Test results back - treated for underactive atm 75 mcg thyroxine

[sbadd]

TSH 1.86 ( 0.40 - 4.00 )

FT4 17 ( 10 - 20 ) last month was 18.2

FT3 5.1 ( 3.5 - 6.5 )

TPO 427 < 35

AUG LAST YEAR ANTIBODIES WAS 1300

TRB 0.4 < 1.8

Experiencing symptons of hyper????

[greygoose]

You could probably do with an increase in dose. 75 mcg levo is not much more than a starter dose. And, there's plenty of room for an increase.

Antibodies fluctuate all the time, it doesn't mean anything that they've gone down. In fact, there's no point in retesting them once you know you have Hashi's, because Hashi's doesn't go away.

[Auntbessy]

What are your hyper symptoms?

[sbadd in reply to Auntbessy]

Muscle weakness in legs, heart rate tachy, was 122 when sitting in doct office today, fatigue like ive never had before, nervousness and shaky generally feeling like crap, heart palpitations been going on for few months now and ive lost weight, all bloods coming back normal, all vitamins within range?

Oh and had a period last month 2 weeks after last which has never happened?

And feeling hot upon waking in morning

[greygoose in reply to sbadd]

They could all be hypo symptoms. You certainly aren't over-medicated.

[sbadd in reply to greygoose]

Have referal to endocronigest, how is hyper treated and can you change from under or over?

[greygoose in reply to sbadd]

No, you can't change from under to over. If you are hypo, your thyroid is not capable of producing enough hormone to make you euthyroid, it certainly can't produce enough to make you hyperthyroid. What's more, your blood test results are not hyper.

On the other hand, you do have high antibodies, so you have Hashi's. Occasionally, with Hashi's, the dying cells dump their stock of hormone into the blood, meaning that your levels can be unstable. But, at the moment, your FT4 and FT3 are not high, so that isn't your problem at the moment. I expect you need an increase in dose. Even your TSH is too high for someone on thyroid hormone replacement.

[Auntbessy]

You have probably already been asked this but have you checked your B12, Iron and Vit D levels?

[sbadd in reply to Auntbessy]

Yes had b12 injections earlier this year due to low store levels but active was within range, just had active retested and has come up from 84 - 134

Overall b12 still high from injections

My iron serum low but ferreton good

[SlowDragon Administrator]

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. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)

Last Levothyroxine dose should be 24 hours prior to test, (taking delayed dose immediately after blood draw).

Is this how you do your tests?

Ask GP to test vitamin D and ferritin. Plus coeliac blood test too

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

Medichecks currently have an offer on until end of May - 20% off

thyroiduk.org.uk/index.html

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

While still eating high gluten diet 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

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

scdlifestyle.com/2014/08/th...

drknews.com/changing-your-d...

restartmed.com/hashimotos-g...

healthcentral.com/article/t...