Thyroid UK
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Acne 😳

Hello everyone

I was dx hypo last feb. Now on 150 mcg of levo. Since december time, maybe a bit before i have developed terrible acne all over my chin and jaw line. As soon as one spot goes another appears. My face is sore all the time. I cannot stand my bloaty double chinned face as it is and these continous spots draw even more attention to it all. Real fed up with it. Anyone got any advise please? I am 40 now and all my life i have never suffered with acne or many spots tbh. How do i deal with this better and why after over a year of levo am i getting this so bad?

Thanks for listening x x x

4 Replies

Ask GP to test B12 (can be linked to acne) plus folate, ferritin and vitamin D too

1 like

I have endo next month so will ring to ask them to instruct that for me to have bloods done for it in time for the endo appointment. Cheers


Your previous post shows you are under medicated

Official NHS guidelines saying TSH should be between 0.2 and 2.0 when on Levothyroxine

(Many of us need TSH nearer 0.2 than 2.0 to feel well)

See box

Thyroxine replacement in primary hypothyroidism

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 at

Professor Toft recent article saying, T3 may be necessary for many otherwise we need high FT4 and suppressed TSH in order to have high enough FT3

Essential to test both TPO and TG thyroid antibodies to see if you have Hashimoto's

For full Thyroid evaluation you need TSH, FT4, TT4, FT3 plus TPO and TG thyroid antibodies. Plus vitamin D, folate, ferritin and B12.

Essential to test thyroid antibodies, FT3 and FT4 plus vitamins

Private tests are available. NHS almost always refuses to test FT3 or antibodies

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 ideally 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. (Patient to patient tip, GP will be unaware)

If 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.

1 like

Thanks so much hun. Much appreciate all that. Will get that all sorted in time and for my endo appointment in april.



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