Hypo and anxiety support

[Judthepud]

After increasing my Levothyroxine from 125mcg to 150mcg because my TSH was creeping up, I developed symptoms of hyperthyroidism (extreme anxiety bordering on panic, sweating, shaking, diarrhoea, weight loss, nausea etc. etc.), cut right back to 100mcg of Levo to try to stabilise and got a medichecks blood test that showed I had become hypothyroid - TSH 12.5 (0.27 - 4.20), Free Thyroxine 11.9 (12.00 - 22.0), Total Thyroxine (T4) 69.2 (59.00 - 154.00), Free T3 2.86 (3.10 - 6.80). Terrible anxiety symptoms had remained the same as when I thought I was hyperthyroid, so I increased my dose back to 125mcg. That was 2 weeks ago and still having anxiety and feeling pretty joyless. How long is this going to take? Is this likely to turn into an anxiety disorder as I'm worried that anxiety becomes a source of anxiety. Has anyone got any advice to offer. Would be glad to hear from anyone with any advice or recommendations.

[greygoose]

Anxiety is a hypo symptom. If your TSH was creeping up then you needed that increase in dose.

[Aurealis]

The symptoms of hypo and hyper can be very similar as some symptoms are shared. You could take your body temperature / pulse to give you more objective measurements.

[Judthepud in reply to Aurealis]

Thanks, what range am I looking for in temperature and pulse measurements and how do I decide whether I'm hypo or hyper?

[Aurealis in reply to Aurealis]

Suggest you record to build up your own data that applies to you. You’ll then be able to use that data alongside your symptoms.

[Judthepud in reply to Aurealis]

Ok thanks

[SlowDragon Administrator]

Fine tuning, jumping from 125 to 150 was possibly too much. Then you jumped right back down to 100

Maximum dose should be changed is by increase or decrease of 25mcg.

Many of us need extremely fine tuning, may be only increasing dose twice week, or alternate days

Essential to test vitamin D, folate, ferritin and B12

Suggest you stick on 125mcg for 6-8 weeks before retesting

Do you have Hashimoto's?

[Judthepud in reply to SlowDragon]

Don't think I have Hashimoto's. My antibodies were Thyroglobulin 14.200 (0.00 - 115.00) and Thyroid Peroxidase 13.9 (0.00 - 34.00) Don't your antibodies have to be raised in Hashimoto's?

[SlowDragon Administrator in reply to Judthepud]

Yes correct below range so appears to be negative for Hashimoto's

but just to complicate things some people can have Hashimoto's without antibodies.

thyroidpharmacist.com/artic...

As dose has gone up and then down recently it's probably a good idea to test vitamins, especially if not been tested a while and/or not supplementing

[Judthepud in reply to SlowDragon]

Which vitamins should I have tested and why should they be affected by my dose going up then down?

[SlowDragon Administrator in reply to Judthepud]

Vitamin D, folate, ferritin and B12 need testing

When thyroid levels are too low, we tend to get low vitamins

If you read posts on here you will see many, many people need to supplement to maintain optimal levels

Thyroid hormones need good vitamin levels

Important to test first, before supplementing