Thyroid levels - should they stay steady and the right tsh for fertility

[Eemmpq]

I just wondered if thyroid levels should stay steady once you've seemingly hit the right dose.

A few months ago my TSH was 0.2. I felt great. Now it's 2.2 and I feel a bit bleurgh. I assumed it would stay pretty stable but now I wonder if the lower test was a fluke (it was 0.2 once before thyroxine, just after it had been around 3.5)!

I am a trying to remembef if it's recommended that the is below 2.5 or us it 2 for fertility purposes?

[shaws Administrator]

Maybe the following link might be informative:-

thyroiduk.org.uk/tuk/about_...

[Eemmpq in reply to shaws]

Thanks. I did look at these before posting but they seemed to relate to actually pregnancy as opposed to trying! I was also a bit confused as they seem to have different acceptable upper ranges within pregnancy.

To clarify - I'm not pregnant but my tsh gas moved from 0.2 to 2.2. I felt much better at 0.2 (which I understand is not unusual) so I'm going to push my GP to increase the thyroxine!

[shaws Administrator in reply to Eemmpq]

Hope this might be informative too.

everydayhealth.com/hs/healt...

[Tequ in reply to Eemmpq]

I know when I was trying I did not get pregnant until my thyroid levels were levelled and correct. You need the correct levels for mytosis to occur in pregnancy. My GP referred me for IVF but luckily I saw a private GP who tested for Hashimoto's and put me on thyroxine and once I was on this at the correct level I naturally became pregnant. Good luck

[Bluefin14 in reply to Tequ]

Hi TequI hope you don’t mind me asking, but did you have a successful pregnancy with no adverse outcomes for you or baby after thyroxine during pregnancy? Thanks

[SlowDragon Administrator]

As you have Hashimoto's and PCOS and gluten intolerance it's very important to test and supplement vitamins regularly

What are your most recent results?

TSH should be under 1.5

New NHS England Liothyronine guidelines November 2018 clearly state on pages 8 & 12 that TSH should be between 0.4-1.5 when on just Levothyroxine to be adequately treated

sps.nhs.uk/wp-content/uploa...

[Eemmpq in reply to SlowDragon]

Thanks, I will take a copy of this to my GP!

[SlowDragon Administrator in reply to Eemmpq]

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also extremely important to test vitamin D, folate, ferritin and B12

Low vitamin levels are extremely common, especially if Thyroid antibodies are raised due to autoimmune thyroid disease

All thyroid blood tests should ideally be done as early as possible in morning and fasting. Do not take Levothyroxine dose in the 24 hours prior to test, delay and take immediately after blood draw. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)

Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or vitamins

thyroiduk.org.uk/tuk/testin...

Medichecks Thyroid plus ultra vitamin or Blue Horizon Thyroid plus eleven are the most popular choice. DIY finger prick test or option to pay extra for private blood draw. Both companies often have special offers, Medichecks usually have offers on Thursdays, Blue Horizon its more random

Gluten intolerance is very common

Vitamins are often low with gluten intolerance too

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

chriskresser.com/the-gluten...

thyroidpharmacist.com/artic...

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

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