My GP reduced my levo thyroxine from 100mcg to 75mcg, at beginning of March, as my
TSH was 0.13 (0.27-4.2).....
T4 was21.1 (12-22)
T3 was 4.9 (3.1-6.8)
Of course he thinks that TSH is the most important reading , 😡 and I hadn’t the energy to dispute it . Was supposed to be retested in 6 weeks but due to COVID restrictions haven’t yet been retested . So did a Medichecks test last week and had a Thyroid and vitamin profile done.
These most recent results are
TSH 0.047 (0.27-4.2)
Ft34.11 (3.1-6.8)
Ft4 18.4 (12-22)
T.G.A <10 (<115)
T.P.A. <9 (<34)
CRP 1.56 (<5)
Ferritin 70.4 (13-150)
Folate-serum 4.4 (3.89-19.45)
VitB12- active 52.1 37.5-187.5)
Vitamin D 86.5 (50-175) .
I can’t understand why my TSH is so low, , - the only vitamin I take is Vitamin D spray, , I wanted to get my levels checked before I took any supplements.
Am I right in thinking my vitamin levels aren’t optimal even though they are within range, I know my folate is very low.
I would be so grateful for advice on what to take , - I’m terrified that if my Gp knew the recent TSH result he would want to reduce my levo thyroxine even further !
Would my levels improve if I were to optimise my vitamins, without any change being made to my levo ?
I’m feeling ok ‘ish. Energy low at times , aching painful joints, hands/ fingers.
As stated in previous posts I had RAI treatment in 2008. And for past few years frequent gut problems , low stomach acid, haven’t managed to go gluten free ...yet but reall must try. ( coeliac test negative). Bowel investigations were all normal and I only know from this wonderful forum that my gut problems are related to thyroid issues, no one in medical profession could tell me that!
Apologies for long post but would be so grateful for advice.
Thank you so much in advance.
Best wishes to all on forum.
Written by
Golli
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Igennus Super B is good quality and cheap vitamin B complex. Contains folate. Full dose is two tablets per day. Many/most people may only need one tablet per day. Certainly only start on one per day (or even half tablet per day for first couple of 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
Thank you so much for your response and excellent information.
I can identify with at least 12 symptoms of possible B12 deficiency.
But trying to convince Gp when results are within range ,will be a different matter.
I honestly don’t think my GP knows of the existence of T3. ,as usual is fixated on TSH.
But determined to give my point of view on next meeting., in the past he has said my symptoms were due to stress! I know they are most definitely not .
Igennus Super B is good quality and cheap vitamin B complex. Contains folate. Full dose is two tablets per day. Many/most people may only need one tablet per day. Certainly only start on one per day (or even half tablet per day for first couple of 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
Thank you so much again SlowDragon , I think I will indeed start supplementing with B12, With folate , the sooner the better, I think , now I know they are in the lower range , rather than waiting on the GP to agree or disagree.
I really appreciate your advice and time taken to respond.
( not sure if list of nhs + private thyroid specialist endos include ones in Northern Ireland , where I live)
Oh that’s great, I hope to follow that up. This site gives me so much hope in this world of thyroid maltreatment . Thank you , - your advice is much appreciated.
I see in a previous response you have been told your T4 to T3 conversion rate is poor ...in the intervening 3 months have you managed to increase/optimise your nutrients as explained. It doesn't look like it....it can take time.
This will support conversion and should raise FT3.
For good healthT3 is required in every cell in the body in a constant and adequate supply.
"Within range" is not good enough numbers need to be optimal for these nutrients
SlowDragon has explained what to do.....follow her advice
TSH is not the significant result....those are FT4 and FT3
Until this stage is achieved and more tests are carried it is difficult to advise further.
If conversion does not improve with optimal nutrients then you may need to add a little T3 but you're not at that point yet.
You have to progress step by, very often slow, step!
With improved conversion hopefully you will feel better....if not come back and members will discuss further options
Don't be terrified of your medics....they are there to advise not to dictate. Many of us resort to self medicating if they fail to understand our medical condition and how to diagnose and medicate us....and they often do!
Thank you DippyDame for your response, and sound advice , I will indeed follow what you and SlowDragon have advised, ...the reason I haven’t optimised my nutrients/ vitamins over the past couple of months, is, my surgery is virtually on lockdown and I haven’t been able to get my bloods done., So I managed to get them done by Medichecks last week. I did not want to start vitamins until I knew what my deficiencies were.
I’m hoping things will start to improve when I can things going with nutrients/ vitamins.
Have to convince my GP of my needs, 🤷♀️ ( as I have said before, he is only concerned about TSH, which is totally mis informed)
Thanks for taking time to respect. Much appreciated.
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