Please find attached latest bloods. Hope you can read them. I was tested for coeliac two years ago and it was negative. I take folic acid 5mg, levo 100mg, Adcal-D3 (twice daily) and now atorvastatin 20mg. I take the folic acid, D3 and statin at bedtime. I take my levo to bed and usually take sometime between 3am and 5am when I wake for a drink. I then take my other D3 about 7.30am before going to work. I also have 3 monthly B12 injections.
I have to admit that I have not tried gluten free yet
Your thoughts will be much appreciated.
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mill44
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Shows you have extremely high thyroid antibodies so You definitely have autoimmune thyroid disease also called Hashimoto's
Trying strictly gluten free diet is very likely to help. As detailed in previous replies.
You won't know if you don't try it for 3-6 months minimum
All thyroid tests should ideally be done as early as possible in morning and fasting. When on Levothyroxine, take last dose 24 hours prior to test, and take next dose straight after test. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, GP will be unaware)
Is this how you did the test?
Results here
TSH 2.73
This is too high for someone on Levothyroxine. It should be around or just under one
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)
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.
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
tukadmin@thyroiduk.org
Ask GP for 25mcg dose increase in Levothyroxine and retesting in 6-8 weeks
B12 - 2000 (190-910). Obviously this is high due to injection
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
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In need of advice on recent bloods 
Vitamin d3 and k2 ratio
What to push for next
Reminder of medication timings ?
