Iodine

[dodge1979]

Hi all

Had TT in aug 18

Rai in Oct

Does my body still need iodine?

Thanks

[SlowDragon Administrator]

You will be getting all the iodine you need in your Levothyroxine

How much Levothyroxine are you currently taking?

Your previous post shows low vitamin levels

Are you working on improving these?

You may need addition of small dose of T3. After RAI, many patients can not get full recovery on just Levothyroxine

Email Dionne at Thyroid Uk for list of recommended thyroid specialists

please email Dionne at

[e-mail]

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,

"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.

In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.

Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.

This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."

You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor

 please email Dionne at

[e-mail]

Professor Toft recent article saying, T3 may be necessary for many otherwise we often need high FT4 and suppressed TSH in order to have high enough FT3

Note his comments on current inadequate treatment following thyroidectomy or RAI

rcpe.ac.uk/sites/default/fi...

british-thyroid-association...

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

Also to test vitamin D, folate, B12 and ferritin

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

Dossier presented to Government November 2018

drive.google.com/file/d/1c2...

healthunlocked.com/thyroidu...

[dodge1979]

Thank you.

I now take 150mcg

Dropped down from 200mcg. Had very bad anxiety and depression

On 150 and I went back to normal

Working on

Vit d

B12

Folate and ferritin I am eating

Black pud

Liver

Rocket

Thanks