Hashimotos?

[Khlea]

TPO antibody 989.5 (<34)

TG antibody 577.3 (<115)

No idea what it is thank you

[Joanneconnor]

You have Hashimotos thyrodosis I think

[Joanneconnor]

Your immune system is attacking its own thyroid, has no one discussed this with you?

[Khlea in reply to Joanneconnor]

Hi no my endo didn't mention this

[Joanneconnor in reply to Khlea]

You need to read as much information as you can and try to take your own steps to feel better as docs don't help much

[Jazzw]

Here’s what this forum’s parent site, Thyroid UK, has to say about Hashimoto’s:

thyroiduk.org/tuk/about_the...

[Joanneconnor]

thyroidpharmacist.com/artic...

[Clairewalker751]

These results confirm hashimotos someone from admin will be along shortly adopt a strictly gluten free diet and selenium supplements can help reduce antibodies as can keeping your TSH surpressed has your GP started you on Levo?

[Khlea in reply to Clairewalker751]

TSH 4.8 (0.2 - 4.2)

FT4 14.5 (12 - 22)

FT3 3.2 (3.1 - 6.8)

Taking 25 mcg Levo

Thanks

[Clairewalker751 in reply to Khlea]

Personally I would be asking for a dose increase of 25mcg of levo every 6 weeks until you're TSH is 1 or below and your T4 and T3 are much higher in range just for a start, follow the advice in this site read up on hashimotos you won't get well only following GP advice although your results are within range I doubt anyone would feel well with those results !

[Khlea in reply to Clairewalker751]

Ok new results are

TSH 10.4

FT4 6.1

FT3 2.5

[Clairewalker751 in reply to Khlea]

You definitely need a dose increase! Remember to include ranges in results

[crimple]

you need to get bloods tested for ferritin, folate, iron, Vit B12, Vit D as with Hashimotos you are likely to have leaky gut (hence advice to avoid gluten) and therefore poor absorption of nutrients. Low levels will mean any thyroid treatment such as levo thyroxine will not work properly until blood levels are all optimal. (look at Seaside Susie, expert on here about supplements to improve vitamin levels) Don't expect it to be a quick fix. Most endos and GPs are totally ignorant about the importance of being gluten free and the importance of having good vit levels. Are you on any thyroid medication? what are the blood levels for TSH, T4 T3?

[Khlea in reply to crimple]

TSH 4.8 (0.2 - 4.2)

FT4 14.5 (12 - 22)

FT3 3.2 (3.1 - 6.8)

Taking 25 mcg Levo

Thanks

[crimple in reply to Khlea]

You are way under medicated. You need an immediate increase in levo and another blood test 4-6 weeks after the increase and further increase until your TSH is below one.

[SlowDragon Administrator]

High antibodies confirm you have Hashimoto's also called autoimmune thyroid disease

About 90% of all hypothyroidism in Uk is due to Hashimoto's

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

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 affect Thyroid hormone working

As you are very under medicated and need 25mcg dose increase your vitamin levels are likely to be very low

Detailed advice on Low vitamins due to under medication

healthunlocked.com/thyroidu...

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

Ask GP for coeliac blood test first

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...

Levothyroxine 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. Bloods retested 6-8 weeks after each dose increase

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

[BBBOA]

Yes, as the others say, it looks like you have Hashimoto's thyroiditis, where your own thyroid antibodies attack your thyroid. They must have done your TSH levels too?

[Khlea in reply to BBBOA]

New results are

TSH 10.4 (0.2 - 4.2)

FT4 6.1 (12 - 22)

FT3 2.5 (3.1 - 6.8)

GP increased dose from 25 to 50 levo with retest in 6-8 weeks time is this right thanks

[SlowDragon Administrator in reply to Khlea]

Yes and you will need further increases until TSH is around one and FT4 towards top of range and FT3 at least half way in range

Ask GP to test vitamins at next Thyroid blood test

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-...

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.

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