On getting my letter out for the appt, I realised the Endocrinologist had asked the GP to repeat my bloods and also suggested the GP try me on Eltroxin as a different brand of Levothyroxine. He says ‘more stable levels seen with this form). He says the blood tests taken at the Surgery were still not available to him and could they be repeated.
The letter was issued week before Christmas. I simply thought GP would be contacting me post but didn’t hear anything and I totally forgot till I got the letter out.
He also put these readings:
B12 310ng/L
Folate 3.9ug/L
Vit D 24nmol/L
His aim is to get my TSH to <2.5mu/L he says.
Any advice? GP calling me between 11 & 1 but my appointment is 2pm.
Thanks in advance. 🤓
Written by
Aslangal
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TSH is frequently suppressed when on adequate dose of Levothyroxine to bring FT3 to OPTIMAL levels
If endo is only dosing according to TSH you will need a new endocrinologist
Most patients with no thyroid function of their own will have a TSH significantly under one when FT3 and FT4 are at good levels
Low vitamin levels are very indicative of being under treated
Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,
"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.
In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.
Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.
This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."
You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor


please email Dionne at
tukadmin@thyroiduk.org
Professor Toft recent article saying, addition of small dose of T3 alongside Levothyroxine may be necessary for many, especially after RAI
So sorry, as you had pinned a lot on this appointment and it seems your doctor hasn't followed up with the vitamin or mineral supplementation, nor actioned the current blood tests ready for today's appointment.
Since you have had RAI thyroid ablation I think your TSH needs to very low, even suppressed within the range.
Why would you want to start to stimulate a gland that has been medically treated with RAI in order to kill it off and disable/stop it's production of thyroid hormones ?
and also suggested the GP try me on Eltroxin as a different brand of Levothyroxine.
So that you are aware - Mercury Pharma levothyroxine and Mercury Pharma Elxtroxin are absolutely, 100% identical. Only packaging differs.
Experience here suggests that whilst the make matters, with some people doing far better on one make than another, there is no way of predicting which person will do better on which product. (Except where someone is known to be sensitive/intolerant/allergic to one of the ingredients.)
There are currently four makes available in the UK: Wockhardt, Mercury Pharma, Actavis (also packaged as Almus for Boots and Northstar for Lloyds) and Teva.
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