Doctor appointment tonight: Hi based on new... - Thyroid UK

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Doctor appointment tonight

Zoey19 profile image
6 Replies

Hi based on new results my doctor has confirmed I have Hashimotos and he has started me on Levothyroxine 50mcg and an increase to 75mcg in 4 weeks and a repeat test in 6-8 weeks?

AUG 2017

TSH 33 (0.2 - 4.2)

Free T4 10.1 (12 - 22)

JUN 2017

Thyroglobulin antibody >1000 (<115)

Thyroid Peroxidase antibody 389.3 (<34)

TSH 6.10 (0.2 - 4.2)

Free T4 10.3 (12 - 22)

Free T3 3.6 (3.1 - 6.8)

Also I will be sent to haematology as an emergency case for an iron infusion due to low ferritin and complete blood count and iron results showing iron deficiency anaemia and given a loading dose of B12, tested for pernicious anaemia and given folic acid but not to start it until the doctor knows if I have pernicious anaemia. And given loading dose of vitamin D.

JUN 2017

Ferritin 6 (15 - 150)

Folate 2.0 (4.6 - 18.7)

Vitamin B12 177 (180 - 900)

Vitamin D total 23.6 (<25 severe vitamin D deficiency. Patient may require pharmacological preparations)

Advice welcome.

Thanks

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Zoey19
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6 Replies
SeasideSusie profile image
SeasideSusieRemembering

Well done Zoey19 - did you say you were going to report him for negligence to get him to take you seriously :D

The repeat thyroid test should be 6 weeks after your increase to 75mcg Levo. Always book the first appointment of the morning for your thyroid tests, fast overnight (water allowed) and leave off Levo for 24 hours. This gives the highest possible TSH which is needed when looking for an increase or to avoid a reduction. It also means that you can compare results accurately every time. It's a good idea to keep a diary or spreadsheet of your results, reference ranges, dose of Levo, notes on how you feel etc.

**

As for your Hashi's, a strict gluten free diet can help reduce the antibodies. 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.

stopthethyroidmadness.com/h...

stopthethyroidmadness.com/h...

hypothyroidmom.com/hashimot...

thyroiduk.org.uk/tuk/about_...

Gluten/thyroid connection: chriskresser.com/the-gluten...

**

When you have finished the loading doses of Vit D, you will need more than the 800iu D3 daily that will be prescribed. Come back and tell us your new Vit D level and we can suggest what would be the best dose to continue with. Don't forget the important cofactors mentioned in reply to your previous post.

**

Don't start all supplements at the same time, start with one, give it a week or two and if no reaction add the next one, repeat in that way and if you do have a reaction you will know what caused it.

Zoey19 profile image
Zoey19 in reply to SeasideSusie

Thanks for reply, I explained to the practice manager that I wasn't happy with the care I have been receiving and she spoke with a different GP who fit me in for this evening.

SeasideSusie profile image
SeasideSusieRemembering in reply to Zoey19

Sounds like the different GP is more on the ball - stick with this one. You could still make a complaint against the other one if you felt so inclined as your nutrient results were so dire that if they'd been left you would have become increasingly unwell.

Nanaedake profile image
Nanaedake

Well done, another success this evening, thanks to SeasideSusie for her great advice. I hope you're soon feeling better!

Zoey19 profile image
Zoey19 in reply to Nanaedake

Thanks yes I hope so too

AngieAsh profile image
AngieAsh

Good for you for taking it to the practice manager. Best of luck with the treatment.

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