Is Hashimoto thyroid related to muscle pain?

[Nicholajane]

Hi I have autoimmune disease, Hashimoto thyroid, & endometriosis ,( I had full hysterectomy) and plantar in my feet , I have just started getting pain and cramps in my right side ,around ribs, shoulder and hip , also back of neck? It feels like I have pulled lots of muscle at once , but I haven’t, I haven’t done anything physical to cause this and been getting progressively worse over the past month or more, I’m on thyroxine 75g ,HRT gel 10g and Testosterone gel 1/2 g per day I also take multiple vitamins, D, B12 , Apple cider vinegar. I haven’t been to dr yet as feel I’m always there, with some problem , he doesn’t know anything about and I have to tell him what it is, and what test to do etc. Can anyone advise what this could be. Please

[shaws Administrator]

Hi, there's no thyroid history in your Profile, only your name. I don't know when you were diagnosed but I'd suggest you get a new blood test which should be at the earliest possible, fasting (you can drink water) and allow a gap of 24 hours between your last dose of levo and the test.

75mcg is quite a low dose so you probably need an increase. Your doctor may be 'happy' if your TSH is in any part of the range. We need it to be 1 or lower.

Tick off the symptoms you have on the link below and I think you'll find you have quite a number.

thyroiduk.org.uk/tuk/about_...

If on an optimum dose our symptoms should resolve but you also need a blood test - more than the NHS will do:-

Ask GP (the ones he or lab don't do you can have privately).

TSH, T4, T3, Free T4, Free T3 and thyroid antibodies. I know you have hashi's but maybe the antibodies have reduced if you've gone gluten-free.

I would think your FT3 is most likely low as it is T3 alone which is the Active Thyroid Hormone required in all of our T3 receptor cells. Too low a dose of levo or any other thyroid hormones will give us clinical symptoms.

Put the results of your new blood tests, with the ranges on a new post for comments.

This link will be helpful:

thyroidpharmacist.com/artic...

[Nicholajane in reply to shaws]

hi i did have tests done , this was my last results ,

09-Feb-2018

Serum total 25-OH vit D level

Comment: (DJJ4564) - Abnormal, add comment here: Notify

Serum total 25-OH vit D level61.000 nmol/L75 - 200 nmol/L

Comment: Vitamin D status may be adequate or borderline insufficient. Advise supplement only if clinically indicated. If follow up of vitamin D level required, allow 3 months before re-testing.

Serum calcium2.360 mmol/L- mmol/L

Comment: Note change of method for calcium from 02/10/2017.

Calcium adjusted level2.330 mmol/L2.2 - 2.6 mmol/L

Comment: Note change of method, reference interval and equation for calculation of adjusted calcium results from 02/10/2017.

Serum inorganic phosphate1.250 mmol/L0.8 - 1.5 mmol/L

Serum albumin45.000 g/L35 - 50 g/L

Total alkaline phosphatase52.000 iu/L30 - 130 iu/L

TSH + FT4+FT3 (ON T4 RX)

Comment: (DJJ4564) - Normal - No Action

Serum TSH level2.000 mu/L0.35 - 5 mu/L

Serum free T4 level16.500 pmol/L9 - 24 pmol/L

Serum free T3 level4.800 pmol/L3.5 - 6.5 pmol/L

[shaws Administrator in reply to Nicholajane]

As your TSH is 2, an increase is needed so that TSH is 1 or lower. Some doctors don't agree and believe if it within the range we are on sufficient but not if we have symptoms. I hope GP will give you an increase. If he says he thinks there's no need tell him you should have no clinical symptoms if your dose was optimum.

Copy and paste your results above onto a new post to get more advice about Vit D etc.