How to reduce fatigue ?

[Blueskyyy]

If taking the correct dose of combi T4 + T3 didn’t relieve fatigue, what are the other possible options which can improve the patient’s performance ?

[Aurealis]

I find that avoiding restrictive diets is helpful, as is gentle exercise, regularity of routine, avoiding alcohol. But it all depends on an optimal dose. What do you mean by ‘correct dose’? How has this decision that it’s correct been reached?

[Blueskyyy in reply to Aurealis]

Correct dose means, the dose which can optimize FT4, FT3 and TSH

[Aurealis in reply to Blueskyyy]

So do you mean optimise in terms of somewhere within the range?

[Blueskyyy in reply to Aurealis]

Not anywhere

FT4 and FT3 both in upper half of range ~ 70-80%

[Aurealis in reply to Blueskyyy]

Yes I know that it’s often said that is what’s needed, but I think it’s more individual than that - for example, I need my T4 at the bottom of the range. You may not need such high T4 either.

[Judithdalston]

Have you checked ferritin, folate , vit d and b12 levels are optimal not just in range?

[Blueskyyy in reply to Judithdalston]

No I didn’t

But I suppose I have low levels of all these vitamins ?

How can I increase my iron level naturally ? And how long it takes until the level increases?

[SeasideSusie Remembering in reply to Blueskyyy]

Best to check levels, if you're in the UK Medichecks test them as part of a thyroid/vitamin bundle (Thyroid Check ULTLRAVIT), or individual tests.

medichecks.com/categories

Medichecks do an iron panel - Iron Deficiency Check for £39

medichecks.com/iron-tests/i...

If ferritin is very low then you'd need a full blood count to check for anaemia.

Best to test first before doing anything to increase iron levels.

If everything is OK, no anaemia, and all that is low is ferritin, then you can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet

apjcn.nhri.org.tw/server/in...

Vit D test with an NHS lab which offers this test to the general public £29 (cheaper than Medichecks which is £39):

vitamindtest.org.uk/

Medichecks also do iron panel/Vit D with TSH/FT4 currently £49

medichecks.com/health-check...

[Angel_of_the_North in reply to Blueskyyy]

Some people don't absorb iron well according to my endo, but you can eat red meat, liver and black pudding (not too much liver as it contain a lot of vit A which can become toxic) and possibly drink stout. Make sure that the iron-rich meals also contain a source of vitamin C. You can also cook using cast iron pans. Impossible to say how long it could take to get levels up as everyone is different.

[Judithdalston in reply to Blueskyyy]

Seasidesusie is great advice re nutrients etc....from personal experience I know that ‘in range’ is just not good enough...can give us various symptoms in their own right related to tiredness, aching etc, but also need optimal higher levels for good thyroid health and conversion T4 to T3...so give it some priority, as your dr. won’t!

[SlowDragon Administrator]

Looking at previous posts, it appears you are hoping to conceive in near future

Essential to test vitamin D, folate, B12 and ferritin

B12 and folate are especially important pre conception

[Blueskyyy in reply to SlowDragon]

My most recent iron’s level is 10 range (4.1 - 24 ).

How much iron in mg per day should I take ?

[SlowDragon Administrator in reply to Blueskyyy]

Suggest you put separate post up asking about iron supplements