Hello there, I have just received my test results, could you please take a look, still a rookie on this forum.
Bloods were taken on 26.04.19 at 8:15 fasting. Unfortunately due to my autopilot I took my levo 4 hrs before 🤦♀️ this is the time my other half gets up for work so I automatically reached for my meds. Will do better next time.
My previous NHS results :
12.11. 18 TSH 14.7 [range 0.35-5] Started supplement vit D 4000IU daily.
18.04.19 levothyroxine (almus) 50mcg prescribed. Goitre - tender neck, lump in throat - feeling, post nasal drip, choking on food, cough, unable to sleep - having to sit up in bed, waking due to coughing, choking on mucus.
Thank you, my guardian angels.
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Jalisi
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Because you took your Levo 4 hours before the test then you have a false high FT4 so that result is meaningless.
If you increased your dose of Levo on 18th April and took the test on the 26th, then there hasn't been enough time for the increased dose to take effect so again the results are meaningless. We need to leave 6-8 weeks after a dose change for levels to stabilise.
Vit D is still too low. The Vit D Council recommends a level of 125nmol and the Vit D Society recommends a level of 100-150nmol. I would continue with your 4000iu D3 daily. Are you taking D3's important cofactors magnesium and Vit K2-mk7?
Ferritin could do with being nudged up to half way through range, eating liver, liver pate or black pudding regularly will help.
B12 and Folate are good.
Are you gluten free and supplementing with selenium l-selenomethionine 200mcg daily to try and help reduce the antibodies?!
Hi Seaside Susie, just makes me think how inaccurate all my previous test are. All done at random times of day while taking levo. TBH I wasn't looking for meds increase, it came about out of desperation due to my symptoms. I didn't think about rescheduling my bloods after the increase
I am taking magnesium citrate 200 mg daily, no yet on vit K. Might look into Iron supplement, I eat patte, but not a big fan of liver.
Not gluten/dairy free just yet. My diet is fresh meat, veg and fruit heavy. No milk, bread occasionally.
Are brazil nuts enough for selenium - I eat 2 daily?
Are brazil nuts enough for selenium - I eat 2 daily?
There are some people who say you get selenium from brazil nuts. That's true to a certain extent; however, the nuts need to be grown in selenium rich soil and the packet needs to say this. But the selenium content of soil varies and only certain areas are high in selenium, and it's doubtful any packet would tell you exactly the region they were grown in
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
Assuming test is negative you can immediately go on strictly gluten free diet
(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)
Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse
Bloods should be retested 6-8 weeks after each dose increase
Absolutely no point testing any earlier
The aim of Levothyroxine is to increase the dose slowly in 25mcg steps upwards until TSH is under 2 (many need TSH under one) and FT4 in top third of range and FT3 at least half way in range
Most patients eventually need somewhere between 100mcg and 200mcg Levothyroxine.
So further dose increase is likely
Initially when dose is increased sees improvement. As your body gets use to the 50mcg dose, then symptoms can begin to slowly return, indicating getting ready for next dose increase
If gluten is an issue, then to be effective gluten free does need to be absolutely strictly gluten free
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