I've not posted for a while so hope you're all doing ok. I've had a few different brands of levothyroxine over the 18 months I've been diagnosed. My last lot was teva which I will finish tomorrow. I've noticed that I'm getting progressively worse pain in all my knuckles. Could this be a side effect of teva ? I should say that I am currently waiting for a rheumatologist appointment to investigate pain in all joints. Thanks for reading my very long post 😀
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Tiggerfanatic
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It could be the Teva, it could be low vitamin D, it could be inadequate dose levothyroxine...or gluten intolerance if you have Hashimoto’s
How much levothyroxine are you currently taking?
When was dose last increased
Last tested?
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
Do you have Hashimoto’s
When were vitamin levels last tested?
Ask GP to test thyroid and vitamin levels
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 as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins
Physicians should: 1) alert patients that preparations may be switched at the pharmacy; 2) encourage patients to ask to remain on the same preparation at every pharmacy refill; and 3) make sure patients understand the need to have their TSH retested and the potential for dosing readjusted every time their LT4 preparation is switched (18).
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