Newbie: Hi I'm 30 years old, female and have... - Thyroid UK

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JenT773 profile image
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Hi I'm 30 years old, female and have hypothyroid diagnosed in 2012 after routine bloods showed overt hypothyroid. Dose is 25mcg levothyroxine. When can I expect to feel better on this? Thanks :)

TSH 50.8 (0.2 - 4.2)

Free T4 11.3 (12 - 22)

Free T3 2.1 (3.1 - 6.8)

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JenT773 profile image
JenT773
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7 Replies
SlowDragon profile image
SlowDragonAdministrator

Have you only ever been on 25mcg? Or has dose been up and down? Have you been on T3 and had it stopped?

Post your most recent Thyroid test results, TSH, FT4 and FT3 plus thyroid antibodies

Plus if you have them Vitamin D, folate, ferritin and B12 results and ranges

JenT773 profile image
JenT773 in reply toSlowDragon

TSH 50.8 (0.2 - 4.2)

Free T4 11.3 (12 - 22)

Free T3 2.1 (3.1 - 6.8)

TPO antibody 704.5 (<34)

Only ever been on 25mcg levothyroxine never been on T3 before

greygoose profile image
greygoose in reply toJenT773

I'm afraid you are never going to feel better on 25 mcg. And your doctor has been negligent in the extreme! He should have retested you after starting the 25, and increased your dose to 50 mcg. Then again after another six weeks, and increased by another 25 mcg. And so on and so forth until your TSH came down to one or under, and your Frees rose to a place that made you feel well.

I think you should see another doctor and write a strong letter of complaint about the one that has left you on 25 mcg levo for so long, because he has endangered your health and is not fit to practice!

Clutter profile image
Clutter

JenT773,

If you post your most recent thyroid results and ranges members will advise whether you are optimally dosed on 25mcg. If you have any results for ferritin, vitamin D, B12 and folate post them too.

JenT773 profile image
JenT773 in reply toClutter

TSH 50.8 (0.2 - 4.2)

Free T4 11.3 (12 - 22)

Free T3 2.1 (3.1 - 6.8)

Clutter profile image
Clutter in reply toJenT773

JenT773,

Has your GP seen those results?

You are terribly undermedicated to have TSH so high and FT4 and FT3 below range.

You should make an appointment with your GP for an increase in your Levothyroxine dose. Increases are usually in 25mcg dose increments but you are so hypothyroid your GP could increase dose by 50-75mcg. You should have a follow up thyroid test 6-8 weeks after increasing dose. Dose will need increasing at 6-8 week intervals until TSH is 0.2 - 1.0 with FT4 around 17-20 and FT3 at least 4.5.

Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email dionne.fulcher@thyroiduk.org if you would like a copy of the Pulse article to show your GP.

shaws profile image
shawsAdministrator

Change your doctor immediately. He is ruining your health and allowing your body to suffer and our body is badly affected by hypothyroidism as thyroid hormones are required everywhere in our body from head to toe and our brain and heart needs the most.

You cannot feel better until your TSH is down to 1 or lower. Your doctor is ignorant and uneducated in dealing with patients who are hypothyroid.

He has been undertreating you for five years and it is a disgrace.

Phone and request an immediate 50mcg (a starting dose is 50mcg with 25mcg increases until TSH is 1 at least.

All blood tests for thyroid hormones have to be at the very earliest possible, fasting (you can drink water) and allow a gap of 24 hours between your last dose and the test and take afterwards.

Ask GP to test B12, Vit D, iron, ferritin and folate at the same time. You can tell him you've taken advice from the NHS Choices for help/advice and have been advised you have been very undermedicated for years and you need a 25mcg increase every six weeks till your TSH is 1.

thyroiduk.org.uk/tuk/about_...

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