Any advice regarding the Doctors advice at Medi... - Thyroid UK

Thyroid UK

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Any advice regarding the Doctors advice at Medichecks? I take 125 mg Levothyroxine.

Sheffield6 profile image
7 Replies

“Your thyroid stimulating hormone is low and you have normal free thyroxine and T3 which suggests that your levothyroxine dose may

be too high.”

TSH 0.094 m/U/L (Range: 0.27- 4.2)

FreeT3 4.7 pmol/L (Range: 3.1 - 6.

Free Thyroxine • 20.500 pmol/L (Range: 12- 22)

Ferrain 375 ug/L (Range: 30- 400)

Magnesium 0.94 pmol/L (Range: 0.66- 0.99)

Folate-Serum 10.43 pmol/L (Range:> 3.8

Vitamin B12-Active 145.000 pmol/L (Range: 37.5-188)

Vitamin D 104 pmol/L (Range: 50- 175)

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Sheffield6 profile image
Sheffield6
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SeasideSusie profile image
SeasideSusieRemembering

Sheffield6

Best not to take too much notice of the doctor's comments, they are the same as NHS doctors so will follow the "TSH is all that matters regardless of FT4 and FT3" mantra.

You can see that your FT4 is nicely within range and that your FT3 is in the lower part of its range so there is no worry about you being overmedicated.

Your nutrient levels are all good although Ferritin is high in range.

How do you feel?

Sheffield6 profile image
Sheffield6 in reply toSeasideSusie

I still feel

fatigued even though my nutrients have improved.

SeasideSusie profile image
SeasideSusieRemembering in reply toSheffield6

I still feel fatigued even though my nutrients have improved

That's probably because it looks like you have poor conversion of T4 to T3.

FT4 is 80% through range but FT3 is only 43% through range, and it's low T3 that causes symptoms. The addition of T3 to your Levo may be beneficial.

SlowDragon profile image
SlowDragonAdministrator

Do you have raised Thyroid antibodies, either TPO and/or TG thyroid antibodies?

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.

Your vitamins are pretty good

TSH and FT4 about right

But your FT3 is still too low

Looking like you need addition of small dose of T3 if you still feel you have hypo symptoms

Are you on strictly gluten free diet or tried it?

Sheffield6 profile image
Sheffield6 in reply toSlowDragon

I did use to have antibodies but they eventually became in the normal range. I am on a Gluten free diet.

SlowDragon profile image
SlowDragonAdministrator in reply toSheffield6

So you have Hashimoto's, strictly gluten free diet and vitamins optimal, yet FT3 is likely still too low

Email Dionne at Thyroid Uk for list of recommended thyroid specialists who will prescribe T3

thyroiduk.org.uk/tuk/About_...

Aurealis profile image
Aurealis

Fatigue can be caused by too high or too low a dose. There is still room in the range for an increase in Levo and personally I’d try that first. I’d ignore the advice from the online doctor who is only ‘treating a blood test’. There is always a margin of error with any test in any case. I had poor advice from a Medichecks doctor too and just ignored mine.

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