Thyroid UK
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Hypothyroid

My name is Niki I am new and feel really unwell. Diagnosed hypothyroid 6yrs ago. Hangover like headaches, low blood sugar, pain in backs of legs going uphill, sore and dry eyes, spots on face and back, hair falling out. Are these hypothyroid symptoms. GP says undermedicated. I take 75mcg Levo thankyou

Thyroid peroxidase antibodies 608.5 IU/mL (<34)

Thyroglobulin antibodies 255.3 IU/mL (<115)

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So if GP says you need a dose increase then you need to pick up prescription for increased dose.

Dose should be increased in 25mcg steps until TSH is around one and FT4 towards top of range and FT3 at least half way in range

Do you know what you latest test results are?

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, lowest FT4 and most consistent results

For full evaluation you ideally need TSH, FT4, FT3, TT4, plus vitamin D, folate, ferritin and B12 tested

Your antibodies are very high, this is Hashimoto's also called autoimmune thyroid disease

Essential to test vitamin D, folate, ferritin and B12.

Some of your symptoms suggest low vitamins, which are almost inevitable if under medicated

Always get actual results and ranges. Post results when you have them, members can advise

Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels stop Thyroid hormone 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)

Ask GP to run blood test for coeliac disease

Regardless of coeliac test result, Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies

thyroidpharmacist.com/artic...

thyroidpharmacist.com/artic...

amymyersmd.com/2017/02/3-im...

chriskresser.com/the-gluten...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...

But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's is very poorly understood

Many people find Levothyroxine brands are not interchangeable. Once you find a brand that suits you, best to make sure to only get that one at each prescription.

Be careful to get same brand when changing up from 75mcg to 100mcg

Always take Levo on empty stomach and then nothing apart from water for at least an hour after. Many take on waking, but it may be more convenient and possibly more effective taken at bedtime

verywell.com/should-i-take-...

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