I am new do I need thyroid medication been getting burning through gullet and in chest empty feeling in stomach and tiredness and easy weight gain thank you
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Bex86
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Bex86 Are these tests done by your GP? If so what has he said?
If not, make an urgent appointment on Monday and show him these results. You are overtly hypothyroid, as you can see your TSH is way over range and your FT4 under range with FT3 just scraped into range. You must be feeling terrible.
Also, your high antibodies mean that you are positive for autoimmune thyroid disease aka Hashimoto's which is where antibodies attack the thyroid and gradually destroy it.
You can help reduce the antibodies by adopting a strict gluten free diet which has helped many members here. Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks. You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.
Supplementing with selenium l-selenomethionine 200mcg daily can also help reduce the antibodies, as can keeping TSH suppressed.
You need to be started on Levothyroxine immediately. If you are elderly, frail or have heart disease the starting dose is 25mcg. If not the starting dose can be 50mcg to 100mcg.
You will need retesting 6 weeks after starting Levo, an increase of 25mcg, another retest 6 weeks later, another increase, another test, etc. until your symptoms abate and you feel well.
Always book the very first appointment of the morning when having thyroid tests, fast overnight (water allowed) and leave off Levo for 24 hours, take it after the blood draw. That is a patient to patient tip which your GP wont know about. It gives the highest possible TSH which is needed when looking for an increase or to avoid a reduction.
Take Levo on an empty stomach, one hour before or two hours after food, with a glass of water, no tea, coffee, etc. Take Levo away from other medication and supplements by two hours, some need four hours, as absorption can be affected.
Optimal levels of vitamins and minerals are needed for thyroid hormone to work properly. Ask for Vit D, B12, Folate and Ferritin to be tested.
So make that urgent appointment and show him these results.
Tell him that you have taken advice from NHS Choices recommended source of information for thyroid disease (ThyroidUK) and you believe you are severely Hypothyroid with autoimmune thyroiditis (that is their term for Hashimoto's).
If he wont accept these results then tell him to do his own. If that is the case, have the blood drawn at the earliest appointment of the morning and fast overnight. This gives the highest possible TSH which is what you need for diagnosis. As you have Hashi's, results (and symptoms) can fluctuate as and when the antibodies attack. When the antibodies attack the dying cells dump a load of thyroid hormone into the blood stream and at that point test results can look hyper, once the 'Hashi's flare' is over, you can go hypo again. Unfortunately, a lot of doctors don't know this and attach little importance to antibodies.
Read and learn from above post and links, it looks like you will have to help yourself and push for treatment.
You will find a lot of information on ThyroidUK's main website thyroiduk.org/tuk/about_the... work through the purple menu on the left hand side.
Bex - many hypo patients have low stomach acid, I wonder if this is why you are getting the burning feeling? Do an easy home test with baking soda to see if you have low stomach acid
Don't let your GP put you on PPI's such as Omeprazole. That's not the answer for low stomach acid. Increasing the acid by taking Betain HCl with meals, or organic Apple Cider Vinegar with Mother can help.
Your going to need to read up and learn all about Hashimoto's. Your GP will only treat the low thyroid hormones and not look for the cause.
Hashimoto's often affects the gut causing LOW stomach acid. Symptoms are almost identical to high stomach acid, but the treatments are very different
As you can see from your own vitamin results Hashimoto's also affects these. Your going to need to supplement as SeasideSusie has explained in excellent detail.
But you also need to look for the root cause, usually gluten intolerance, but it may be dairy (instead or as well)
Don't be surprised if GP completely unaware that a thyroid disease is connected to the gut and gluten
Masses of info about Hashimoto's at The Thyroid Pharmacist website eg
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