Anyway, I am from the Czech Republic and have been struggling with Hashi for the past two years. Had days when getting up in the morning was a challenge. After educating myself about this illness, I am sure my problem was, is and always will be stress. So after the reduction of stress, my symptoms slowly started to disappear. I used to have 1 or 2 good days in a month, now I have 1 or 2 bad days in a month.
However, my results are not optimal. TSH 1,3 mU/l; FT4 14,8 pmol/l; FT3 4,26 pmol/l; ATGL 373,8 kU/l; ATPO above 1300kU/l.
I am on 50 levothyroxine. I am gluten-free, trying to be stress-free and take care of my body and mind. The truth is that I could exercise more and eat better. I take selenium and magnesium daily. My problem is weight gain, weakness and usually a lack of energy (not always).
There is absolutely no way of getting NTD or T3 in the Czech Rep. What would you recommend? Should I order NTD or T3 abroad? Which ones? Should I continue with Levothyroxine and just add T3 (which one)?
Any advice how to lower my ATGL and ATPO?
Thanks to all that find the time to help me out.
Written by
Apleko
To view profiles and participate in discussions please or .
You also need vitamin D, folate, ferritin and B12 tested
50mcgs Levothyroxine is only a starter dose
The aim of Levothyroxine is to increase the dose slowly in 25mcg steps upwards until TSH is under 2 (many need TSH significantly under one) and most important is that FT4 in top third of range and FT3 at least half way in range
All four vitamins need to be regularly tested and frequently need supplementing to maintain good levels
NHS guidelines on Levothyroxine including that most patients eventually need somewhere between 100mcg and 200mcg Levothyroxine.
Also what foods to avoid (eg recommended to avoid calcium rich foods at least four hours from taking Levo)
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 ?
Suggest you see your doctor for vitamin testing and discuss getting dose increase in Levothyroxine
Hi, thank you for the tips. I take my Levo at bedtime, but not necessarily 24 hours before the blood tests. I will do it from now on. I used to be on 75 mcg Levo but got better. The lab results from my endo don´t show the range, just if it is within and therefore ok or not. I believe I am good for now. I used to take vitamins you mentioned above, then stop for a few months to give my liver a rest.
I will test the levels as you say and start taking them again.
What worried me are my ATGL and ATPO. Do you think they will improve with vitamin intake?
I will also make sure to stay away from calcium before taking the pill.
Isn´t the ultimate goal to send Hashi into remission meaning lowering ATPO and getting off the Levo? How do I do that?
Sometimes antibodies do slowly lower over time. Many notice slow reduction if reduce certain foods
But antibodies are not that actual Hashimoto's, more the result......they are cleansing up after the "attack"
Extremely rare for anyone with Hashimoto's to recover and no longer need Levothyroxine. The autoimmune attack on your thyroid means it no longer works.
If you normally take Levothyroxine at bedtime.....adjust dose timing day before blood test so that take evening dose earlier in morning
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.
hypothyroidism and weight gain 
Feeling Great but Gaining Weight
Weight gain drastically 
Weight gain after medication raise
weight gain and hyperthyroid
