Hello I wonder if I could get some medication and dosing advice. I was diagnosed hypothyroid last year (TSH 17) and started on levothyroxine. I was really struggling with each dose increase and had to reduce back to 100mg after feeling terrible on 125mg. My GP couldn’t get me a referral to an NHS ends cos the local service said I didn’t meet there threshold. At the time I got some great advice from Shaws and others about private endos who might prescribe t3. Since the I have been offered an NHS appointment next month so decided to give it a chance. , I’m still struggling with brain fog, fatigue, muscle pain and terrible memory, can anyone advise what I should be saying to the endo and what I should ask for in terms of tests or treatment.? My latest results are as follows.
Test results from 17 July after eight weeks at 112.5 daily dose Teva levothyroxine.
Serum free triiodothyronine level 4.5 pmol/L [3.1 - 6.8]
Serum free T4 level 14.1 pmol/L [12.0 - 22.0]
Serum TSH level 1.89 mIU/L [0.3 - 5.0]
Serum vitamin B12 level 618 ng/l [200.0 - 960.0]
Serum ferritin level 169 ng/ml [25.0 - 480.0]
Serum folate level 13.9 ng/ml [3.0 - 18.0]
Total Vitamin D (serum) 144 nmol/L [> 50.0]
Also had a morning corsitol test three months ago that was too low and below range.
I’ve no increased to 125 mg for four weeks and am tolerating but still dizzy, brain fogged , muscle pain and tiredness ……familiar to all of us I’m sure.
The level of expertise and kindness on this site has been a real lifeline over the past few months