Diet

Hi .

Can anyone help me, Is there is any kind of diet that can help,after a full thyroidectomy.

[SeasideSusie Remembering]

Dave8663

To help what specifically?

Do you wish to lose weight?

Are you on Levo after your thyroidectomy?

Do you have your latest test results to share (with reference ranges please)?

[Hidden in reply to SeasideSusie]

Last test was Tsh 7.4,and 175 of Levo a day.

I've been putting on weight.

[SeasideSusie Remembering in reply to Hidden]

Dave8663

You are very undermedicated to have a TSH of 7.4

Do you have test results for FT4 and FT3?

The aim of a treated hypo patient generally is for TSH to be 1 or below or wherever it needs to be for FT4 and FT3 to be in the upper part of their respective reference ranges when on Levo if that is where you feel well.

Weight loss will be difficult unless you are optimally medicated, and you have a decent amount of T3, shown by your FT3 result.

It's possible that your Levo may not be being absorbed for some reason.

Do you take any other medication and/or supplements?

Do you take your Levo on an empty stomach, one hour before or two hours after food, with a glass of water only, and with water only one hour each side?

[Hidden in reply to SeasideSusie]

Thanks for that bit of info,I think I'll get on to my GP about this .

[Hidden]

You are under medicated perhaps that's why you are gaining weight. After my thyroid was removed I was put on Levo and for the first time in my life started to gain weight I also felt ill. I now self medicate with NDT and have a private blood test Blue Horizon (Thyroid Plus 11) I post the results on here to check my levels. I never go to the doctor or endos. I am very well and 72 years of age and the same weight as 30 years ago.

Diets don't always work keep on with trying to get yourself the correct medication.

[SlowDragon Administrator]

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

[e-mail]

Professor Toft recent article saying, T3 may be necessary for many, especially patients that have had had thyroidectom

rcpe.ac.uk/sites/default/fi...

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)

See box

Thyroxine replacement in primary hypothyroidism

pathology.leedsth.nhs.uk/pa...

You need 25mcg dose increase and retesting in 6-8 weeks. You may need further increases