I'm new and I understand my latest results show I'm under medicated.
TSH 6.38 (0.2 - 4.2)
Free T4 13.0 (12.0 - 22.0)
Free T3 3.9 (3.1 - 6.8)
Endo is investigating other causes of symptoms which is why I am on low dose of levothyroxine 50mcg.
Instead of arranging a phone consultation about the results (this has already been done and these results discussed) I have been invited to attend endocrine clinic - I am now worried something else has been found since he tested me for adrenal and fertility profile.
Diagnosed hypothyroid 2013.
Thanks in advance for support.
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amalat
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Most need TSH below 2 to conceive and carry to full term.
Clutter can offer specific links and advice
If your endo is gphapoy with such a high TSH, but wondering why you can not conceive you need a new endo
Email Louise at a Thyroid UK for list of recommended thyroid specialists louise.roberts@thyroiduk.org.uk
Essential to test vitamin D, folate, ferritin and B12. Always get actual results and ranges. Post results when you have them, members can advise
Your antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease). About 90% of all hypothyroidism in Uk is due to Hashimoto's
With Hashimoto's, until it's under control, our gut can be badly affected. Low stomach acid can lead to poor absorption of vitamins. Low vitamin levels stop thyroid hormones working.
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten
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, help gut heal and slowly lower TPO antibodies
Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have money off offers.
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
The British Thyroid Association recommend the TSH of women planning to conceive should be in the low-normal range 0.4 - 2.5. TSH higher than that makes conception difficult and increases the risk of miscarriage. Levothyroxine dose is usually increased by 25-50mcg when pregnancy is confirmed.
Management of primary hypothyroidism: statement by the British Thyroid Association Executive Committee
13. The serum TSH reference range in pregnancy is 0·4–2·5 mU/l in the first trimester and 0·4–3·0 mU/l in the second and third trimesters or should be based on the trimester-specific reference range for the population if available. These reference ranges should be achieved where possible with appropriate doses of L-T4 preconception and most importantly in the first trimester (1/++0). L-T4/L-T3 combination therapy is not recommended in pregnancy (1/+00).
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