in 2 years. Between Covid and a new doctor I couldn’t get anyone to take me seriously that I wasn’t feeling normal and finally they took a blood test and my TSH had dropped from when I had started dieting at 256 pounds at 1.95 TSH Dec.2018, when I was on diabetic medicine , (Glipizide)and blood pressure medicine (Hydrochlorothiazide) to now at 199 off of diabetic medicine and blood pressure medicine and my TSH is 0.2.
I have hot and cold temperature changes, my arthritis really bothers me as does my peripheral neuropathy minimally. Mostly, I have no energy to get anything accomplished, and it is an uphill battle from morning to subset when I finally geta little brain power. Maybe I am just nocturnal?
I would love some feed back.
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pbjmilo
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Can see from your profile that you are on levothyroxine
How much levothyroxine are you currently taking?
Was dose reduced when you lost weight?
Just testing TSH is completely inadequate
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?
Ask GP to test 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
150 mcg, and dose was not reduced, I actually went from 1.95 (Jan. 2018) to 0.71 (4-24-19)to 0.2 in (present). Thyroid was never looked at. We were focusing on blood sugar and gluten/lactose intolerance, (had our plate full).
vit D 18ng/ml (low?), and iron (if I have it correct) 45 ug/dl, .....standard hospitals U.s won’t test the extra unless you go to a specialty clinic, FT4, FT3, or the other two but I will ask. p.s. I am in United States
Yes, that's very low, it would come into the "insufficient" category here in the UK when converted to our measurement of 45nmol/L. The Vit D Council recommends a level of 50ng/ml and the Vit D Society and Grassroots Health recommend 40-60ng/ml.
iron (if I have it correct) 45 ug/dl
Is that Serum Iron or Ferritin? And what is the reference range?
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TSH has dropped below range
Low TSH level 0.2 (20.10.21) is down from 1.79 (17.05.21). What should I do?
Just had 1st endocrinologist appointment
Help TSH 0.2 T4 26 
