Hi 😌 I have been a member of this forum for awhile only now I have plucked up the courage to post, I was diagnosed in sept 2017, my TSH level was 20, now almost one year later it is down to 6, my symptoms are ranging from hypo to hyper, I have not gained weight, went down to a size 6 from a size 16, diarrhoea is awful (sorry) appetite is terrible, getting sensations of food being stuck in my throat, my mood swings are evil 🙈 I do not have my full test results, after 4 doctors I have finally been referred to an endocrinologist and a scan as my thyroid is enlarged, my gp was accusing me of not taking my levothyroxine, it has now been reduced to 100 mcg from 150, I’ve lost interest in everything and am so irrational 😭 is anyone else like this? I honestly feel as if my whole personality has changed 😳 I am being tested for thyroiditis in 6 weeks? I’m so scared and fed up 😔 I don’t have my full bloods results sorry 😐 thanks, Nic
Hypo but getting hyper symptoms : Hi 😌 I have... - Thyroid UK
It sounds horrible, no wonder you're scared and fed up.
I can't advise on hypo or hyper but please know that all this is solvable.
Your dr should gave referred you to an endocrinologist when he/she saw your TSH was sky high.
I think it would be with you writing down all your symptoms and questions you have for the Endo ( easy to forget when we're there in front of them) and when you do see him/her ask for a copy of the GP letter.
Good luck. It's cr** right now but you won't always feel like this, you will get better.
Thanks holly 👍🏻 It Just feels like it’s never ending ?! The first gp put me on 25mcg to begin with, then another gp said that was way too low a dose, he put me up to 75mcg, there was no mention of a referral but after a year I am finally getting somewhere 😳 I have to write everything down my memory is really bad 🙈
First of all - your TSH is too high. The aim is a TSH of 1 or lower but many doctors think that if it is lower than 10, that we're on sufficient.
In the UK, I have no idea where they plucked the 10 from in order for us to be diagnosed as they do not diagnose until it reaches that number. Whilst in other countries we're diagnosed if it is above 3+ with symptoms.
You may have a conversion problem, i.e. not able to convert inactive T4 into the Active hormone T3. It is T3 which is needed in all of our T3 receptor cells.
You can get a blood test (private) which will confirm or not whether you have DI02 which means inability to convert levo. I doubt doctors are aware of this and I'll give you a link:-
Or you may be on an insufficient dose of levo as the aim is a TSH of 1 or lower- is your GP aware of this fact!
Are all your vitamins/minerals optimal. B12, Vit D, iron, ferritin and folate? Ask GP to test.
Tick of your symptoms and if we're on an optimum dose we should have none.
Hi shaws, my gps have said TSH needs to be below 1, I have been tested for all the deficiencies and they were in range although I have no idea about what the actual levels are, the only thing that came up was red blood cells enlarged, go said this was due to my thyroid, I know I have antibodies also, but gp told me that this meant it was ai but I would have no problems with it until I’m older?? Thanks for replying 😊
Enlarged red blood cells are not caused by the thyroid. They are usually caused by pernicious anaemia - low folate and B12, which you can have if your results were at the bottom of the range. You really need to get your results or new blood tests for TSH, Free t4, free t3, folate, B12, ferritin and vit D and then post the results (with ranges) for advice. Never believe a doctor who says things are "OK", "fine" or "normal" - you'll often see that the results have been marked as abnormal by lab, but doctor still says "Fine", or they are so low in range that it is obviously not fine.
Hi😊 the symptoms are ranging from being freezing cold some days and can’t warm up, I have had lots of mental health problems, my anxiety is so bad some days, I have terrible mood swings and now I lose my temper so easily, never used to be like that 😖 I have beeen experiencing awful night sweats, and hot flushes 😔 been tested for menopause all clear there!! my PMS is just scary 🙈 sometimes I think I’m losing my mind, sometimes I can’t sleep, I am taking 3 lots of meds for my depression/anxiety I really don’t think they are helping, my memory is horrendous 🙈 I am waking often in early hours with cramps/ diarrhoea(sorry too much info!!)
I haven’t gone gluten free or anything like that, my appetite is awful! As I said just feel like such a hypochondriac, I also get real tired in the afternoons and I just feel like I need to lie down, but it’s kinda hard with 2 kids lol 😂
my TSH level was 20, now almost one year later it is down to 6,
my gp was accusing me of not taking my levothyroxine, it has now been reduced to 100 mcg from 150,
These comments and actions from your GP are completely irrational and perverse! First of all he accuses you of not taking your Levo (presumably because your TSH is too high), then he reduces it, and will therefore end up making your TSH higher still.
One thing to bear in mind is that the body will often produce more cortisol and adrenaline (C & A) if it has too little thyroid hormone ( if the adrenal glands are capable of producing more C & A). High levels of C & A can produce symptoms that are often mistaken for hyper symptoms.
Producing lots of adrenaline might be the cause of your weight loss. Excess cortisol tends to make people gain weight. If you were producing lots of both C & A then the effect on your weight would be anyone's guess.
In an ideal world your body would reduce its output of C & A as your dose of thyroid hormone increases. But by the sound of it you've never been treated sufficiently to get your thyroid hormones up to a healthy level.
In a non-ideal world the levels of C & A might get stuck at high levels, and increasing levels of thyroid hormone doesn't reduce them. In those situations people can feel very hyper indeed.
To know whether you are producing low or healthy or excessive levels of cortisol you could ask your doctor to test your early morning cortisol. If that isn't informative then the alternative (which is a better test than the blood test a GP would do), which would have to be paid for by you, is to have a saliva test done at four points throughout the day.
The price quoted for the test is different on the Thyroid UK page than it is on the Regenerus page. I don't know if Thyroid UK is out of date or whether it is a discount for Thyroid UK.
I don't know any ways of testing levels of adrenaline, sadly.
If you want to try something that is free, then you could follow the suggestions on this page. You would need some graph paper and a good quality thermometer (preferably mercury, but they are practically impossible to get hold of these days).
I've never done the graph option myself - I'm too lazy.
How and when do you take your Levo?
It needs to be taken on an empty stomach (or with only water in your stomach), and after taking it you need to avoid food and drink (except for water) completely for an hour. You should avoid taking supplements and any other prescribed meds for two hours after Levo, and in the case of iron, vitamin D, oestrogen, calcium, magnesium wait at least four hours after taking Levo.
It would definitely be a very good idea to take your Levo separately from your other meds. You'll get much better absorption of it.
People take Levo at various different times e.g. some people take it during the night if they always go for a pee in the middle of the night. Some people take it at bedtime, as long as they don't eat and drink late.
If you don't eat in the afternoon then you could take Levo then, as long as you didn't eat afterwards for a couple of hours. It all depends on your eating, drinking and sleeping habits.
Hi Nicola, you've been given plenty of great advice but I just wanted to say hang in there! It is shit and I can totally relate to the fatigue, irritability, irrationality and mood swings. I also suffered with depression but all of those symptoms will improve when you get on the right dose/medication. I would go and request your blood results again though. The receptionist can sort them out, she will need your gp's permission but you are entitled to them so don't take no for an answer. Deficiencies in things like vit D, B12 and ferritin can cause symptoms that mirror hypo one's making you feel even worse. Deficiencies can cause fatigue, aches and pains, depression, nerve pain etc.. too, so very important x
You are legally entitled to printed copies of your blood test results and ranges.
UK GP practices are supposed to offer online access for blood test results. Ring and ask if this is available and apply to do so if possible, if it is you may need enhanced access to see blood results.
In reality many GP surgeries do not have blood test results online yet
If not online speak to receptionist and request printed copies of results. Allow couple of days and then go and pick up. They can no longer charge for printing out, rules changed after May 25th 2018 and they must provide copy if requested and you do not need to explain why you want them
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
Low vitamins are extremely common as direct result
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
You can then feel hypo and hyper as you remain hypo but can't use the thyroid hormones you are taking so feel hyper as well
Night sweats are often low B12
Anxiety is symptom of being hypothyroid
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
Ideally ask GP for coeliac blood test first
Always take Levo on empty stomach and then nothing apart from water for at least an hour after. Many take early morning, on waking, but it may be more convenient and possibly more effective taken at bedtime.
Other medication at least 2 hours away, some like HRT, iron, calcium, vitamin D or magnesium at least four hours away from Levothyroxine
Many people find Levothyroxine brands are not interchangeable. Once you find a brand that suits you, best to make sure to only get that one at each prescription. Watch out for brand change when dose is increased or at repeat prescription.
Many patients do NOT get on well with Teva brand of Levothyroxine. Though it is the only one for lactose intolerant patients
All thyroid tests should be done as early as possible in morning and fasting and don't take Levo 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)
Most Hashimoto's patients need to take regular supplements to keep vitamin levels optimal
Always get actual results and ranges on all tests
Many with Hashimoto's also find strictly gluten free diet helps significantly or is absolutely essential
Come back with new post once you have results and ranges on your tests