These are my results. I am on Levothyroxine 75/100 alternate days. They said to me that it’s all within range. No need to change anything buy a multivitamin. I feel horrible. I ache everywhere i am always tired. Low mood. Low sex drive. Sleep problems. Can’t loose any weight. (Around 20kg over weight since i have been on Levothyroxine). I was diagnosed 6 years ago and from 25 mcg it’s been gradually been increased to this dose. I have been on that for about a year.
I am not sure what next. I just want to feel better. And we would like to have a baby but i feel like a wrack at the moment. I have irregular periods too. And lost a baby year and a half ago. My dad is diabetic and i have high Homa index too. I already eat gluten free. And 75% of the time very healthy. I have joint and muscle pain but i still try to exercise. But nothing happening.
Any advice?
Thyroid test:
From 2nd Jan
THS 4.31 mlU/l 0.55-4.78
Free T4 10.81 pmol/L 11.5-22.7
Free T3 4.23 pmol/L 3.5-6.6
Iron 12.6 umol/l 10.7-32.2
Thyroid test from 5th Feb
THS 2.30 mu/L ( 0.27-4.2)
Free T4 14.2 pmol/L (12.0-22.0)
9th March
Serum Thyroid Peroxidase Antibodies
48.1 iu/mL. ( 0.0-34.0)
B12 626ng/L ( 197.0- 771.0)
Folate 18.7 ug/L (1.9-25.0)
Calcium level 2.25mmol/L (2.15-2.5)
Calcium concentration 2.09 mmol/L (2.15-2.5)
Ferritin 35 ug/L (13.0-150)
Vit D 49 nmol/L (50.0-120.0)
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You are undermedicated to have TSH 2.30 while taking Levothyroxine and FT4 14.2 is low in range. 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 0.2 - 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 dionne.fulcher@thyroiduk.org if you would like a copy of the Pulse article to show your GP.
Thyroid Peroxidase antibodies are mildly positive for autoimmune thyroiditis (Hashimoto's). 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.
Calcium 2.09 is below range. You should discuss with your GP. If you are prescribed calcium you should be sure to take it 4 hours away from Levothyroxine.
VitD is insufficient and may be partially responsible for the joint pain. Your GP should prescribe vitamin D3. My sister's GP prescribed 2 x 20,000iu per week when her vitD was 40. Vit D must also be taken 4 hours away from Levothyroxine.
Ferritin is optimal halfway through range. You can raise ferritin by eating more iron rich food. Liver eaten once a week is a good source of iron.
How do I convince my Gp to increase my dose when all they say is everything is within range I don’t need increase or change? When i referd to here they said they never heard of Health unlocked.
Show your GP the Pulse article. If your GP still won't increase dose see different GPs at the practice until you get a dose increase. If necessary, change GP practice.
Tell them that Healthunlocked is a 'help/advice link for most of the common autoimmune diseases and Thyroiduk.org.uk is one of them re dysfunctions of the thyroid gland.
We have professional researchers/scientists/doctors who have an up-to-date view of treatment.
Also the patients who have recovered their health, despite the NHS Guidelines - which are wrong - and doctors are poorly trained. In fact once diagnosed when TSH is above 5, not 10 as NHS instructs and that doctors wrongly believe that if the TSH is 'somewhere' in the range that's fine, they even believe that if it is 5 whereas in other countries people will be diagnosed as hypo when TSH is 3+.
Are we a third-world in our treatment of hypothyroidism? Yes would seem to be the right word otherwise we wouldn't have so many people asking for information.
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