Hi I am new and I think I am undermedicated? Diagnosed 6 years ago and have symptoms of depression, anxiety, cramps, twitches in muscles, breathlessness, hard stool, tremor, weakness in arms and legs, loss of appetite, goitre, periods becoming longer and going between heavy and scanty.
TSH 20.7 (0.2 - 4.2)
Free T4 10.6 (12.0 - 22.0)
Free T3 4.0 (3.10 - 6.80)
Thanks
Hi I do think that you are under medicated. What does your doctor say about these blood results?
Hi I am going to appointment today to discuss results
Your results are dire. How much T4 are you taking and how do you take it ?
25mcg on an empty stomach with just water and several hours away from food and drink and medication, I have been on no other dose
Another GP who should be shot!
Better still, that he should have thyroid results exactly like these, suffer all the same debilitating symptoms, and given only 25mcg Levo and never have it increased.
You should have been retested after 6 weeks when you started on Levothyroxine. If TSH not at lower end of range then dose increased in 25mcg steps and retested.
As well as asking for an immediate 25mcg dose increase, ask to test thyroid antibodies, vitamin D, folate, B12 and ferritin. Common for these vitamins to be low and may need supplementing
You need to know if antibodies are high to see if cause of being hypo is due to autoimmune thyroid disease also called Hashimoto's.
For all thyroid blood tests should be done as early as possible in morning and fasting and don't take Levo in the 24 hours prior to test, delay and take straight after test.
Thyroid peroxidase abs 448 (<34)
Thyroglobulin abs 267 (<115)
This shows autoimmune?
Yes definitely
So you do have Hashimoto's. Many doctors don't understand this at all. They just think......take a pill .....fixed.
But we need to find & treat the root cause. Hashimoto's often affects the gut causing leaky gut, this can lead to the low vitamins and also food intolerances are common, usually gluten
Read as much as possible about Hashimoto's
The Thyroid Pharmacist website has masses of info, also her video series the Thyroid Secret on you tube
thyroidpharmacist.com/artic...
amymyersmd.com/2017/02/3-im...
Bone broth for healing
Your TSH is extremely high at 20.7 - the range in brackets beside it show (.2 - 4.2) meaning 4.2 is the very highest level in the range. That you have been left on a starter dose of 25 mcg with these sort of results is staggering to say the least! This should be grounds for malpractice! 😤 You definitely need to change GPs and file a formal letter of complaint against this negligent idiot. 25 mcg is the considered a "starter dose" - you should have been re-tested 6-8 weeks later, and had incremental dosage increases with each set of new lab results.
Just seen your post on the PAS Forum - you must be feeling so very unwell. Please get urgent treatment ASAP ......
Hypothyroid 
Hypothyroid 
Suclinical hypothyroid, please advise 
