Hashimotos

[Cerik]

Hi I have Hashimotos and take 50mcg levo. Also have vit D iron folate and B12 deficiency. Advice welcome

Thankyou

TPO ANTIBODY 558 (<34)

TG ANTIBODY >1000 (<115)

TSH 6.1 (0.2 - 4.2)

FREE T4 13.3 (12 - 22)

[greygoose]

You're very under-medicated. How long have you been on 50 mcg?

Are you gluten-free and taking selenium, to lower anitbodies?

What is happening about your nutritional deficiencies? If you want advice on that, give the results and ranges, and tell us how much of which you're taking.

[Cerik in reply to greygoose]

Thanks always been on 50mcg will post vitamin and mineral results now

[greygoose in reply to Cerik]

Then you need an increase in dose.

[SlowDragon Administrator]

Have you only ever been on 50mcg? You are very under medicated as greygoose has already said.

Levo dose should be high enough to lower TSH to around one and FT4 to be towards top of range around 19-20.

Ask GP for immediate dose increase of 25mcgs and blood retest 6-8 weeks after any chance in dose

All thyroid tests should be done as early as possible in morning and fasting and don't take Levo in the 24 hours prior to test, delay and take straight after. This gives highest TSH and most consistent results

Here's some links about gluten and why it's often essential to be strictly gluten free

Your antibodies are high this is Hashimoto's, (also known as autoimmune thyroid disease). About 90% of hypothyroidism in UK is due to Hashimoto's.

Hashimoto's very often affects the gut, leading to low stomach acid, malabsorption leading to low vitamin levels and leaky gut.

Low vitamins that affect thyroid are vitamin D, folate, ferritin and B12. When they are too low they stop Thyroid hormones working.

You say yours are low, if you post the results and ranges members can advise. Extremely common for GP to not be aware of the amount we need to supplement

According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)

But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's is very poorly understood

Changing to a strictly gluten free diet may help reduce symptoms, slowly lower antibodies and may help heal gut

thyroidpharmacist.com/artic...

thyroidpharmacist.com/artic...

amymyersmd.com/2017/02/3-im...

chriskresser.com/the-gluten...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...

Low stomach acid can be an issue

Lots of posts on here about how to improve with Apple cider vinegar or Betaine HCL

thyroidpharmacist.com/artic...

Other things to help heal gut lining

Bone broth

thyroidpharmacist.com/artic...

Probiotics

carolinasthyroidinstitute.c...

[Cerik in reply to SlowDragon]

Thanks always been on 50mcg

[SlowDragon Administrator in reply to Cerik]

You need immediate dose increase by 25mcgs, retesting after 6 weeks. Likely to need further increase(s)

Post your vitamin results, they are likely to be very low