Hashimoto’s

[Rania_20]

2 months ago i was diagnosed Hashimoto’s. In this period the results were :

tsh is 7.791where normal range is 0.55-4.78

Free T3 is 3.07 where normal range is 1.7-4.2.

free T4 is 1.11where normal range is 0.75-1.56.

Anti TPO is 35.4 range up to 5.6

Anti TG is 112.3 range less than 4.1

and Dr treatment with 50 mg euthyrox thyroid hormone replacement medication.

After 6 weeks I repeat the test and the results were

tsh is 1.733 where normal range is 0.55-4.78

Free T3 is 2.76 where normal range is 1.7-4.2.

free T4 is 1.18 where normal range is 0.75-1.56.

Anti TPO is 24.2 range up to 5.6

Anti TG is 93.2 range less than 4.1

and Dr tell me reduce dose today 25 mg.

My question is why I'm still not feeling well although tsh become normal and antibodies still high rate??? I'm really feel I catch Symptoms of hypo & hyper!!!!!!!!!.

[SeasideSusie Remembering]

Rania_20

The aim of a treated hypo patient generally is for TSH to be 1 or below or wherever it needs to be for FT4 and FT3 to be in the upper part of their respective reference ranges when on Levo if that is where you feel well.

tsh is 1.733 (0.55-4.78)

Free T3 is 2.76 (1.7-4.2)

free T4 is 1.18 (0.75-1.56)

Anti TPO is 24.2 range up to 5.6

Anti TG is 93.2 range less than 4.1

You are still not optimally medicated. TSH is too high, FT3 is only 42% through it's range, FT4 is 53% through range. You should not reduce your dose of Levo, if anything you should have an increase to 75mcg and retest in 6-8 weeks time.

Because Hashi's can cause gut/absorption problems, you need your vitamins and minerals tested as mentioned in replies to your first post on the forum

healthunlocked.com/thyroidu...

so if not already done I would get those organised.

It was also mentioned that a gluten free diet may possibly help, have you gone gluten free? It's worth trying for a few months to see if helps, for some people it does.

[SlowDragon Administrator]

See a different doctor. You don't need dose decrease, you need small dose increase.

Essential to test vitamin D, folate, ferritin and B12

Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels

Low vitamin levels affect Thyroid hormone working

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, sometimes 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 may lower antibodies

Ideally ask GP for coeliac blood test first just to rule it out

amymyersmd.com/2017/02/3-im...

chriskresser.com/the-gluten...

thyroidpharmacist.com/artic...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...