Newbie - thyroid results

[Urzula90]

Hi by the looks of things I have hashimotos?

*Thyroid peroxidase antibodies >3500 (<34)

*Thyroglobulin antibodies 289.3 (<115)

*TSH 5.36 (0.27 - 4.20)

Free T4 12.1 (12.0 - 22.0)

Free T3 4.0 (3.9 - 6.8)

Am I going to be over medicated if I have my dose increased? Taking 50mcg diagnosed 2013. Thankyou

[Nanaedake]

You are currently underdosed so no, you won't be overdosed if you increase your medication. Most people feel well when their TSH is around 1.0 or slightly lower.

[Urzula90 in reply to Nanaedake]

Oh that's ok then. I have symptoms of sweats, tremor, shaking, high pulse, low blood pressure, insomnia, gritty eyes, weight loss and this is why I am reluctant to increase.

[Nanaedake in reply to Urzula90]

You could increase very slowly, taking 75mcg on alternate days. Have you had your vitamin D levels tested? Your symptoms could be down to low vitamin levels.

You need to have Vit D, B12, folate and ferritin tested and if you post them here people will be able to help. Doctors don't seem to tell patients when their vitamin levels are not optimal but we need them to be at least half way in range and top of range for B12 in order for our levothyroxine to work efficiently and for us to feel well.

[Urzula90 in reply to Nanaedake]

Hi I have had these tested. I will post these here.

[Nanaedake in reply to Urzula90]

Welcome, by the way, just realised you're new to the forum. It's a good place to get support, we all help each other and there are some very experienced and knowledgeable people on this forum who respond with good advice.

Yes, you do have Hashimotos otherwise known as thyroid autoimmune disease. 95% of people who are hypothyroid have Hashimotos so you're in good company.

[Urzula90]

Ferritin 68 (30 - 400)

Iron 11.0 (6.0 - 26.0)

Transferrin saturation 13 (10 - 30)

*MCV 76.3 (80 - 98)

*MCHC 391 (310 - 350)

Red blood count 4.46 (3.80 - 5.80)

White cell count 6.18 (4.00 - 11.00)

Haematocrit 0.410 (0.370 - 0.470)

Haemoglobin estimation 125 (115 - 150)

MCH 28.2 (28 - 32)

Platelets 250 (150 - 400)

*Folate 2.38 (2.50 - 19.50)

Vitamin B12 239 (190 - 900)

Vitamin D total 60.3 (50 - 75 suboptimal)

These were done in May 2017 and I take the following

6000iu vitamin D (since March 2015)

5mg folic acid (since November 2016)

210mg ferrous fumarate 1x day (since Jan 2017 - iron infusion done in May 2016)

Vitamin B12 injection (first one given June 2017)