I am after some advice on my test results. My doctor says my tsh is a little on the low side but he won't be increasing my levothyroxine. I am boiling hot most of the time and completely exhausted. Any idea if this is right or not? Thanks.
FT4 16.2 pmol/L (range 12.0 - 22.0)
TSH 0.23 miu/L (range 0.27 - 4.2)
How much Levothyroxine are you currently taking?
Is it always the same brand of Levothyroxine?
Many people find different brands are not interchangeable
Just testing TSH and FT4 is completely inadequate
Have you ever had thyroid antibodies tested?
Poor temperature control can be due to still being hypothyroid. It doesn't necessarily mean if you are hot that you are over treated
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
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)
Is this how you do your tests?
Ask GP to test vitamins (and antibodies if not been done)
Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or all 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
If antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).
About 90% of all hypothyroidism in Uk is due to Hashimoto's.
Low vitamins are especially common with Hashimoto's. Food intolerances are very common too, especially gluten. So it's important to get TPO and TG thyroid antibodies tested at least once .
Link about thyroid blood tests
thyroiduk.org/tuk/testing/t...
Link about antibodies and Hashimoto's
thyroiduk.org.uk/tuk/about_...
thyroiduk.org.uk/tuk/about_...
List of hypothyroid symptoms
As there's nothing in your profile I don't know the scope of your thyroid awareness; but if your Dr judges thyroid health and making dosing decisions on TSH alone, he definitely would not increase your Levo dose as that would likely have the effect of lowering your TSH even further. I write that because you saying your TSH is a little low but he won't increase your Levo, seems to imply you'd expect more Levo would raise TSH, which is the opposite of what is likely to happen. Apologies if that's not what you meant. Regarding being boiling hot, I am optimally medicated on a T3/4 combo and often am boiling hot (during the earlier bad weather I was outside in zero degrees and the sweat was dripping off me, yuk) so it's not always an accurate indicator of how optimally or otherwise, we are medicated; temperature disregulation as a symptom of hypothyroidism affects each of us individually. However, when you are boiling hot, do you take your temperature and does it correlate with how hot you are feeling, or not? Regarding your test results, your FT4 is below mid-range, so lower than you probably need to feel well, but without knowing what your FT3 level is like, you don't have a true picture of what might be going on, and how well or poorly you are converting. As its less usual/difficult to find an NHS lab that will test FT3 when the FT4 is within range, you may need to do what many of us do, and have a more comprehensive set of tests carried out privately, to include TSH, FT4, FT3, TG & TPO antibodies, ferritin, folate, Vit D, and Vit B12. Then you can post your results if you wish, and folks can advise more specifically. Labs that are commonly used are listed here thyroiduk.org.uk/tuk/testin...
I spent years being too hot, no adjustment to thyroid medication helped. Eventually i bought myself a blood sugar monitor and found that my being too hot was linked to my blood sugar being too high. Further experiments showed that my blood sugar was pushed up high by starchy carbohydrates. Probiotics and kefir have helped, but i still avoid rice, which is the worst thing for my bs levels.
Blood sugar now even and i rarely get too hot now.
Test results 
Blood test results? Thoughts? 
Monitor my health test results
Thriva Test results
Thyroid test results... 
