Dose increase?

[Jrjc]

Hi

Do my results indicate an increase I had last dose adjustment 10 weeks ago diagnosed 2011 thank you

(100mcg levothyroxine)

TSH 10.8 (0.2 - 4.2)

Free T4 12.9 (12 - 22)

Free T3 3.8 (3.1 - 6.8)

[Saggyuk]

Hi Jrjc

Were these test results from now or before your last dose increase? If before your last dose increase 10 weeks ago, you should retest and see where you are now. If tests were done now and after dose increase 10 weeks ago, you would need a further increase of 25mcg Levo and retest in 6-8 weeks to see if further increase required.

You should also get your Vit B12, Vit D, iron, ferritin and folate tested as you are likely to be low. If doc won't do them, you can get your own done and people here can tell you where to get them done.

If you already have them, then post results here in aother thread as docs tend to be a little pants in this area

[Jrjc in reply to Saggyuk]

Thanks dose was recently reduced and have results of other things but told no further action

[Saggyuk in reply to Jrjc]

You mean the results you posted were after the reduction?

[Jrjc in reply to Saggyuk]

yes

[silverfox7]

Each dose increase takes 6 weeks to get into your system so if these results are 10 weeks after a dose increase then these are showing the increase. However if they have t changes much from a previous test then something else may be wrong. It could be something simple like starting another new drug and taking it too close to your thyroid meds.

Have a look at the Thyroid Uk site who run this forum. There are some pointers that you may well not be aware of. Doctors rarely know or advise on this so well worth having a look and see if anything else could be a problem.

[Jrjc in reply to silverfox7]

Hi I take no other meds and results were after dose reduced thanks

[Saggyuk in reply to Jrjc]

Sorry just seen those, then you need to sack the doc if they said no further action as they clearly are stupid! They would diagnose someone with those results never mind an increase so that is appalling they would leave your tsh so high. Complain to the practice manager quoting these results and the NICE guidelines on thyroid!

Also post all other results you have

[eeng]

Your TSH should be around 1, not 10.

[SlowDragon Administrator]

So you are now on 100mcg and these results from that dose

What was dose reduced from? Do you have results from then? If so post them

Were you also taking T3 and had this stopped?

You are very under medicated and need immediate increase by 25mcgs, retesting in 6-8 weeks

See a different GP if at all possible

[Jrjc in reply to SlowDragon]

Dose reduced from 200mcg levothyroxine

TSH 0.08 (0.2 - 4.2

Free T4 19.3 (12 - 22)

Free T3 4.0 (3.1 - 6.8)

[SlowDragon Administrator in reply to Jrjc]

You were NOT over medicated

Both FT4 and FT3 were within range. With Hashimoto's we quite often need a TSH very low

Your FT3 was still quite low, showing poor conversion. This may improve when gluten free, plus essential to get vitamins at optimal levels.

So you will need to increase Levo dose in 25mcg steps, retesting after 6-8 weeks. Increasing until TSH back nearer one

Follow SeasideSusie vitamin supplements advice. Changing to gluten free diet too

Once this is much better and stable you may still find T3 is a bit low and may need the addition of small amount of T3

Email Louise at a Thyroid UK for list of recommended thyroid specialists [e-mail]

You might consider DIO2 gene test

thyroiduk.org.uk/tuk/testin...