Advice please

[Nattie19]

Dec 17

Vit D 22.6 (<25 severe deficiency)

TPO antibody >1000 (<34)

TSH 5.1 (0.2 - 4.2)

FT4 14.8 (12 - 22)

FT3 3.3 (3.1 - 6.8)

On no Levothyroxine diagnosed hypothyroid 2008

Thankyou

[SlowDragon Administrator]

Are you on Levothyroxine and diagnosed with thyroid problems ?

Or is this first test looking for diagnosis?

Either way these show you have under active thyroid.

You need thyroid antibodies tested to see if cause is autoimmune thyroid disease. This is Hashimoto's

Dose of Levo increased by 25mcgs steps (retested 6-8 weeks after each dose increase) until TSH is around one and FT4 towards top of range and FT3 at least half way in range

If you are in the U.K. Vitamin D is too low and you need supplementing to bring up to around 100nmol

Ask for folate, ferritin and B12 to be tested

Read and learn as much as possible. GP is often not up to date on treatment

[Nattie19 in reply to SlowDragon]

TPO antibody >1000 (<34)

[Nattie19 in reply to SlowDragon]

On no Levothyroxine diagnosis given 2008

[SlowDragon Administrator in reply to Nattie19]

Why are you not on Levothyroxine

Post your most recent results TSH FT4 and FT3

See different GP

[Nattie19 in reply to SlowDragon]

GP says I don't need Levothyroxine

[Nattie19 in reply to SlowDragon]

TSH 7.1 (0.2 - 4.2)

FT4 12.9 (12 - 22)

FT3 3.4 (3.1 - 6.8)

TPO antibody 1200 (<34)

[SlowDragon Administrator in reply to Nattie19]

Can you See a different GP. Urgently

You very definitely do

Your TSH is above range and you have Hashimoto's (high antibodies)

You 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

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

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...

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

Link about antibodies

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

Link about thyroid blood tests

thyroiduk.org/tuk/testing/t...

Print this list of symptoms off, tick all that apply and take to GP

thyroiduk.org/tuk/about_the...

[SlowDragon Administrator]

You also need loading dose of vitamin D

oxfordshireccg.nhs.uk/profe...

[klr31]

You need thyroxine and Vitamin D.