Can see from a previous post you are on Levothyroxine
A TSH of 2.55 is too high for someone on Levothyroxine
Just testing TSH is completely inadequate too
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 or if under medicated on Levothyroxine
Ask/insist that GP tests folate, B12, ferritin and B12
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?
Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies or all vitamins
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
Official NHS guidelines saying TSH should be between 0.2 and 2.0 when on Levothyroxine
(Many of us need TSH nearer 0.2 than 2.0 to feel well)
New NHS England Liothyronine guidelines November 2018 clearly state on pages 8 & 12 that TSH should be between 0.4-1.5 when treated with just Levothyroxine
Note that it says test should be in morning BEFORE taking Levothyroxine
Other medication at least 2 hours away, some like HRT, iron, calcium, vitamin D or magnesium at least four hours away from Levothyroxine
Many people find Levothyroxine brands are not interchangeable.
Once you find a brand that suits you, best to make sure to only get that one at each prescription. Watch out for brand change when dose is increased or at repeat prescription.
Many patients do NOT get on well with Teva brand of Levothyroxine. Though it is the only one for lactose intolerant patients
My test was a fasting test this time has not always been before !
B12 and folate do get tested , l think they were on my last post ?
Can l insist on antibody tests, l did contact medi checks today but want to ensure GP will take notice of the tests and will go private for Endio if needed ? Vit d was on the low side last time but not low enough for them to dispense tablets.
I have fluid on ankles, weight gain, muscle weakness, possible carpel tunnel as job pulling up underwear because of nerve pain around thumb area, which l feel is all down to incorrect dosage or infection some results seem high ?
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Also forgot to add that often l will have tablets from two different sources 1mg from one maker 0.25 from another l take it l should be constantly getting the same not allowing them to dispense what ever they have ?
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