Hi all here are my latest results I am on 100mgrs of levothyroxine (Almus) but still not well have got no energy very tired all the time losing hair and eyebrows nails splitting went on slimming world diet but have put weight on I am very down it has taken me a while to post this as just hadn't got the motivation to do it
CRP 18.46 5.0mg/L
Ferritin 152.00 13.150 ug/L
TSH 1.08 0.27 .4.20 mlu/L
T4 Total 119.0 66.181 nmol/L
Free T4 16.00 12.22 pmol/L
Free T3 4.47 3.1.6.8 pmol/L
Anti-Thyroidperoxidase abs 19.1 34 klu/L
Anti-Thyroglobulin 232 115 ku/L
Vit D (25oh) 58
Vit B12 294
Serum Folate 12.90 8.83 60.8 nmol/L
I know my CRP is high but have had problems with my arthritis and have just had B12 injection any help would be very much appreciated
Thanks in advance
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foxyeyes
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Hey foxeyes 🤗 Looks like you could do with another boost of Levo, your FT4 is only mid way through range so has loads of wiggle room. Hopefully this will raise your FT3 and help to lessen those awful symptoms.
I absolutely think that if you could be optimally treated that your arthritis would be more tolerable.
So move up to 125mcg Levo and retest I’m 6wks. Don’t be surprised if you need another raise after that. With such difficult symptoms you might need your FT4 to be right at the top of the range.
Thanks Paula6 going to see GP and ask for increase I don't think there will be any problem as he is very understanding will let you know how I get on .
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
Hi SlowDragon have started Amy Myers Autoimmune diet GP said my Vit D was okay about 8 wks ago was taking Vit D then but ran out will get some more will get some B complex as well have looked at some of the links you have given me thanks a lot for your help will let you know what GP says.
Just seen previous posts that you are trying to be strictly gluten free
Plus on Levothyroxine under new endocrinologist after NDT
You need 25mcg dose increase in Levothyroxine
Make sure to get same brand of Levothyroxine at every prescription
Retesting bloods in 6-8 weeks
Consider DIO2 gene test too if FT3 remains low once Levothyroxine dose is increased high enough to take FT4 near top of range and once vitamin levels are optimal
Thanks SlowDragon not seeing Endo just GP but he is very understanding I am going to see him tomorrow if I can and ask for increase see what he says will show him blood results from Blue Horizon as he knows I do private tests.
Hi SlowDragon have been to GP today he has said I have Fibromaralga and said my symtoms are due to that said I would be over medicated with extra thyroxine he was very understanding but said I can't blame my thyroid for everything was with him for about 30mins had a long talk with him but couldn't budge him on it so might self medicate I have been on myers autoimmune diet for a week and have found out I hate coconut and sweet potatoes
First step is to get all vitamins optimal and well established on strictly gluten free diet
Email Dionne at Thyroid Uk for list of recommended thyroid specialist endocrinologists. You may need to go over GP's head to get official dose increase in Levothyroxine
Getting full Thyroid and vitamin testing again in 6-8 weeks perhaps......
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
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