Got my blood at last

[Jasmol]

Hi at last I have now learnt how to post my results I am under active thyroid meds 50 m weighing 70kilos

[SeasideSusie Remembering]

Jasmol

How do you feel?

Your results show that you are undermedicated. The aim of a treated hypo patient generally is for TSH to be 1 or below or wherever it needs to be for FT4 and FT3 to be in the upper part of their reference ranges, if that is where you feel well.

Refer to the information in Dr Toft's article, NHS guidelines and Leeds Pathology which SlowDragon gave you in this post a year ago and offer this evidence to your GP when asking for an increase in dose, 25mcg now and retest in 6-8 weeks:

healthunlocked.com/thyroidu...

Your Vit D is too low at 55.2nmol/L (22.08ng/ml) although your GP wont do anything because you come into the "Sufficient" category. The Vit D Council recommends a level of 125nmol/L (50ng/ml) and the Vit D Society recommends a level of 100-150nmol/L (40-60ng/ml).

**

To reach the recommended level from your current level, based on the Vit D Council's suggestions you could supplement with 3,700iu D3 daily (nearest is 4,000iu)

vitamindcouncil.org/i-teste...

Retest after 3 months.

Once you've reached the recommended level then you'll need a maintenance dose to keep it there, which may be 2000iu daily, maybe more or less, maybe less in summer than winter, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. You can do this with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:

vitamindtest.org.uk/

There are important cofactors needed when taking D3 as recommended by the Vit D Council

vitamindcouncil.org/about-v...

D3 aids absorption of calcium from food and K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems such as hardening of the arteries, kidney stones, etc.

D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking tablets/capsules/softgels, no necessity if using an oral spray

Magnesium helps D3 to work. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.

Magnesium comes in different forms, check to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds if taking tablets/capsules, no necessity if using topical forms of magnesium.

naturalnews.com/046401_magn...

drjockers.com/best-magnesiu...

afibbers.org/magnesium.html

Check out the other cofactors too (some of which can be obtained from food).

Don't start all supplements at the same time. Start with one, leave it 1-2 weeks and if no adverse reaction then add the second one. Continue like this. If you have any reaction then you will know what caused it.

You also need B12, folate and ferritin tested.

Your other results are all in range but your calcium is very close to the top of the range, do you supplement?

[SlowDragon Administrator]

Are you still only on 50mcg Levothyroxine?

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 optimal levels

NHS guidelines on Levothyroxine including that most patients eventually need somewhere between 100mcg and 200mcg Levothyroxine.

nhs.uk/medicines/levothyrox...

Guidelines on dose is 1.6mcg per kilo

That suggests your dose is likely to need to be slowly increased in 25mcg steps upwards until 112mcg

nice.org.uk/guidance/gid-ng...

See page 10

Point 1.3.6.

Consider starting levothyroxine at a dosage of 1.6 micrograms per kilogram per day for adults under 65 with primary hypothyroidism and no history of cardiovascular disease.

See GP and request 25mcg dose increase in Levothyroxine and bloods retested in 6-8 weeks

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).

Essential to test folate, B12 and ferritin too

[SlowDragon Administrator]

As you have family members who also have hypothyroidism, it's highly likely you have autoimmune thyroid disease also called Hashimoto's

Ask GP to test thyroid antibodies and ferritin, folate and B12

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 .

Link about thyroid blood tests

thyroiduk.org/tuk/testing/t...

Link about antibodies and Hashimoto's

thyroiduk.org.uk/tuk/about_...

thyroiduk.org.uk/tuk/about_...

List of hypothyroid symptoms

thyroiduk.org.uk/tuk/about_...

Low ferritin linked to hair loss

Low ferritin also common if had heavy periods

Heavy periods are classic sign of being hypothyroid

Constipation obviously also common symptom too

[Jasmol]

Thank you

I am feeling foggy hubby wants the his wife back even he’s noticed I’m not myself

Got some unpleasant test tomorrow enscopy colonoscopy issues with stomach Once I get these sorted I’ll approach my doctor over my meds