My MediCheck Results any clues?: My MediChecks... - Thyroid UK

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My MediCheck Results any clues?

axism profile image
14 Replies

My MediChecks results, Note I've had another episode not nearly as bad as the episode that put me in an ambulance.

Link to back story:

healthunlocked.com/thyroidu...

My TSH has changed from 0.25 (Results from hospital) to 9.91 (medicheck)

CRP HS: 2.01 mg/L

FERRITIN : 128 ug/L 30 - 400 R

FOLATE - SERUM: 18.39 ug/L > 3.89 R

VITAMIN B12 - ACTIVE: 119 pmol/L > 37.5 R

VITAMIN D 46.2: nmol/L 50 - 175 R

TSH: 9.91 mIU/L 0.27 - 4.2 R

FREE T3: 3.07 pmol/L 3.1 - 6.8

FREE THYROXINE: 11.1 pmol/L

THYROGLOBULIN ANTIBODIES: 13.7 kIU/L < 115 R

THYROID PEROXIDASE ANTIBODIES: 13.2 kIU/L < 34 R

I have another test on the way from my GP as well

Many thanks in advance

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axism
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14 Replies
Lora7again profile image
Lora7again

Can you put the ranges in for the T3?

Your TSH is too high which means you are very hypo at the moment. Also your vitamin D is too low. I use the BetterYou spray once a day because mine is also lowish. Symptoms of being both hypothyroid and hyperthyroid can be very similar in my opinion.

Hopefully someone who is more knowledgeable than I am will be along to comment shortly.

axism profile image
axism in reply toLora7again

Here is the result with the ranges:

FREE T3 : 3.07 pmol/L3.1 - 6.8 R

Many thanks for the info

Lora7again profile image
Lora7again in reply toaxism

Have you tried clicking on more and then edit?

Your T3 is very low as well ... how are you feeling? because with those results I bet you feel terrible. Just to add I once had a TSH of 9 because I was overdosed on PTU and I could hardly get out of bed.

axism profile image
axism in reply toLora7again

I've managed to edit it now.

Yes I don't feel good. Very short of energy, dizzy spells etc..

Lora7again profile image
Lora7again in reply toaxism

You have my sympathies ... my own family used to tell me to pull myself together when I was feeling really ill. Other people have no idea of how ill we are feeling. x

axism profile image
axism in reply toLora7again

Thankyou, I can relate, you just get funny looks from people and even if you try explain it it's usually quickly forgotten.

Nanaedake profile image
Nanaedake

How much levothyroxine are you taking? Are you on other meds? Do you have any stomach problems?

axism profile image
axism in reply toNanaedake

I'm taking 75mg I was in 125mg until I ended up in hospital with a very low TSH which was was out of range I also had Covid, which I now think has done more damage to my Thyroid hence the spike in Thyroxine as the damage was done and low TSH followed by going Hyper and trip to A&E. I think I'm more hypo now my thyroid is probably doing even less than it used to.

SlowDragon profile image
SlowDragonAdministrator in reply toaxism

That was vast reduction in levothyroxine from 125mcg to 75mcg

Hardly surprising that results are now terrible

Most doctors have no idea how a tiny dose reduction may be all that was needed ....reduction to 112.5mcg may have been all that was needed ....if Ft3 was over range

Just low a TSH means absolutely zero ....ALWAYS get Ft4 and Ft3 tested

All thyroid tests should be done as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test

You now clearly need 25mcg dose increase in levothyroxine and bloods should be retested in 6-8 weeks

Important to regularly retest vitamin D, folate, ferritin and B12 ....especially now that you are very hypo

What vitamin supplements are you currently taking

Many people find Levothyroxine brands are not interchangeable.

Once you find a brand that suits you, best to make sure to only get that one at each prescription.

Watch out for brand change when dose is increased or at repeat prescription.

Many patients do NOT get on well with Teva brand of Levothyroxine. Teva contains mannitol as a filler, which seems to be possible cause of problems. Teva is the only brand that makes 75mcg tablet. So if avoiding Teva for 75mcg dose ask for 25mcg to add to 50mcg or just extra 50mcg tablets to cut in half

Teva and Aristo are the only lactose free tablets

healthunlocked.com/thyroidu...

Teva poll

healthunlocked.com/thyroidu...

academic.oup.com/jcem/artic...

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).

Levothyroxine is an extremely fussy hormone and should always be taken on an empty stomach and then nothing apart from water for at least an hour after

Many people take Levothyroxine soon after waking, but it may be more convenient and perhaps more effective taken at bedtime

verywellhealth.com/best-tim...

No other medication or supplements at same as Levothyroxine, leave at least 2 hour gap. Some like iron, calcium, magnesium, HRT, omeprazole or vitamin D should be four hours away

(Time gap doesn't apply to Vitamin D mouth spray)

Nanaedake profile image
Nanaedake in reply toaxism

Your thyroid may be taking a bit of a rest due to still being in recovery from COVID. This would be a natural response to illness and then it will increase thyroxine production as you recover. But you've reduced your levothyroxine rather a lot.

You haven't got elevated thyroid antibodies but have you had an ultrasound showing Hashimotos thyroiditis such as an enlarged thyroid or nodules?

Big changes in thyroid status can make a person feel unwell. You need to maintain stability and any change in dose should be very small and slow and definitely no more than 25mcg change at a time then retest in 6 - 8 weeks.

When you ended up in A&E and were told you were overmedicated, what were your actual thyroid blood test results that evidenced overmedication?

SlowDragon profile image
SlowDragonAdministrator

EBV and Hashimoto’s

EBV

thyroidpharmacist.com/artic...

drhedberg.com/epstein-barr-...

hypothyroidmom.com/hashimot...

drchristianson.com/epstein-...

Are you on strictly gluten free diet?

tattybogle profile image
tattybogle

Have you seen these ? about Covid and deranged Thyroid

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

axism profile image
axism in reply totattybogle

Thanks for the links yes I have read something about that. I feel I have wicked combo of long covid and hypothyroidism at the moment. My thyroid hurt while I had Covid. I think the covid caused me hyperthyroid symptoms putting me in hospital. Now what's left of my thyroid is producing even less thyroxine combined with the levothyroxine reduction which now I've realised hasn't helped.

tattybogle profile image
tattybogle in reply toaxism

I'd show these studies to whoever reduced your thyroxine and discuss raising your dose again, based on your test results which seem to show undermedication.

Even to someone who only adjusts doses by TSH, , a TSH of 9 shouts 'i need an increase'

Since you don't have antibodies, maybe it's more to do with covid effect on HPT axis , than destruction of thyroid itself ?

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