I posted a short time ago the results of GP blood tests that were TSH level is 4.91 (range 0.35-5.50) T4 is 9.2 (range 7.86-14.41). My GP put me on 25mg thyroxine to see if it'd help my symptoms even though he think it's depression causing it, and I've since paid for private tests to get a clearer picture.
I've just got the results back but I'm really not sure what to make of them. The results are in range, just, and I'm guessing I don't have an autoimmune reason for elevated levels?? I've had other tests done for vitamins d, b's, ferritin etc and they're all either high or above range. If anyone can help shed some light I'd really appreciate it. Is it likely my thyroid causing me these symptoms?
You need a 25mcg increase in levo. You are aiming for TSH under 1 and free t4 and free t3 in top quarter of range (So FT4 > 19 and FT3 >5.5). 25mcg is a starter dose for a child or frail elderly person. The NHS guidelines say that 50mcg is the normal starter dose for adults. Can be physical damage to thyroid or pituitary or nodules. Apparently some people can have autoimmune thyroiditis but not show antibodies every time tested. No scientific evidence to point to depression as a cause, but low T3 causes low mood. Anti-depressants make money for GP and mean your symptoms will be ignored, so don't allow GP to diagnose depression.
Thanks slowdragon. I'm seeing the GP again in a few weeks and hoping he'll agree to up the levo I'm taking. Unfortunately he alreayd diagnosed depression a year ago. I still maintain it's not that that causes these symptoms.
Anyway, here are my vitamin levels. They look fine to me but if you have any advise of improvements that might ease my symptoms that'd be much appreciated I currently take vit D, B complex, multi-vit, and calcium supplements.
Your vitamin D is too low, best at least up to 80nmol.
Many find getting level up around 100nmol is better
Vitamin D mouth spray by Better You is good as avoids poor gut function. Suggest you increase your supplement for 2-3 months and retest. It's trial and error what dose each person needs. Once you Improve level, very likely you will need on going maintenance dose to keep it there.
Many thanks slowdragon for all the info. Very handy and I’ve just ordered some of the spray.
I found an article recently that suggested levothyroxine dosage should be proportionate to body weight. I think it was 1.6mcg per kg of weight which would put my does at around 85 (I’ve been prescribed 25). I’ll bring this up with the gp when I go for a check-up
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