Can the tsh level affect u mentally? When ft4 i... - Thyroid UK

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Can the tsh level affect u mentally? When ft4 is high?

ThyroidObsessed profile image
14 Replies

Does it make sense that i havent been right mentally since tsh went above 1 can the tsh level affect u even though ft4 is still high?. iv always been ok when tsh was below 1 and ft4 top end of range.. my tsh was 2.5 (0.27- 4.5) 2 weeks ago now its at 4.5...

I seriously believe i need an increase slightly so have decided to do it myself and gone up to 112.5mcg instead of alternate 75mcg and 100mcg....

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ThyroidObsessed profile image
ThyroidObsessed

Help anyone 😣

greygoose profile image
greygoose

The TSH doesn't make you feel anything, whatever the level. But, if it has risen, and the FT4 stayed the same, your FT3 has probably dropped. And, it's low T3 that causes symptoms.

You most definitely do need an increase in dose. And probably another one in six weeks time. But, it would be a good idea to get your FT3 tested, to see how well you are converting. :)

ThyroidObsessed profile image
ThyroidObsessed in reply togreygoose

Hi and thank you for the info...

My ft3 was at 4.77 (3.1-6.8) does this mean nearly 5 then?? and that was when my ft4 was at the top of range but tsh was at 2.5 (0.27- 4.5) still and i was on 100mcg at the time, i have now increased by myself to 112.5mcg or should i go to 125 i just dont want to go overactive.. i really want to feel mentally better as i go on holiday in 4 weeks with my kids, e.g no anxiety mood drops through day, and detachment feeling and lack of appetite but still forcing meals, iv lost a stone in 6 months since tsh went up and im already slim and tall so i cant afford to lose anymore weight.. :-(

Clutter profile image
Clutter in reply toThyroidObsessed

ThyroidObsessed,

As Greygoose said it's low FT3 which makes you feel unwell. TSH rises when FT4 and/or FT3 levels drop. With TSH 2.5 and FT3 4.77 I think it is unlikely you will become over medicated and feel hyper if you increase to 125mcg. If you begin to feel hyper you should skip a couple of doses and reduce to 112.5mcg.

Eat frequent small meals to maintain or increase weight. I found protein shakes in between meals helpful in increasing weight.

ThyroidObsessed profile image
ThyroidObsessed in reply toClutter

Thanks clutter for the great advice as usual.. im not sure how i will know if i go hyper as when i go hypo i get symptoms of being hyper such as anxiety restlessness and so on.. how will i know for sure??

I cannot tolerate protein milkshakes in large amounts as i get bad stomach cramps i can only have maybe enough milk u would have on cereal...

I have been eating frequently and also eating a largr main meal at around 6 at night... iv been losing weight ever since my tsh went up so im hoping my weight stabalises when levels stabalise!?..

Clutter profile image
Clutter in reply toThyroidObsessed

ThyroidObsessed,

Overmedication can cause racing heart and pulse, moist palms, sweating, nausea, irritation, aggression, diarrhoea. Try making a protein shake with water or fruit juice.

ThyroidObsessed profile image
ThyroidObsessed in reply toClutter

Thanks clutter.. hopefully i will know as have them symptoms anyway!! and im hypo at the minute!!..Never thought of doing it with water or juice good idea! Always thought it had to be made with milk!

Will give it a try is there any protein drinks u recommend and do u know how i can gain muscle back too!?

Clutter profile image
Clutter in reply toThyroidObsessed

ThyroidObsessed,

I used My Protein Hard Gainer. Google it. Exercising will help you gain muscle.

ThyroidObsessed profile image
ThyroidObsessed in reply toClutter

Thanks clutter i go walking everyday with my dog but cant seem to gain muscle 😏

If your free T3 is low, then it probably could affect you. T3 is sometimes used as a treatment for depression. How is your B12? Low B12 can make you feel mentally "wrong".

ThyroidObsessed profile image
ThyroidObsessed in reply toAngel_of_the_North

My b12 is at 326? Is that too low? What should i take for it is there anything u recommend?

Thanks

Kipsy profile image
Kipsy in reply toThyroidObsessed

My B12 result a few months ago was similar to yours & anxiety levels were very high plus low mood/ mood swings etc. Supplementing with Jarrow's Methyl B12 (I personally take 5000mcg until bottle finished then reduce to 1000mcg as a maintenance dose but you may want to see some of Seaside Susie's excellent posts on this site re dosage etc as she is a whizz at supplements advice) has really helped. I balance the B vitamins with Jarrow's B- Right. Both are sold by Amazon. Recently my nutritionist took me off B12 and B- Right whilst I do a protocol to clear up various gut problems and I've noticed my anxiety rocket up again so I'm sure the B12 had an effect. My 80 year old mum recently started taking it after years of anxiety & she reported feeling great. Good luck

ThyroidObsessed profile image
ThyroidObsessed in reply toKipsy

Thanks kipsy i have private messaged seasidesusie for some advice on b12 and iron levels ☺

Kipsy profile image
Kipsy

PS we feel better when our B12 levels are at least 500

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