Undermedicated and unbalanced! : Hi! I would love... - Thyroid UK

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Undermedicated and unbalanced!

Tara_Jane profile image
5 Replies

Hi! I would love some insight into this...

After having my synthoid dose lowered from 125 to 100mcg last Sept (even though I told the doctor I feel great) I have had ongoing mental symptoms including depression, anxiety, restlessness and insomnia. I returned to my previous dose in January but the symptoms remained.

I tried a T3/T4 for a week about a month ago and it was like throwing fuel on a fire and I was thrown into a horrific week of full blown major depression. I was bed ridden. I reverted back to synthoid. The depression eased to what it was before I tried incorporating T3.

I also had constipation and then gut issues. My food stopped moving through my stomach and caused all sorts of issues. I started apple cider vinegar and changed my diet according to Aviva Romm and Kelly Brogan. I am 3 weeks into an elimination diet.

The mental symptoms are debilitating. I'm a grade one teacher and I've been home on short term disability for a month now. My daughter gets married in a couple of months. My husband has been on holiday but goes back to working away from home on Wed.

Here are my latest test results. Would appreciate ANY insights!

TSH 1.14 (0.4-5.5)

fT3 3.8 (3-7)

fT4 21 (9-22)

rT3 17 (8-25)

Ferritin 18 (13-150)

Magnesium 0.84 (0.65-1.05)

25-Hydroxyvitamin D 52 (75-200)

B12 317 (156-698)

Sex hormone BG 85.7 (10-125)

Thanks in advance. 🙏🏼

Tara

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SlowDragon profile image
SlowDragonAdministrator

Your results show you are under medicated and poor converter

FT3 is right at bottom of range

Improving vitamins should help improve conversion

Ferritin is extremely low. Ask for full iron panel to check for Anaemia

Eating liver or liver pate once a week, plus other iron rich foods like black pudding, prawns, spinach, pumpkin seeds and dark chocolate, plus daily vitamin C can help improve iron absorption

FERRITIN

healthunlocked.com/thyroidu...

drhedberg.com/ferritin-hypo...

restartmed.com/hypothyroidi...

Post about iron supplements

healthunlocked.com/thyroidu...

Vitamin D - is this ng/ml or nmol?

Usually in USA it's measured in ng/ml....but this range looks like nmol

No folate test - common not tontest this in USA

B12 on the low side. Supplementing a good quality daily vitamin B complex, one with folate in not folic acid may be beneficial, helping keep all B vitamins in balance

chriskresser.com/folate-vs-...

B vitamins best taken in the morning after breakfast

Recommended brands on here are Igennus Super B complex. (Often only need one tablet per day, not two. Certainly only start with one tablet per day after breakfast. Retesting levels in 6-8 weeks ).

Or Jarrow B-right is popular choice, but is large capsule

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

Are you supplementing selenium?

Or vitamin C ?

You need thyroid antibodies tested too if never been tested

If antibodies are high this confirms cause of your hypothyroidism is due to autoimmune thyroid disease also called Hashimoto's

Low vitamins are especially common with Hashimoto's

Gluten intolerance is extremely common too

Request/insist Doctor allows you trail increase back to 125mcg Levothyroxine

greygoose profile image
greygoose in reply toSlowDragon

Not spinach, no. It's full of iron, but the human gut cannot absorb it. It just goes straight through! :)

Tara_Jane profile image
Tara_Jane in reply toSlowDragon

Hi SlowDragon,

Thanks for your reply. Vitamin D is nmol/L. I discovered that I am getting too much biotin and folic acid in my multi vitamin after reading your post. I am not supplementing with selenium but I have some I could be taking. I am taking 300mcg iron with Vitamin C that the doctor prescribed after getting my results. I did ask for the TpO antibody test.. wasn't done. 🙄 I have been back on 125mcg since Jan (except for the trial of T3/T4 4 weeks ago).

SlowDragon profile image
SlowDragonAdministrator in reply toTara_Jane

It's not that you may be getting too much biotin.....it's that biotin is used in many blood test assays, so remember to stop these 7 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

We never recommend taking any multivitamins. Most contain iodine, not recommended if you have Hashimoto's

Best to take separate vitamin B complex, one that contains folate rather than folic acid.

Unusual in a USA to measure vitamin D in nmol

Vitamin D is too low.

GP will only prescribe to bring vitamin D up to 50nmol. Aiming to improve vitamin D by self supplementing to at least 80nmol and around 100nmol may be better .

Once you Improve level, very likely you will need on going maintenance dose to keep it there.

Retesting twice yearly via vitamindtest.org.uk

Vitamin D mouth spray by Better You is good as avoids poor gut function.

It's trial and error what dose each person needs.

Frequently with Hashimoto's will need higher dose than average

Local CCG guidelines

clinox.info/clinical-suppor...

Government recommends everyone supplement October to April

gov.uk/government/news/phe-...

Also read up on importance of magnesium and vitamin K2 Mk7 supplements when taking vitamin D

betterbones.com/bone-nutrit...

articles.mercola.com/sites/...

healthy-holistic-living.com...

sciencedaily.com/releases/2...

articles.mercola.com/sites/...

betterbones.com/bone-nutrit...

This article explains should discuss with specialists before taking any vitamin K if you take any blood thinning medication

drsinatra.com/vitamin-k2-su...

Ideally you would get TPO and TG antibodies tested if never been tested

About 80-90% of primary hypothyroidism is due to autoimmune thyroid disease (Hashimoto's) diagnosed by high thyroid antibodies

Though 20% of Hashimoto's patients never have raised antibodies.

Tara_Jane profile image
Tara_Jane

I'm in Canada which might explain the measurement difference. Taking Vit D liquid drops will up the dosage. I was tested for antibodies last year with a negative result but maybe that's changed? Thanks for the articles!

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