I'm Hashi diagnosed 2008. Male now in 50s. Pro athlete in my twenties and pro playing coach in my thirties, but thyroid stopped energy/most active work in forties :(. And I want my life back now. Levo 125-175mcg only in that time. Generally poor response but variable - some days OK-ish, but headaches some days, so bad I can't work, low energy, brain fog, very bad carbo/sugar cravings leading to weight gain. But I'm learning more here now! I meet an Endo on Monday for first time ever. What should I approach with? Below are my Medichecks UltraVit results from 2 days ago. I've been on lower (125mcg) Levo and clean diet 3 months which has felt considerably better. I went cold turkey from Levo for 7 weeks in January just to get off any allergies or side effects and I felt great and it reduced food cravings a lot, so this got me on the right track, but my TSH went to 86 and FT4 to 4.2!! So not sustainable. Now testing whether headaches at least partly related to fillers in brand of Levo (was on a cocktail of Actavis, Teva and Wockhardt so I tried Wockhardt only and maybe better for headaches as few in last 4 weeks?).
OK so my results below (will need to do it again in 2 months on same meds to see if my cold turkey is still playing out, though I ended the cold turkey 29 March and 125mcg from that day)...
THYROID STIMULATING HORMONE 3.56 mIU/L 0.27 - 4.20
FREE THYROXINE 20.6 pmol/L 12.00 - 22.00
TOTAL THYROXINE(T4) 108.0 nmol/L 59.00 - 154.00
FREE T3 4.97 pmol/L 3.10 - 6.80
THYROGLOBULIN ANTIBODY *188.000 IU/mL 0.00 - 115.00
THYROID PEROXIDASE ANTIBODIES*169 IU/mL 0.00 - 34.00
ACTIVE B12 59.200 pmol/L 25.10 - 165.00
FOLATE (SERUM) 19.98 ug/L 2.91 - 50.00
25 OH VITAMIN D 79 nmol/L 50.00 - 200.00
CRP - HIGH SENSITIVITY 1.48 mg/l 0.00 - 5.00
FERRITIN 264 ug/L 30.00 - 400.00
Vits: I think you'll say get my Vits up the range more eg liver for Ferratin (OK - on it!). What ways/brands to take for Folate, B12? I sometimes take D3 drops (Nutri Advanced with K2) 2x 3 drops per day and will take regularly now, plus it's Summer.
Bloods: But....bloods - but what's this top range FT4 on only 125mcg, and TSH still high-ish? Where do I go with that one? Does it mean my thyroid gland is partly working and not too badly damaged/dead?
And does this show my conversion to T3 is good, or not?
Thanks for any support for my insight and for my prep to see Endo Monday.
I feel I'm gradually making some progress now with my thyroid puzzle - with the help from this Forum :). Thank you so far! Onwards....