Would like some advice as have a doctors apt today at 5.10 and could ask her to increase my T4 (Levothyroxine)or refer to endocrinologist or both?
I asked for advice about a year ago and was and am very grateful for the help given then and from Thyroid UK in general . I dont know how I would have managed without you and am a member and made our case in the government survey reT3.
Then my TSH was 36.3 (0.35 -3.95). In Nov 17 it was 0.85 same range.
It has taken a year to get from 50mcgT4 to 87.5mcg which is my present dose as I get a bad reaction every time I change dose. The GP said she would refer me to the endo if I was still symptomatic after 2 months under 1 TSH which is now the situation. Should I risk a further increase in T4 if she will let me or ask for a referral now?
By the way my Vit D was 20.1 (80-150nmol/L) a year ago but got it up to 100 at the end of Feb 2017. My folate and Vit B12 were average and Ferritin was on the low side but not out of scale so I have been taking supplements for these but have not been tested recently.
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Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have money off offers.
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
If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before any blood tests, as biotin can falsely affect test results
Thanks for the advice. Doctor will test for folate and B 12 given my symptoms. She does not want to increase my levothyroxine and will refer me to an endo after results of blood tests if within range.
Asked for other hashi test. She tried on the computer but lab does not do them. She is also going to try to order free T4 free T3 test but says lab unlikely to do them. Get the feeling she is frustrated with sit also.
Need to go private for other tests and investigate endos.
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