Morning nausea

[Sallamander]

Hello. Does anyone suffer with morning nausea?

(Definitely not pregnant!) Hypothyroidism for 12+ years.

Thanks

[Nonameavailable]

Yes I do!!! Have done for years. I have to wait an hour before I eat. I too am on thyroxine. Don't know if related tho. I have a warm fresh ginger drink to settle my tum

[Sallamander in reply to Nonameavailable]

Yes! I can't face eating for sevyhours after waking. I just have hot water, but might try ginger. But what's causing it? Would be nice to know how to avoid/reduce it.

[Nonameavailable in reply to Sallamander]

I also have a hiatus hernia and reflux. Just try to manage it best I can. Would be lovely to wake feeling bright and perky tho!!!! Lol

[Tristy]

I used to get it when I was under-medicated and eating gluten. It was one or the other or both that changed it. I don’t get it at all now.

[Baobabs in reply to Tristy]

Yes I’ll second that! If I eat gluten now by mistake and nausea is one of the prime signals I’m under-medicated. Low stomach acid is to blame I believe.

[SlowDragon Administrator]

How much levothyroxine are you currently taking?

Do you have any blood test results you can add?

For full Thyroid evaluation you need 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

You may need to get full Thyroid testing privately as NHS refuses to test TG antibodies if TPO antibodies are negative

Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .

Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, best not mentioned to GP or phlebotomist)

Is this how you do your tests?

Private tests are available. Thousands on here forced to do this as NHS often refuses to test FT3 or antibodies

thyroiduk.org.uk/tuk/testin...

For thyroid including antibodies and vitamins

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 you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3 £29 (via NHS private service )

monitormyhealth.org.uk/thyr...

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_...

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 is in top third of range and FT3 at least half way through 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)

All four vitamins need to be regularly tested and frequently need supplementing to maintain optimal levels

[Sallamander in reply to SlowDragon]

Thanks. Will look into more detailed blood test. My GP hasn’t been very sympathetic to all my ails- makes me feel embarrassed to keep complaining about things.

I take 112mg Levothyroxine (100 daily + 25 every second day)

[Wetsuiter in reply to Sallamander]

That s a weird dose!

[Sallamander in reply to Wetsuiter]

Yes, even the pharmacist thinks it’s odd.

[thyr01d in reply to Sallamander]

Do you mean 112mg Levothyroxine 100 daily + every second day an extra 25, as in 125? I don't think that's odd, I used to be prescribed similarly, it's because Levo has such a long 'half-life' it's easy to get the right amount over say a week like that, much easier than trying to break off pieces of tablet to achieve the same. It sounds as if your doctor is managing you with care rather than going with what's easiest.

[Wetsuiter in reply to thyr01d]

oh yeah. i misread. A pain of a dose, but lots of people do take it that way. (i actually thought it was 100 on day 1 and 25 on day 2. doh!)

[heathermr]

Try getting your early morning cortisol checked as a low level of cortisol at that time of day can also make you feel nauseous. It should be at least 350.

Heather

[thyr01d]

This may not be relevant to you but thought I'd mention it - I do suffer from nausea unless I take only half the recommended dose of HRT - if you are on HRT perhaps that's a cause?

[Sallamander in reply to thyr01d]

No I’m not on HRT. Although been peri-menopausal for 6 years 😩

[Angel_of_the_North]

Yes, but I don't know why and it is not every day. Eating or not makes no difference. After throwing up I am OK.