Hi there - I was diagnosed with Hashimotos just over two years ago and have had my thyroid levels checked three times over the past two and a half years. My doctor keeps telling me that I'm fine but I'm wondering whether I should be on any medication? I'm taking a range of vitamins as I was low on Iodine, B12, D etc but that's it. I've posted my results as follows:
TSH 0.89 reference 0.5 - 5.5
FT4 11.7 reference 9.0 - 19.0
FT3 4.6 reference 2.6 - 6.0
TgAb 300 H reference <115
I'm 55 and post menopausal - any symptoms I mention like heat intolerance, hair loss and brain fog the doctor just dismisses as hormonal. My hormone tests showed the following:
Oestradiol <70 reference <200
Progesterone <0.6 reference 0.3 - 2.5
Any thoughts would be greatly appreciated.
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HashiHolly
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What are your most recent results for vitamin D, B12, folate and ferritin?
Your FT3 and FT4 are both low in range.
GP is only looking at TSH.
Many with Hashimoto's have some degree of central hypothyroidism, where TSH doesn't react as it should
Suggest you email Dionne at Thyroid Uk for list of recommended thyroid specialists.
Ask GP for referral to one on NHS, if one near you. Or consider a private consultation
Are you on strictly gluten free diet?
If not ask GP for coeliac blood test before considering it. Or buy one online for under £20
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. Dairy is second most common.
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 slowly lower TPO antibodies
Ideally ask GP for coeliac blood test first plus vitamin testing
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