I take 25mcg T4 and 20mcg T3 at around 6.30am every morning . Lately I've been taking another T3 10mcg late afternoon as I seem to 'hit a wall' and it does make a difference
I had the blood test at 9am so as recommended, I took the 6am T3 & T4 at 9.30 am after the blood test. However the previous day I took the 10mcg T3 about 5pm .
The results are as follows:
TSH 0.02 0.27-4.2
FREE T3 5.23 3.1-6.8
FREE T4 6.59 12-22
THYROGLOBULIN ANTIBODIES 165 0-115
THYROID PEROXIDASE ANTIBODIES 48.5 0-34
I WAS DIAGNOSED BY DR PEATFIELD AROUND 2010 WITH HASHIMOTOS
i WOULD APPRECIATE ANY COMMENTS BEFORE i GO TO THE GP AS MEDICHECKS HAVE SUGGESTED I MAKE AN APPOINTMENT .
THANKS
Written by
Gertrude
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As you have Hashimoto's are you on strictly gluten free diet?
When were Vitamin D, folate, ferritin and B12 last tested?
Do you supplement any vitamins?
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 or buy test online for under £20, just to rule it out first
Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse
Thanks for your reply. I've been on gluten fee diet for at least the last 5 years. I take all the supplements recommended and have had vit d3 test recently and GP says it's ok. Haven't had folate, ferritin or B12 .tested. I thought that as It was over 24 hours without the morning t4 and t3 it would explain the low t4 ?
A GP would say vitamin D over 50nmol is "ok" but with Hashimoto's we frequently need vitamin D higher, at least around 80nmol and around 100nmol may be better
Would strongly recommend getting folate, ferritin and B12 tested
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and fasting. Last Levothyroxine dose should be 24 hours prior to test, (taking delayed dose 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)
Your FT4 is very very low. Ideal result for FT4 should be at least 15-17 and for many 18-20 might be better
Ask GP for 25mcg dose increase in Levothyroxine and retesting in 6-8 weeks
Thanks for your reply and referring to your comments, I took both T4 and T3 after the blood test which was at 9am in the morning as recommended. It was 26 hours previous to the test that I last took my normal T4 and T3 So by my calculation I shouldn't have had much residual T4 or T3 in my system? Could this and the fact that T3 has suppressed the TSH be a factor in low T4
I am going to see GP and thanks for your recommendations and help
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