I'm amazed at my TSH because i had this tested at the NHS labs a few weeks ago and it was 6.8 my dosage of levothyroxine was upped from 50mg to 75mg and i wouldn't have thought it would have made that much of an impact.
Intrestingely enough the dr on Medichecks suggests my levels are normal and i'm on the right medication.Now i know that is a load of rubbish after reading fellow sufferers advice on here and the fact i still feel soooo ill.
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Debzeewestmids
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You have Hashi's as shown by the raised antibodies, so your TSH can fluctuate quite a bit during the course of the disease. However, your Levo dosage going up can reduce it, too. Your free T3 is still too low, and your TSH still too high, so you would benefit from another dosage increase. Have you had your vit B12, folate, ferritin, Vit D tested at all? They are all very important to getting your thyroid hormones working properly.
Yikes is that 11.8 for folate correct? If so it's terribly low. Even if 118 it's below range by a long way. Your B12 needs to go up further. Ferritin... do you have the range for that one? I'm not sure whether it's OK or not by looking at it.
But the bottom line is that those nutrients are way too low and so that is hindering your thyroid properly converting Levo. Until they are sorted out with supplements, you can't hope to feel fully well. Take a look at SeasideSusie 's profile and click on 'replies'. She has written a lot of very good advice for vits/minerals that you need to know.
You need an increase to 100mcg and re-tested in 6-8 weeks. Hopefully your T3 might buck up a bit, sometimes it takes a bit of time to get up to speed on conversion if you have been hypothyroid for some time and the mineral/ vitamininbalances need addressing for this to take place.
Would this explain Jadzhia why my legs feel like lead and my bones crack?
When i went to my Dr a few weeks ago feeling more ill than usual,i mentioned about the above and he said they were Hyper symptoms, so didn't think it was anything to do with Thyroid because mine is hypo.
First of all, the doctor's remarks with any of these private tests are going to toe the same line as any NHS doctor regarding them being in range therefore they are 'normal', so just because they're in range doesn't mean they're optimal.
From another of your posts, it seems as though you had an increase in Levo from 50mcg to 75mcg 3-4 weeks ago. Well, it's going the right way but you will need further increases to bring your TSH down to 1 or below and your Free Ts into the upper part of their ranges, if that is where you feel well. So you need to continue with your 6-8 weekly NHS tests/inceases until you reach that stage. You still feel ill because you haven't yet reached your optimal dose.
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. The antibody attacks cause fluctuations in symptoms and test results.
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.
Looking at your other post where you included a photo of your results, yes your folate is correct but the range is not. The range is actually 3.50 - 20.50 and as folate should be at least half way through it's range - in this case that would be 12 - then your folate is pretty good.
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B12 402 pg/ml 187.00 - 883.00 pg/ml
B12 should be higher. An extract from the book, "Could it be B12?" by Sally M. Pacholok:
"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".
"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."
Sublingual methylcobalamin lozenges 1000mcg daily are what's needed if you wish to self supplement, along with a good quality B Complex to balance all the B vitamins.
Look at Thorne Basic B or similar containing methylfolate and that will nudge your folate level up. A high folate level is not a problem if B12 is high.
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ferratin 164 ng/ml
The range for this from your results photo is 22-275.
Ferritin should be half through it's range (148.5 with that range), so your ferritin level is good.
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As long as you get your increases in Levo, you address the Hashi's, and supplement B12/B Complex I see no reason why you might need a functional doctor at the moment.
You need to test Vit D and you can do this with a home fingerprick bloodspot test from City Assays vitamindtest.org.uk/
Thank you for your invaluable advice.I did try a fingerprick kit for my thyroid test but i couldn't master it and had to pay extra and go to a clinic.I will definately try the supplements you suggested.When i go back for my retest with NHS will the dr increase my dose by another 25 or 50mg?There is one particular young dr and he does actually listen and is very co operative if you make a suggestion.Also,would you recommend just get all supplements from H&B/Sorry about all questions.
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