Hi I am 33 years old, I have such confusing symptoms such as cough in the mornings and after exercise, dark circles under eyes, ears ringing, tiredness, pains in joints, dry skin, feeling sluggish and I don't know where to turn. my previous results say I was undermedicated but I feel even worse than before and I have been getting a shakiness in my legs and sweating more. I was diagnosed hypothyroid in 2013 and I take 50mcg Levo. I am afraid to raise because of the leg shaking and sweats.
Advice welcome. Thanks
TSH 4.9 (0.2 - 4.2)
FT4 14.8 (12 - 22)
FT3 3.2 (3.1 - 6.8)
TPO antibody 271 (<34)
Written by
Klea_9
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All those symptoms you mention are hypo symptoms. And you are pretty hypo with a TSH of over 4. You also have Hashi's, which complicates things - how much do you know about Hashi's?
Your antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).
About 90% of all primary hypothyroidism in Uk is due to Hashimoto's
Essential to test vitamin D, folate, ferritin and B12.
Always get actual results and ranges. Post results when you have them, members can advise
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Ears ringing (tinnitus) is often low B12
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)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have money off offers.
All thyroid tests should ideally be done as early as possible in morning and fasting.
If on Levothyroxine, don't take in the 24 hours prior to test, delay and take straight after. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, GP will be unaware)
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