Picked up sick note and also copies of my last 3 blood tests.
TSH 4.85 mU/L (0.3-4.2)
Only other oddity was my RBC was very slightly over range 4.96x10x12/L (3.8-4.8) - but everything else was okay (and I'm quite familiar with interpreting FBC because of B12 absorption problems). No ferritin but other iron related measures all looked okay.
will research that though suspect it's not significant enough to really be an issue.
(and B12 was over range - surprise, surprise!)
TSH 5.96 mU/L (0.3-4.2)
free T4 11.2pmol/L (9.0-19)
Free T3 3.4 pmol/L (2.6-5.7)
Thyroid peroxidase antibody level 366 iU/mL (<60)
Now I wasn't symptomatic aside from having been a bit tired/run down in June which had prompted the trip to the doctors and that wasn't really an issue for the second 2 tests.
I have understood the standards that I've been reading in the last few days means that I'm subclinical and the normal protocol would have been to monitor rather than jump into treating me - which would mean developing symptoms or TSH rising above 10 ... or T4 getting out of range.
I also seem to be being treated as if I was over 65 - by starting me on 25mcg rather than starting me on a higher dose that would be around the level I'd be expected to need which seems to be the protocol for those under 65 - and I have a decade to go before I get to 65. Added to this is the fact that I have B12 absorption problems - probably PA though not formally diagnosed - which means its likely that I'd need higher levels of levo anyway.
I've been signed off for a week because the levo has just completely knocked out my energy levels - didn't do anything on Friday but managed a few things over the weekend but I am so slow and so tired now. I keep doing odd brainfog things but realise I've done them rather quickly.
I'm really not sure where to go with this - can't afford to be losing a week every 6 weeks if GP is going to insist on raising levels by 25mcg each time. Not happy about ending up highly symptomatic.
I'd been supplementing with some kelp which really helped with the tiredness after the June tests - or more accurately supplementing with a little bit more kelp - my GP seems to think this 'can't do any harm' - obviously not seen any of the numerous studies that have identified excess iodine intake as a factor in AIT ... though have to admit I was aware of it before I decided to supplement but with low stomach acidity and a few months of really bad migraine that meant losing a considerable amount of bile wasn't sure if iodine was a factor or not. Not really got much faith in the GP right now.
Note: most likely cause of raised RBC is dehydration as test was a day after a migraine with severe nausea