Fluctuating thyroid results: I am new and I would... - Thyroid UK

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Fluctuating thyroid results

Liana1 profile image
15 Replies

I am new and I would like to know why my results fluctuate on the same dose of Levo and my symptoms stay the same? Taking 50mcg Levo and diagnosed 2012. All bloods done fasting and early morning and I leave 24 hours between dose and test. Thank you

Jan 2017

TSH 3.56 (0.2 - 4.2)

FREE T4 13.3 (12 - 22)

FREE T3 3.8 (3.1 - 6.8)

May 2017

TSH 0.02 (0.2 - 4.2)

FREE T4 19.5 (12 - 22)

FREE T3 6.2 (3.1 - 6.8)

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Liana1 profile image
Liana1
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15 Replies
Nanaedake profile image
Nanaedake

Have you got results of blood tests for thyroid antibodies TPO and TgAb?

Liana1 profile image
Liana1 in reply to Nanaedake

Hi no I don't

SlowDragon profile image
SlowDragonAdministrator

Then you need to ask GP to do antibodies test, plus also request they test vitamin D, folate, ferritin and B12

Antibodies will confirm if you have autoimmune thyroid disease also called Hashimoto's. 90% in Uk with hypothyroidism is due to this

With Hashimoto's then low vitamins very likely

Do you have any symptoms, or do you feel OK

Always aim to take same brand of Levo, don't accept different brands at each new prescription

Liana1 profile image
Liana1 in reply to SlowDragon

Hi I have symptoms like sweating nausea weight loss constipation goitre dry skin heavy periods hair loss puffy eyes joint pain cold intolerance puffy ankles depression anxiety pins and needles but no idea why

Liana1 profile image
Liana1 in reply to Liana1

I have had ferritin etc checked as well

Marz profile image
Marz in reply to Liana1

Do you have those results too ?

Liana1 profile image
Liana1 in reply to Marz

Hi will post them

SlowDragon profile image
SlowDragonAdministrator in reply to Liana1

Can you post these, including ranges

Liana1 profile image
Liana1 in reply to SlowDragon

Yes will post these

Liana1 profile image
Liana1 in reply to SlowDragon

Results are all at the bottom

Liana1 profile image
Liana1

Other results

Nov 2016 (50mcg Levo)

TSH 4.01 (0.2 - 4.2)

Free T4 16.2 (12 - 22)

Free T3 5.0 (3.1 - 6.8)

May 2016 (50mcg Levo)

TSH 3.80 (0.2 - 4.2)

Free T4 13.3 (12 - 22)

Free T3 4.5 (3.1 - 6.8)

Mar 2016 (50mcg Levo)

TSH 7.10 (0.2 - 4.2)

Free T4 12.1 (12 - 22)

Free T3 4.2 (3.1 - 6.8)

Dec 2015 (50mcg Levo)

TSH 0.08 (0.2 - 4.2)

Free T4 22.7 (12 - 22)

Free T3 4.8 (3.1 - 6.8)

Aug 2015 (50mcg Levo)

TSH 1.27 (0.2 - 4.2)

Free T4 19.3 (12 - 22)

Free T3 4.0 (3.1 - 6.8)

May 2015 (50mcg Levo)

TSH 5.28 (0.2 - 4.2)

Free T4 23.5 (12 - 22)

Free T3 5.2 (3.1 - 6.8)

Feb 2015 (50mcg Levo)

TSH 3.86 (0.2 - 4.2)

Free T4 13.1 (12 - 22)

Free T3 4.0 (3.1 - 6.8)

Nov 2014 (50mcg Levo)

TSH 6.01 (0.2 - 4.2)

Free T4 15.5 (12 - 22)

Free T3 4.2 (3.1 - 6.8)

May 2014 (50mcg Levo)

TSH 5.20 (0.2 - 4.2)

Free T4 19.6 (12 - 22)

Free T3 4.3 (3.1 - 6.8)

Jan 2014 (50mcg Levo)

TSH 1.97 (0.2 - 4.2)

Free T4 13.6 (12 - 22)

Free T3 3.8 (3.1 - 6.8)

Nov 2013 (50mcg Levo)

TSH 4.8 (0.2 - 4.2)

Free T4 15.8 (12 - 22)

Free T3 4.9 (3.1 - 6.8)

Jan 2012 (no Levo, when diagnosed)

TSH 83 (0.2 - 4.2)

Free T4 10.1 (12 - 22)

Free T3 3.7 (3.1 - 6.8)

Liana1 profile image
Liana1

Latest vitamin and mineral results and taking 800iu vitamin D3 only is this enough?

Folate 2.3 (2.5 - 18.5)

Vitamin B12 241 (190 - 900)

Vitamin D total 53.1

(<25 severe vitamin D deficiency

25 - 50 vitamin D deficiency

50 - 75 vitamin D suboptimal

>75 adequate)

Ferritin 22 (30 - 400)

in reply to Liana1

Go to member SeasideSusie s page and read her posted answers on vitamin supplementing protocol. You are either low or deficient in all nutrients and they need to be addressed asap.

Liana1 profile image
Liana1

Also been getting burning in my gullet difficult swallowing and coughing up orange phlegm so GP prescribed me Lansoprazole for stomach acid and was told after having endoscopy my oesophagus is damaged from acid reflux

Nanaedake profile image
Nanaedake in reply to Liana1

My understanding of acid reflux is that when people are hypothyroid their stomach acid is low and also Hashimotos may cause some gut problems and imbalance in the PH levels.

As a result, without enough stomach acid people can't absorb enough vitamins from food but also the low acidic level prevents the valve between stomach and oesophagus from shutting tight. This allows acid to creap back up from the stomach.

I'm not a medically trained person so this is just what I've read according to other people more knowledgable than me. Lots of people here use Betain HCL or organic apple cider vinegar with a glass of water before each meal to increase acidity and rid themselves of the problem. Also, many, people with Hashimotos have said that going gluten free has hugely improved gut function and reduced symptoms.

Doctors usually think our problems are with high stomach acid when in fact it seems that low stomach acid is the problem according to people here.

Have a look at interactions for Lanzoprazole, I think you'll find that it interacts with levothyroxine? Are you taking it at least 6 hours apart from your thyroid meds? Even so it may lower the absorption of levothyroxine.

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