland).

SlowDragon profile image
SlowDragonAdministrator in reply toactivelazy

As you were happy on Mercury Pharma I suggest you get 50mcg by Mercury Pharma too

It's advised to not swop brands. You can take back to Pharmacist and ask them to exchange. But you may find have to get new prescription

Important to get b12, folate & vitamin D checked - ask Gp to include in next blood test

activelazy profile image
activelazy in reply toSlowDragon

Thank you Slowdragon,

I was deficient in D when my legs ached before anything else. I have been supplementing. But I am going to retest it for monitoring. Will look into others too.

miglet54 profile image
miglet54 in reply toactivelazy

You must take k2 when supplimenting vit d. It puts the calcium into the bones and away from the soft tissue and arteries.

activelazy profile image
activelazy in reply tomiglet54

Yes I am, thank you

Kazbe profile image
Kazbe in reply tomiglet54

Hi I've just recently been diagnosed with underactive thyroid just on 25mcg I take Vit D 1000 but no one mentioned taking anything with it ? I've seen it mentioned here I need something else too ? Please advise me Thanks so much Kazbe 😊

miglet54 profile image
miglet54 in reply toKazbe

K2, sends the calcium to the bones and teeth not the soft tissue and arteries.

silverfox7 profile image
silverfox7

Was about to suggest Vit D and pleased you are already supple e ring but often doctors only suggestca dose that is too low to make a difference so what dose are you on and what were your readings? I sound very busy. It many are put on 800 iu Adcal which does very little instead of being given a booster dose to get it up there quickly and then a maintenance dose.

activelazy profile image
activelazy in reply tosilverfox7

Thx. Booster dose is long over. My last reading was about 94 four months ago. I have been supplementing 1000 to 2000 daily. Recently skipped some days. Going to ask gp to retest.

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