Was undiagnosed...now on levothyroxine - Thyroid UK

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Was undiagnosed...now on levothyroxine

Rach_88 profile image
4 Replies

Hi I had a phone call from GP today and he said there was a prescription of levothyroxine waiting for me. I have been prescribed 50mcg with a retest in 6-8 weeks. Thanks

TSH 7.2 (0.2 - 4.2) FT4 12.9 (12 - 22) FT3 3.1 (3.1 - 6.8) TPO antibodies 708.5 (<34)

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Rach_88
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Clutter profile image
Clutter

Rach_88,

The goal of Levothyroxine is to restore the patient to euthyroid status. For most patients that will be when TSH is 0.2 - 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_...

Thyroid peroxidase antibodies are positive for autoimmune thyroid disease (Hashimoto's). There is no cure for Hashimoto's which causes 90% of hypothyroidism. Levothyroxine treatment is for the low thyroid levels it causes. Many people have found that 100% gluten-free diet is helpful in reducing Hashi flares, symptoms and eventually antibodies.

chriskresser.com/the-gluten...

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

For maximum absorption Levothyroxine should be taken with water 1 hour before, or 2 hours after, food and drink, 2 hours away from other medication and supplements, and 4 hours away from calcium, iron, vitamin D supplements, magnesium and oestrogen.

It takes 7-10 days for Levothyroxine to be absorbed before it starts working and it will take up to six weeks to feel the full impact of the dose. Symptoms may lag behind good biochemistry by several months.

Arrange an early morning and fasting (water only) blood test when TSH is highest, and take Levothyroxine after your blood draw.

thyroiduk.org.uk/tuk/diagno...

SlowDragon profile image
SlowDragonAdministrator

You need to see a different GP, then because they should also be looking at sorting your extremely low vitamins

Also testing adrenals. If low adrenals are suspected then testing is recommended before starting Levothyroxine

Rach_88 profile image
Rach_88 in reply to SlowDragon

I have low adrenals and vitamin levels thanks

SlowDragon profile image
SlowDragonAdministrator in reply to Rach_88

I realise that having read other post

Your GP should be prescribing to correct low vitamins

Thyroid hormones can not work with such dire vitamin levels

Make an urgent appointment to see different GP

Ask for adrenal testing too, if adrenal are very low starting Levothyroxine can cause adrenal crisis. If you genuinely suspect low adrenals this definitely needs testing

Just leaving you a prescription to collect is negligent in the extreme.

Ask for blood test for coeliac before seriously considering strictly gluten free diet, after Christmas perhaps

You have had masses of advice on other post how to improve vitamins from SeasideSusie

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