I got results

[rabeya_2008]

I am on 75mg Levo daily, please can you suggest the optimal dose of levo and other supplements

Please find results attached to follow

[greygoose]

There's no such thing as an optimal dose that would suit everyone. How much thyroid hormone replacement you need is a very individual thing. But, looking at those results, 75 mcg levo is not the right dose for you. You are under-medicated. Your Frees are very low. You need an increase of 25 mcg now, and retest in six weeks to see how your levels have improved, and how you feel.

[SlowDragon Administrator]

vitamin levels

healthunlocked.com/thyroidu...

What supplements are you currently taking?

Vitamin D and folate are too low

Vitamin D

GP will only prescribe to bring levels to 50nmol.

ouh.nhs.uk/osteoporosis/use...

But improving to around 80nmol or 100nmol may be better

ncbi.nlm.nih.gov/pubmed/218...

vitamindsociety.org/pdf/Vit...

Once you Improve level, very likely you will need on going maintenance dose to keep it there.

Test twice yearly via vitamindtest.org.uk

Vitamin D mouth spray by Better You is very effective as it avoids poor gut function. There’s a version made that also contains vitamin K2 Mk7

It’s trial and error what dose we need, with hashimoto’s or when under treated we frequently need higher dose than average

Government recommends everyone supplement October to April

gov.uk/government/news/phe-...

Also read up on importance of magnesium and vitamin K2 Mk7 supplements when taking vitamins

betterbones.com/bone-nutrit...

medicalnewstoday.com/articl...

livescience.com/61866-magne...

sciencedaily.com/releases/2...

Vitamin K2 mk7

betterbones.com/bone-nutrit...

healthline.com/nutrition/vi...

folate on the low side. Supplementing a good quality daily vitamin B complex, one with folate in not folic acid may be beneficial.

chriskresser.com/folate-vs-...

B vitamins best taken in the morning after breakfast

Igennus Super B complex are nice small tablets. Often only need one tablet per day, not two. Certainly only start with one tablet per day after breakfast. Retesting levels in 6-8 weeks

Or Thorne Basic B or jarrow B-right are other options that contain folate, but both are large capsules

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

As greygoose says...your results show you need 25mcg dose increase in levothyroxine and bloods retested 6-8 weeks later

Ft4 should be at least in top third of range and Ft3 at least half way through range

[SlowDragon Administrator]

Ft4 is only 29% through range

Ft3 on 19%through range

Helpful calculator for working out percentage through range

chorobytarczycy.eu/kalkulator

Looking for Ft4 at least 60-70% through range and Ft3 at least 50% through range

NICE guidelines

nice.org.uk/guidance/ng145/...

1.3.6

Consider starting levothyroxine at a dosage of 1.6 micrograms per kilogram of body weight per day (rounded to the nearest 25 micrograms) for adults under 65 with primary hypothyroidism and no history of cardiovascular disease.

BMJ clear on dose required

bmj.com/content/368/bmj.m41

Post re how to push for dose increase in levothyroxine

healthunlocked.com/thyroidu....

Getting all four vitamins optimal helps improve conversion of Ft4 to Ft3

[rabeya_2008]

I can not attach here, that is why I posted separately.

[Lora7again in reply to rabeya_2008]

Start another thread because I had to with all my results a few weeks ago.

[Lora7again]

That is a very low dose and my elderly Dad who is 78 is on 100mcg a day. You definitely need an increase of 25mcg and then a further blood test 6 weeks later to see what your levels are.