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Thyroid UK
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Symptoms of Hashimoto's Disease advice please

Hi Everyone,

I am hoping you can help me please. I am recently diagnosed with Hashimoto's disease and so far and only on 50MG of Levothyroxine. I was thinking some of my symptoms could also be B12 deficiency but now I'm not so sure. I have neurological symptoms and wondering if anyone else with Hashimoto's might have similar ones:

Tingling, cold and numb feeling in feet although feet are not actually numb just feel like it

Right hand tingly and loss of grip this causes me to drop things frequently

Walking sometimes painful on soles of feet and trip up experience is like foot drop.

Have been told in neurological exam have upper limb dyspraxia and brisk reflexes.

Cognitive problems especially with conversations as struggle to think of things to say.

I have plenty of other symptoms but these are the ones that are worrying me.

Please could you offer me advice on if these symptoms seem related to Hypothyroidism or something else please.

Thanks for reading and I look forward to any help provided.

5 Replies


Symptoms might improve when you are optimally medicated. The aim of a treated hypo patient generally is for TSH to be 1 or below or wherever it needs to be for FT4 and FT3 to be in the upper part of their respective reference ranges when on Levo.

In the meantime, signs and symptoms of B12 deficiency which you can check b12deficiency.info/signs-an...

You can post on the PA forum for advice healthunlocked.com/pasoc

Also, it would be a good idea to get nutrients tested:

Vit D




If GP wont do them, they can be done as part of a thyroid/vitamin/mineral bundle with Blue Horizon or Medichecks



As you've been diagnosed with Hashi's are you strictly gluten free and supplementing with selenium l-selenomethionine 200mcg daily to help reduce the antibodies?

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






Yes low B12 and folate is very common. Ask GP to test

Do NOT take any B vitamins of any sort before being tested

Hashimoto's very often affects the gut, leading to low stomach acid, malabsorption causing 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.

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.







Low stomach acid can be an issue

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


Other things to help heal gut lining

Bone broth




Cause can be gut infection or glandular fever


Great film definitely shows why just testing TSH is inadequate and how complex it is


You should be retested after 6-8 weeks on starting dose, increased in 25mcg steps, retesting after each step, until TSH is around one and FT4 towards top of range

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

1 like

Thank you SeasideSusie and SlowDragon for your great responses I will be busy reading all those links. I have been trying hard to reduce the gluten from my diet but admit I sometimes slip up with it.

The GP seems to be very cautious with my Thyroid medication she started me on 25mcg which I was on for 7 weeks and I'm only on 50mcg for the last 2 weeks. This was my recent Thyroid test:

Serum free T4 level 13.2 pmol/L [9 - 19]

Serum TSH level 2.06 miu/L [0.35 - 4.94]

My last ferritin result in July was low ferritin level 46.6 ug/ml 13.0 - 150.0

I have some Gentle Iron 20mg but I'm not really sure how many of these I should be taking.

I am supplementing Vitamin D with K2 MK7. My folate levels have also been low but I haven't taken anything for that yet.

I will buy the Selenium as you have suggested Thank you.

My last B12 test is showing high now and I have been posting for help with it on the PAS site but the GP practice I'm with are not too helpful really.

I am already worried this Gp is going to leave me on some low dose of Levothyroxine that is not going to help much.

I will get the Selenium though and hopefully that might help is there any other supplements I should be taking. Unfortunately I can't really afford private testing at the moment. I will read the links so thanks to you both for posting.


its utterly vital that





are all tested now

your thyroid should be retested every 4 to 6 weeks and dosage raised until you are free of symptoms be very very sure to arrange blood draw for

very early morning


drink only water

on no account take your levothyroxine in previous 24 hours


Thank you reallyfedup123 ,

I will try to arrange these tests. I will also arrange for another Thyroid blood test at the GP's and take your advice about early morning and no levothyroxine beforehand.

I'm still feeling very unwell so am sure an increase would be good. Thanks.


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