Help - Levothyroxine dosage dilemma

Hi Everyone,

I'm in need of some advice please re. medication dosage for levothyroxine. I have hypothyoidism after my thyroid being hyperactive post pregnancy which killed my thyroid.

I am in a difficult position with my levothyroxine dosage. 75mg isn't enough for my body physically and I get neuromuscular pain in my mid and lower back from just carrying my baby however my blood tests suggest the levels are in normal range. 100mg is too much as it causes insomnia and anxiety and agitation. I've tried 75/100 mg alternate sprays and that is too much as well. So I'm in a position where I dont know what to do as I dont want to be hyper or hypo. Foes anyone have anya advice on wht i could do? Could i cut a 25mg tablet in half and add that to my 75mg dose every other day? Your thoughts and suggestions would be so gratefully received.

Here are my blood test results so you can see what i mean...(please note i took my morning dose before each of these blood tests as at the time i didn't know to delay taking it)...

75mg TSH= 3.13

100mg TSH= 0.19; T4= 25.6

75/100mg alternate TSH= 0.24; T4= 29.0; T3= 4.8

[Ladybex]

Hi there

You can get levothyroxine 25mcg ... 😊

[SlowDragon Administrator]

As per your first post

healthunlocked.com/thyroidu...

Your conversion of FT4 to FT3 is poor

Essential to test vitamin levels and thyroid antibodies

Most likely you have Hashimoto's

You likely have low vitamin levels as direct result

Getting vitamins optimal by testing first and then supplementing can help significantly

If you have Hashimoto's then frequently strictly gluten free diet helps too

[Hidden in reply to SlowDragon]

Thank you

[Hidden in reply to SlowDragon]

From your experience, is there anything I can do to help my poor conversion of FT3 to FT3? Thanks

[SlowDragon Administrator in reply to Hidden]

Yes

1) getting vitamin levels tested

2) getting all four vitamins optimal

3) Trying strictly gluten free diet

Retesting thyroid and vitamin levels 2-3 months later

[Hidden in reply to SlowDragon]

Thanks SlowDragon

[Caroline888]

Hi Thyromum

Have you considered trying 75/75/100 mcg?

However, your t4 levels are not likely to be right due to your taking levo too close to the test. Also your TSH level does indicate you are undermedicated.

I would try 75/100 mcg again and test again after a further 6 weeks, remembering to take your last dose of levo 24 hours prior to the blood test, then taking your dose of levo afterwards.

Best wishes

Caroline

[Hidden in reply to Caroline888]

Thank you!

[helvella Administrator Thyroid UK]

May I suggest you have a read of my document addressing this issue?

dropbox.com/s/1hv2oafdt5hel...

Also, you might find it useful to have a look at this:

dropbox.com/s/sgv815w8hkexl...

[Hidden in reply to helvella]

Thank you

[Willowrabbit]

Hi,Levo comes in different strengths, it starts at 12.5 25 50 and then the stronger ones,you could probably ask your doc to let you have a few different strengths and the then you might be able to get one that suits you, hope your doc is approachable,good luck ,hope you will feel better on the right dose

[Hidden in reply to Willowrabbit]

Thanks

[Willowrabbit]

Wasn't I much help, ☹️

[Hidden in reply to Willowrabbit]

I've spoken to my GP and hes prescribed 12.5mg tablets

[Starr666]

Hi starr666 here, do not adjust on your own meds, Ihave been on levo for 18 years and it is now up to 225mcg. Your a young mother, things will be a bit different, please go and see your doctor again.