Results and help re related heart symptoms. Thk... - Thyroid UK

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Results and help re related heart symptoms. Thk you. πŸ™πŸ’š

Jayne- profile image
Jayne-
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Hello all,

Any help appreciated..

Just back from another stretch in hospital Re heart symptoms related to profound hypo thyroid status 4 weeks ago..

TSH 93 (.2-4.5)

Free T4 <3 ( 7 -17)

and almost 4 weeks of heart realated debilitating symptoms since ..

Unable to lie down for week or so... due to pounding heart, nausea, sweating etc ..

wonder if you lovely lot would cast an eye over these results please?

Had v bad reaction to TEVA tab for few months.. until stopped it almost 2 months ago .. had fabulous 4wks!!! then started with debilitating heart stuff..

Ive been back on LT but liquid form now for two weeks .. at equi of 125 .. until cardiologist reduced to equi 75.. mcg 6 days ago..

I see ferritin and T3, as the clear info which may improve my situation...

Hospital tests 22 10 17.

TSH.. 8.99. (0.27-4.2)

FreeT 18.7... (12-22)

T 3 .....1.0 ( 1.3-3.1)

B12 975 pg/ml ( 197-771)

Vit D 108 nml /l

Ferritin 38ng/ml. (13-150)

Folate 19.6ng/ml (2.9 -20)

Cholesterol 6.9 ( 2.3 -4.9)

Hdl/ Chol ration 4.06 ( 0- 4)

LDL Chol 4.56 ( 0 - 3.)

Non HDL 5.2 ( 0-3.)

Thank you very much for any support and guidance. I’ve been house bound since the allergic reaction started July time..

best wishes JD

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Jayne-
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Clutter profile image
Clutter

Jayne-,

TSH 8.99 is still very high and along with FT3 1.0 below range indicates you need a dose increase so I don't understand why cardiologist reduced dose. Many of us have experienced extreme palpitations and ectopic beats when undermedicated.

The goal of Levothyroxine is to restore the patient to euthyroid status. For most patients that will be when TSH is 0.3 - 1.0 with FT4 in the upper range. FT4 needs to be in the upper range in order that sufficient T3 is converted. Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email louise.roberts@thyroiduk.org if you would like a copy of the Pulse article to show your GP.

If you supplement B12 that will be why B12 is high.

VitD 108 is very good but will drop unless you supplement 1,000iu D3 daily Oct-Apr. VitD needs to be taken 4 hours away from Levothyroxine.

Ferritin is optimal halfway through range. You can raise ferritin by supplementing iron with 1,000mg vitamin C to aid absorption and minimise constipation. Take iron 4 hours away from Levothyroxine.

Folate is good.

Cholesterol is often high when TSH is high. Once you are optimally dosed on Levothyroxine with TSH 1-2 your cholesterol will probably drop.

Jayne- profile image
Jayne- in reply to Clutter

Hi Clutter thank you for the reply and info ..

yes I agree re the reduction .. cardiologist thoughts are distinctly around being hyper gives palpitations.. and doesn’t recognise as a hypo symptom .. though I do..

I do supplement B12 sublingual started a few months ago .. I’m veggie ..

Vit D I started only a few weeks ago as I became very ill ..

But was taking recently in morning with LT liquid so thank you for that advice.

What level of Iron and form would you suggest please?

I have ascorbic acid ??

Would you know of anyone being sensitive to the excipients in the liquids LT .. and which excipients are most troublesome in tabs .. as I reacting badly to both TEVA Tabs and activas Tabs ..

thank you once again for your support .. amazing to be able to connect and not feel totally alone with this debilitating and isolating illness.

πŸ™πŸ¦‹πŸ’Ž

Clutter profile image
Clutter in reply to Jayne-

Jayne-,

Try Ferrous Fumarate 210mg iron with ascorbic acid.

You could check out the excipients in Teva and Actavis tablets to try and narrow down which of the excipients may be causing you problems. There are no fillers in liquid Levothyroxine.

Jayne- profile image
Jayne- in reply to Clutter

Hi Again .. yes lots of research happening here at the mo .. I’ll do that too..

thank you so much

I’ll look up the FF too.

πŸ™ namaste

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