Hi I'm a newbie to this site, what a godsend this has been to know that there are others out there who feel like I do. I have been hypothyroid for 3 years now and taking 50mg levo daily.have recently had bloods taken with Blue Horizon as couldn't get an apt with GP surprise!! Results being:
TSH 2.87 ( 115not fasting) Didn't know!
T4 total 104.0
Free T4 15.50
Free T3 4.17
Reverse T3 20.0
Antithyroid peroxidase 72.5 (Rec below 34)
Anti Thryroglobulin 316 (Rec below 115)
Serum folate 7.94 (rec 8.83-60.8) started supplements
Vit D 55(50-175)
Symptons started getting worse recently, so lethargic,foggy brain,joint pains, hot flashes, weight gain.
Blue Horizon are saying Hashimotos due to inflammation, wondering if its adrenal related as had a stressful year so far.
Have been reading a book by Anthony William called Medical medium (thyroid Healing) who suggests aloit of our problems are related to the EBV Virus??
Would appreciate hearing from anyone with similar experience.
Written by
Traceycrete
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It's helpful if you add the ranges after each result. (Even for Medichecks results)
50mcg is only a starter dose, you are under medicated and need 25mcg dose increase.
TSH should be around one and FT4 towards top of range and FT3 at least half way in range when on Levothyroxine
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
tukadmin@thyroiduk.org
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)
Did you know you have Hashimoto's also called autoimmune thyroid disease diagnosed by high thyroid antibodies?
Hashimoto's affects the gut and often leads to low stomach acid and then low vitamin levels
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.
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)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
Your vitamins are surprisingly good, but your TSH is too high, needs to be under one. FT4 too low, should be near 19-20, TT4 nearer 160 and most importantly FT3 needs to be at least over 5.
Make an appointment and request 25mcg dose increase in Levo and request coeliac blood test before changing to strictly gluten free diet
Gut issues may improve with changing to gluten free diet
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