Low temp

My body temp is always around the 34.6 mark occasionally 35 and l sweat, l have requested t3 test which will happen in 3 weeks should l be worried and seek help now ? L have increased Levo by .25 for the last few days, how long before an increase takes effect ?

[greygoose]

If you've increased levo in the last few days, there's no point in getting an FT3 test in three weeks, because it won't give an accurate reading. It takes six weeks for the levo to become fully synthesised in the body.

[Hidden in reply to greygoose]

Oh ok well Endio suggest 4 week retest, l will rearrange thank guys

[greygoose in reply to Hidden]

You're welcome.

[SlowDragon Administrator]

2 months ago you had low vitamin D and were going to get thyroid antibodies tested

healthunlocked.com/thyroidu...

You will need FULL Thyroid and vitamin testing 6-8 weeks after each dose increase

Absolutely no point testing before 6 weeks

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

Vitamin D needs retesting

How much vitamin D have you been taking?

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?

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

If antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).

About 90% of all primary hypothyroidism in Uk is due to Hashimoto's.

Low vitamins are especially common with Hashimoto's. Food intolerances are very common too, especially gluten. So it's important to get TPO and TG thyroid antibodies tested at least once .

[Hidden in reply to SlowDragon]

Hi Slow dragon

GP and Endio say that they won't test antibodies as no point as they know l have Hashi so it won't change ?

I have been taking 25 ug for the last week Endio say l can double this

Selenium 200ug

Magnesium 250ug

🤔

[SlowDragon Administrator in reply to Hidden]

Levothyroxine should usually only be increased by 25mcg at a time

You need to wait 6-8 weeks to retest after recent dose increase

Very important to regularly retest vitamin D, folate, ferritin and B12

Are you improving low vitamin D ?

Aiming to improve vitamin D to at least 80nmol and around 100nmol may be better

ncbi.nlm.nih.gov/pubmed/286...

Vitamin D deficiency is frequent in Hashimoto's thyroiditis and treatment of patients with this condition with Vitamin D may slow down the course of development of hypothyroidism and also decrease cardiovascular risks in these patients. Vitamin D measurement and replacement may be critical in these patients.

endocrine-abstracts.org/ea/...

Evidence of a link between increased level of antithyroid antibodies in hypothyroid patients with HT and 25OHD3 deficiency may suggest that this group is particularly prone to the vitamin D deficiency and can benefit from its alignment.

ncbi.nlm.nih.gov/pubmed/186...

There is a high (approx 40%) prevalence of B12 deficiency in hypothyroid patients. Traditional symptoms are not a good guide to determining presence of B12 deficiency. Screening for vitamin B12 levels should be undertaken in all hypothyroid patients, irrespective of their thyroid antibody status. Replacement of B12 leads to improvement in symptoms,

Private testing if GP or endocrinologist are unhelpful

As you have Hashimoto's are you on strictly gluten free diet?

ncbi.nlm.nih.gov/pubmed/300...

The obtained results suggest that the gluten-free diet may bring clinical benefits to women with autoimmune thyroid disease

nuclmed.gr/wp/wp-content/up...

In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned

restartmed.com/hashimotos-g...

Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.

[Hidden in reply to SlowDragon]

Thanks SlowDragon for all the useful links, l feel a little better with an increase in vit d, sleeping better still wake,but still very emotional, l am starting to reduce gluten but just have not got the brain capacity to deal with it all at the moment it seems