I’ll have her blood tests this week but my daughter 26 is getting regular nosebleeds, heavy periods, headaches, lethargy and depression. She’s just been put up to 125 thyroxine - she’s been told tsh too high. Im so so worried
Daughters symptoms : I’ll have her blood tests... - Thyroid UK
Daughters symptoms
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Is this a different daughter to the one you posted about a few weeks ago, the one who is 32?
What are her thyroid test results, with reference ranges?
If her TSH is too high then she is undermedicated and an increase on dose is the correct thing to do.
Does she have Hashimoto's?
Has she had Vit D, B12, Folate and Ferritin tested?
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Presumably you all three have Hashimoto's?
Are any of you on strictly gluten free diet?
Her bloods will need testing 6-8 weeks after recent dose increase
For full Thyroid evaluation TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested.
Also EXTREMELY important to test vitamin D, folate, ferritin and B12
Low vitamin levels are extremely common, especially if you have autoimmune thyroid disease (Hashimoto's) diagnosed by raised Thyroid antibodies
Ask GP to test vitamin levels if not been done
I’m seeing what tests she has had unfortunately she doesn’t really take on board how all her problems are possibly thyroid related. Thinks I’m a fussy mother - drives me mad!!
Yes.....exasperating
Perhaps just one or two printed pages to give her
Eg
List of hypothyroid symptoms
thyroiduk.org.uk/tuk/about_...
If her GP won't test...or she won't request vitamin tests
Then can you get her full testing privately via Medichecks
Or if that's too tricky you could start with just vitamin D test kit
So she got her blood test back from the doc it had 2 things on it serum tsh level 5.21 and serum free t4 12.6 and that’s it??
So that's correct to have increased her dose of Levothyroxine by 25mcg
Do you have the ranges on FT4 test result? Looks low in range. Each path lab has different ranges
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
NHS guidelines on Levothyroxine including that most patients eventually need somewhere between 100mcg and 200mcg Levothyroxine.
nhs.uk/medicines/levothyrox...
Also what foods to avoid (eg recommended to avoid calcium rich foods at least four hours from taking Levo)
Her bloods should be retested 6-8 weeks after each dose increase
Important to test vitamin D, folate, ferritin and B12
Find out when these were last tested
Ask GP to include these in Thyroid retest in 6-8 weeks time
All four vitamins need to be regularly tested at least annually and frequently need supplementing to maintain optimal levels
9-22?
So when correctly treated her TSH should be under 2 and her FT4 in top third of range.....i.e. At least 18 and Ft3 always needs testing.
NHS rarely tests FT3. Conversion of FT4 to FT3 can be very poor with Hashimoto's
Also low vitamin levels affect conversion of FT4 to FT3
All thyroid blood tests should be done as early as possible in morning before eating or drinking anything other than water and last dose Levothyroxine 24 hours prior to blood test
As she has heavy periods likely to have low iron /ferritin
As she has Hashimoto's highly likely to have low vitamin D unless supplementing
Her TSH is too high and should be 1 or lower ... she needs an increase in Levothyroxine. Her T4 and T3 needs to be in the upper third of the range.
Sorry I’m confused I’ve not posted her results I don’t know where you’ve got this from - maybe my other daughters a few months ago?