Hi everyone, posted previously with blood tests results, had lots of help and assistance. Implemented a dietary change, gluten free and added some supplements, VitD3, iron, Magnesium, Selenium,, Omega 3. On HRT Evoril Conti Patches several years and on Lansoprazole. I have been diagnosed with Hashimotos Thyroiditis with positive antibodies of 500. my TSH level is between 3.39 to 6.03. New tests results below
TSH 4.34 (0.40-5.00)
Serum Free T4 11.7 (9.00 - 19.00)
Serum Free T3 3.89 (2.89 - 4.88)
Vit D 72.8 (>50.00nmol
B12 200 (150 -620)
Folate 6.1 (3.10 - 19.90)
Ferritin 55 (20 - 300)
Thyroid Peroxidase antibody 500 <59.00kul
Magnesium 0.88 (0.70 - 1.00)
I saw my GP yesterday, she has been reluctant to treat with Levothyroxine in case my levels go hyper but I have constant tiredness, fatigue non budging weight issues, cold all the time, especially hands and feet.generally feeling awful for nearly two years, had loads of tests and endoscopy, MRI all come back normal apart from a gallstone or two but not inflamed gallbladder. also on beta blockers for high blood pressure. Dr taking me off Lansoprazole as I don't feel any better on it and trying me on 300mg Ranitidine, also trying me on Levo 25mg.
Please could anyone advise on my results and any experiences with Levo and Ranitidine, possible side effects etc.
Thank so much for any help.
Written by
Christineblue
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Your vitamins are low, especially B12. This is likely due to mix of being on Lansoprazole and having autoimmune thyroid disease (Hashimoto's) confirmed by high TPO antibodies
Good your GP is stopping Lansoprazole. Most patients with Hashimoto's have low stomach acid. (Not high stomach acid) Very similar symptoms, very different treatment
You should have bloods retested in 6 weeks and dose increased in 25mcg steps until TSH is around one and FT4 towards top of range and FT3 at least half way in range
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)
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
Ideally ask GP for coeliac blood test first
Many find going gluten free reduces stomach acid problems
Thank you slowdragon, very helpful. My GP is useless so is the Endo who did the initial blood work, diagnosed me then referred me back to GP for onward thyroid monitoring. I questioned my B12 with GP she said it was fine and within range so no treatment necessary also said testing for Pernicious Aneamia not necessary due to B12 results being fine. I have bought some B12 tablets but not sure if I should take them. I am also not sure if there are any interactions with my supplements now I have Levo, not started the Levo either yet, bit worried about so many negative side effects people report.
The majority on Levothyroxine get on absolutely fine with it. Just over 3% of population- 2.2 million patients in Uk on Levo. You only find people on forums if they have ongoing issues
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