Hypo and hyper antibodies. How is it treated

[Liyaelize]

Hello to all.

What treatment has anyone used having both hypo and hyper Thyroid symptoms and antibodies?

Feel, tired, all over shaky, restless legs. Pressure behind eyes, swollen and puffy upper eyelids. Weigh loss. Struggle to sleep. Irritated at times.

Thanks for sharing your thoughts and experience. I use 60 mcg Tirosint-Sol and 2.5 T3 just can't tolerate more.

[SeasideSusie Remembering]

Liyaelize

If you are experiencing both hypo and hyper symptoms, and you have raised antibodies then it seems that you have Hashimoto's.

Hashi's isn't treated, it's the resulting hypothyroidism that is treated. However, some members have been helped by adopting a strict gluten free diet, also supplementing with selenium l-selenomethionine 200mcg daily can help.

Can you post your latest test results for

TSH

FT4

FT3

And because Hashi's tends to cause low nutrient levels or deficiencies, it's important to also test, and optimise where necessary, the following :

Vit D

B12

Folate

Ferritin

Come back with results and reference ranges and members will comment.

[Liyaelize in reply to SeasideSusie]

Thanks. Having labs done MARCH 31. Last time had TSH of 4.2 low FT4 and very low FT3 Following tests end March will be only T4, TSH and total T3

[SlowDragon Administrator]

As you are also coeliac, presumably you have Hashimoto’s

Essential to test vitamin levels as listed by SeasideSusie

Low vitamin levels are extremely common with Hashimoto’s (and coeliac)

What vitamin supplements are you currently taking?

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)

If/when also on T3, make sure to take last 1/2 or 1/3rd of daily dose 8-12 hours prior to test, even if this means adjusting time or splitting of dose day before test

Is this how you do your tests?

Ft3 is most important result