Hashmitos patient

[Hj78]

Hi all was wondering if somebody could give me some advice based on these results. Hashmitos patient taking levothyroxine 100mg. Tsh 7.78 ferritin 24 vitamin b12 441/10ngl feeling fatigued with dry skin hair nails.

[Clutter]

Hj78,

You are undermedicated to have TSH 7.78 and that will be why you are tired etc. Ask your GP to increase dose.

The goal of Levothyroxine is to restore the patient to euthyroid status. For most patients that will be when TSH is 0.3 - 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_... Email [e-mail] if you would like a copy of the Pulse article to show your GP.

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_...

Ferritin 24 is usually low in range. Have you had an iron panel or full blood count done?

B12 441 is unlikely to be deficient but if you have symptoms in b12deficiency.info/signs-an... go to healthunlocked.com/pasoc for advice as they're the experts.

[Hj78 in reply to Clutter]

Thanks for the advice I did guess that my levothyroxine needed upping although my only concern with that is it causes me to have terrible sinus issues along with ear pain headaches anxiety & feels a little like too much inflammation in the body. Would like to try natural but am unsure of where I can get this or how.

[Clutter in reply to Hj78]

Hj78,

Might be an idea to try a different make of Levothyroxine to see whether you can tolerate a dose increase without the adverse effects. Ask your pharmacist for an alternative.

Write a post asking members to message you where to buy NDT online without prescription.

[Hj78 in reply to Clutter]

Thanks clutter I will try that

[SlowDragon Administrator]

Your are very under medicated. Make an appointment to see GP and request 25mcg dose increase. Blood will need retesting in 6 weeks.

Dose should be increased in 25mcg steps until TSH is between 0.2 and 1.0 ideally for most patients, FT4 towards top of range and FT3 at least half way in range

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,

"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.

In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.

Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.

This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."

You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor

please email Dionne:
[e-mail]

Your vitamin levels are likely low because you are under medicated

Ferritin looks very low (do you have the range?) - ask GP for full iron panel for Anaemia.

Also need vitamin D and folate tested.

Your B12 may be too low for you, but unlikely that GP will think it too low.

Get folate tested if this is low, it works with B12

b12deficiency.info/signs-an...

Typical Low vitamins due to under medication and detailed supplements advice on how to improve

healthunlocked.com/thyroidu...

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 gut connection is very poorly understood

Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies

Ideally Ask GP for coeliac blood test first

Persistent low vitamins with supplements suggests coeliac disease or gluten intolerance

gluten.org/resources/health...

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...

thyroidpharmacist.com/artic...