Re the TSH result, that's what the UK doctors use for diagnosing, i.e. TSH of 10 for initital diagnosis. Unfortunately for us that they do not seem to know that the TSH is from the pituitary gland - not the thyroid gland. I think it is terrible that they ignore all symptoms. We'd be dignosed in other parts of the world if TSH goes above 3 - with symptoms.
You need a Full Thyroid Function Test - a TSH is from the pituitary gland which rises when we haven't sufficient thyroid hormones. Follow this advice:
All blood tests have to be at the very earliest, fasting (you can drink water). If you were prescribed thyroid hormones allow 24 hours gap between last dose and test and take afterwards. He should also test B12, Vit D, iron, ferritin and folate.
The more informative tests are Free T4 and Free T3 but we have private labs who do home pin-prick tests. You have to be well-hydrated a couple of days before blood draw.
Always get a print-out from the surgery of your results, with the ranges. Ranges are required for members to comment upon them. You also need B12, Vit D, iron, ferritin and folate.
Ferritin that far over range needs investigating which is what I expect will happen as you are seeing a specialist.
Your doctor wont know, because they are not taught nutrition, but there are important cofactors needed when taking D3 as recommended by the Vit D Council -
D3 aids absorption of calcium from food and K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds.
Magnesium helps D3 to work. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.
Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds
Should i be taking any medication, if yes how much to start with as no one has prescribed me anything?
Make a list of your main symptoms and how they affect your quality of life. Ask doctor for a trial of Levothyroxine. Keep asking, don't give up. You could also write to the practice manager. Failure to treat a patient can be classed as abuse (neglect is a form of abuse).
My TSH was just under 6, with Free T4 within range (Called "Subclinical, HA!!!!) and I felt quite unwell. Even when it got down to 2.99 with Levothyroxine it didn't make that much difference, but thankfully, with the help of a sympathetic nurse, they did agree to give another increase, which seems to have at last worked.
Hope and pray you succeed. Try to be polite but firm, and remind them you really feel ill with hypothyroid-type symptoms. Whatever the TSH levels say, surely they can just give you a trial of Levo to see if it helps? They have a duty of care to at least try something!
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