I am new to this site but need advice with my result . I have been diagnosed with under active thyroid for 7 years now and never really felt right. I started on a low dose and then took 125 and 100 tablet alternative days it worked for a while and then I used to get like attacks where I felt awful and slept all day and felt achy in my body. Then I had a bit of stress in my life and I all I can say is I felt like an over ticking car if I stopped I felt awful so I downed my tablet to 100 each day. Started to feel ok for a while then if I did any thing my muscle would ache and I felt awful the more I did the worse I felt and at night when I relax and lay down I get a woshing noise in my ears. The doctors thought I had something wrong and after doing test they said I had ME as nothing showed and like other people have said because my TSH was in the range they said it can’t be my thyroid but I knew it was the tablet change as my levels went to 2.84 so I started upping my tablets to 100 then 150 every third day I feel a lot better but still got the noises and slight aches. I have just had my TSH results from the doctors and my result were 1.04 range (0.27-4.2) they would not get my T3 and T4 tested so I have paid to have them done with medical check my results are below.
Thyroid stimulating hormone 1.38 (0.27-4.20) range
Free thyroxine 17.5 (12.00-22.00) range
Free T3 4.76 (3:10-6.80) range
By reading some of the post I assume I am still not getting the right dosage but would appreciate any help with what I should do.
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I would say you are still under medicated as many feel better with a TSH of around 1.0 and T4 & T3 in upper range.
Whooshing in the ears, muscle ache and tiredness are all common symptoms in people inadequately treated. Do you have gut issues ?
Ask your doctor to check Vit B12, Vit D, folate and ferritin as these are commonly low in people with inadequate thyroid hormone, and required for good thyroid hormone synthesis. Post results complete with ranges (numbers in brackets) for members to comment.
Have you been tested for thyroid antibodies TPOAb & TGAb denoting Hashimotos ? ? .. Unmanaged Hashi can impair thyroid hormones activity.
Do you take meds on an empty stomach with a glass of water, 1 hour before food, 2 hours before supplements and 4 hours before calcium, iron or vit D supplements ? ? ..
Thanks you Radd for getting back to me . Yes I always have taken it on an empty stomach but all my blood test I have always taken a tablet before but the last one with the doctors I did not and the medi check one I didn’t. It’s only recently by reading the forum post that I have learnt more as the doctors don’t seem to know much.
I have only found out recently that the doctor only test for tsh and won’t test for anything else. So I am thinking like you I might pay privately for antibodies.
As for my stomach it doesn’t feel right especially when I eat it’s like it feels hungry and not right but full if that makes sense. When I was not right I always felt hungry and wanted more to eat.
I have just increased my tablets and see what that does and have a test on my anti bodies privately.
Is it best to leave it 8 weeks to have my anti bodies checked seeing I am upping my dosage ?
Forgot to say I have had vitamins checked but have come back alright according to my doctor but my iron level was high so they are keeping a check on that .
If you post vitamin results, members will comment. A doctors “normal” is not always high enough in range to be optimal enough for good thyroid hormone management.
Antibodies may be tested at any time, although should decrease with optimal thyroid hormone but this would usually take several months. Ensure to test both TPOAb & TGAb.
Re feeling hungry when knowing you are full, there are blood sugar issues associated with hypothyroidism. Either hypoglycemia (too little sugar in the blood)) or insulin resistance (too much sugar in the blood).
In hypoglycaemia the adrenal glands respond by secreting cortisol (which tells the liver to make more glucose, so bringing blood sugar levels back to normal) ….. but cortisol levels can be low in long term inadequately treated hypothyroidism as compensate for low thyroid hormone. A repeated cortisol release caused by low blood sugar can suppress pituitary function which is the master gland that instructs the thyroid. This can also cause a dysfunction in the hormone leptin that is usually secreted to tell the brain there is adequate fat storage (in a similar way to insulin resistance.)
Also cortisol can directly inhibit the enzyme (5’-deiodinase) which converts inactive T4 into active T3, leading to low T3 levels and long term elevated levels can cause thyroid hormone receptor insensitivity (meaning that even if T3 levels are high enough, they may not be able to bind normally to receptor sites so not getting into the cells for use).
Cortisol can also increase the production of reverse T3 (which is inactive) & lower the levels of protein that binds to thyroid hormone so it can circulate in a stable structure.
I ate regular small meals throughout the day with protein, fats & a low GI carbs and never allowed myself to become hungry. I also carried Pulsin” protein bars in my pocket and that “hungry-feeling-even-when-full” lasted only a few weeks on this regime as protein takes longer to digest and balances sugar levels, so preventing an insulin rush. Also whey or pea protein powder in smoothies make good snakes.
Insulin resistance is when you eat too many carbs/sugar, so encouraging the pancreas to secrete insulin (to move the excess glucose from the blood into the cells where glucose is used to produce energy). Over time, the cells lose the ability to respond to insulin so the pancreas then pumps out more & more. These repeated insulin surges may inhibit good thyroid function as all hormones are dependent on one another and require balanced levels, and reduce the conversion of T4 to T3.
Feeling-hungry-even-when-full is a classic symptom of hypoglycaemia. Needing sweets after a meal is a classic symptom of insulin resistance as although you feel physically full, the carbs are not being used. Many inadequately treated hypothyroid people have a little of both.
Also be aware that many hypothyroid people suffer gut issues in the form of low stomach acid that is required for good absorption of nutrients ….. hence low levels of vits, iron, etc … and leaves us vulnerable to gut infections, etc ....
I always balance sweet fruit with protein. ie grapes with cheese, apple with nuts, banana and natural yogurt. I supplemented GlucoFit by AllergyResearchGroup which has Lagerstroemia Speciosa L. herb and Corosolic acid known to be active in the glucose and carbohydrate metabolism.
ARG is usually only available through a practitioner but I have seen these available on Amazon.
I have learnt so much from this site . I asked for test they did on me and they never gave me the vitamin results but what they kept telling me is my liver function was not right and asked if I was a big drinker which I am not .
It makes sense what you are saying about sugar as when I was really bad I kept eating a lot of chocolate and when I cut it down I felt better.
I have put my dosage up and next step is to test my anti bodies and will try the snacking.
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