I’m hoping that someone can give me your thoughts on my most recent test results. For the last 12 months my thyroid levels have been within range with no antibodies present.
I’m on 75 mcg Levothyroxine, collagen and have just started a calcium, magnesium,zinc, vit D & K2 supplement.
I had a GP telephone consultation yesterday, shes inclined to leave my Levo as it is and retest in 12 weeks. She is contacting the Endo department for advice and will get back to me in the next week.
I was referred to Endo and ENT in early March but don’t think I’ll be seeing anyone until at least next year.
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Pippyzoo
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I had a GP telephone consultation yesterday, shes inclined to leave my Levo as it is and retest in 12 weeks.
In that case your GP hasn't got a clue about treating hypothyroidism and I'd see another doctor. Your TSH is over range and the aim of a treated Hypo patient on Levo, generally, is for TSH to be 1 or below with FT4 and FT3 in the upper part of their reference ranges if that is where you feel well. Your FT4 is a measly 7% through it's range and your FT3 is 27% through range. You need an immediate increase in your Levo of 25mcg, retest in 6-8 weeks.
Please refer to your GP to the following from NHS Leeds Teaching Hospitals who say
Thyroxine Replacement Therapy in Primary Hypothyroidism
TSH Level .................. This Indicates
0.2 - 2.0 miu/L .......... Sufficient Replacement
> 2.0 miu/L ............ Likely under Replacement
Also, Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine (the magazine for doctors):
"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l. In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l. Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l. This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l).*"
*He recently confirmed, during a public meeting, that this applies to Free T3 as well as Total T3.
You can obtain a copy of the article by emailing Dionne at
tukadmin@thyroiduk.org
print it and highlight question 6 to show your doctor.
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As you have Hashi's, are you gluten free? Some members have found that adopting a strict gluten free diet can help, although there is no guarantee.
Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks.
You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.
Supplementing with selenium l-selenomethionine 200mcg daily is said to help reduce the antibodies, as can keeping TSH suppressed.
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How much Vit D are you taking? Your level is dreadfully low and you'll be needing at least 5,000iu D3, retesting in 3 months.
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Why are you taking calcium? Is it prescribed? Have you been tested and found to be deficient?
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Ferritin would be better a bit higher, recommended is half way through range so 82 with that range. You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet
Thank you for all this information, it’s really appreciated 😊
I’ll do that, it’s seems the case for most GPs at my practice, at a previous appt she said ‘didn’t anyone ever tell you that you can have normal results and still have symptoms’.
I’ve not been diagnosed with Hashimoto’s, I was told non autoimmune hypothyroid as no antibodies have been present until this last test.
I’ll look into a gluten free diet, I can’t imagine my life without Bread 😢😂
Selenium is included in the supplement as is your recommend dose of D3.
I had an early menopause at 43, I’m 48 now. This is the reason for calcium supplements.
I had an early menopause at 43, I’m 48 now. This is the reason for calcium supplements.
That's no reason to take calcium without testing. Taking D3 aids uptake of calcium from food anyway so it's essential to test calcium before supplementing.
have just started a calcium, magnesium,zinc, vit D & K2 supplement.
Selenium is included in the supplement as is your recommend dose of D3.
Which is the supplement you are taking? Some combined supplements use the wrong and least absorbable form of ingredients.
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