LEVOTHRYOXINE SODIUM & RESULTS: Hi everyone... - Thyroid UK

Thyroid UK

137,925 members161,752 posts

LEVOTHRYOXINE SODIUM & RESULTS

confusedkm profile image
7 Replies

Hi everyone,

Just looking for some more advice please.

As you can see from my previous posts, I have had a total of 3 blood tests for my thyroid levels.

It was very high in March 2020, but as you can see from my recent results... the levels are in the ‘normal’ bracket.

I have been given medication for this though... levothyroxine sodium 50mg and they will recheck the levels with another blood test in a couple of months.

Can anyone explain to me why they may have prescribed me medication.

Do I have hypothyroidism even though my levels are changing?

Many Thanks 😊

Written by
confusedkm profile image
confusedkm
To view profiles and participate in discussions please or .
Read more about...
7 Replies
Marz profile image
Marz

Have a read through the Replies in your previous posts where members have explained everything about your earlier results. Are you taking all the supplements suggested earlier ?

You have Hashimotos which will contribute to you becoming more and more Hypo. Also as you have Hashi's your results will vary ..

confusedkm Click onto your username to find your earlier posts and replies ...

How are you feeling ? Many people struggle to be treated - sounds as if your GP is supportive .

confusedkm profile image
confusedkm in reply to Marz

thank you very much for taking the time to reply! I am taking the supplements which is why I thought maybe that’s helped towards lowering my thyroid results!

do you think that I have Hashimotos? I personally think so too but it hasn’t been said my a doctor.

I’m feeling awful and this is what I explained to my doctor, I’ve been fighting for something to be done for a while now and luckily this doctor was lovely and listened to what I was saying 😬

Marz profile image
Marz in reply to confusedkm

As stated in my Reply above - you have Hashimotos. Also in your post of one month ago it was also mentioned ... click onto your username in blue on my last Reply if you need confirmation.

SlowDragon profile image
SlowDragonAdministrator

So you are now ready for next 25mcg dose increase in levothyroxine up to 75mcg per day

Bloods should be retested 6-8 weeks after each dose change

guidelines on dose levothyroxine by weight

Even if we don’t start on full replacement dose, most people need to increase levothyroxine dose slowly upwards in 25mcg steps (retesting 6-8 weeks after each increase) until on full replacement dose

NICE guidelines on full replacement dose

nice.org.uk/guidance/ng145/...

1.3.6

Consider starting levothyroxine at a dosage of 1.6 micrograms per kilogram of body weight per day (rounded to the nearest 25 micrograms) for adults under 65 with primary hypothyroidism and no history of cardiovascular disease.

gp-update.co.uk/Latest-Upda...

Traditionally we have tended to start patients on a low dose of levothyroxine and titrate it up over a period of months.

RCT evidence suggests that for the majority of patients this is not necessary and may waste resources.

For patients aged >60y or with ischaemic heart disease, start levothyroxine at 25–50μg daily and titrate up every 3 to 6 weeks as tolerated.

For ALL other patients start at full replacement dose. For most this will equate to 1.6 μg/kg/day (approximately 100μg for a 60kg woman and 125μg for a 75kg man).

If you are starting treatment for subclinical hypothyroidism, this article advises starting at a dose close to the full treatment dose on the basis that it is difficult to assess symptom response unless a therapeutic dose has been trialled.

A small Dutch double-blind cross-over study (ArchIntMed 2010;170:1996) demonstrated that night time rather than morning dosing improved TSH suppression and free T4 measurements, but made no difference to subjective wellbeing. It is reasonable to take levothyroxine at night rather than in the morning, especially for individuals who do not eat late at night.

BMJ also clear on dose required

bmj.com/content/368/bmj.m41

bestpractice.bmj.com/topics...

Levothyroxine doesn’t “top up” your failing thyroid, it replaces it, so it’s important to take high enough dose.

Also extremely important to regularly retest vitamin D, folate, ferritin and B12

Previous post shows low ferritin, so this will need regular testing while on iron supplements

Come back with new post once you get vitamin results

confusedkm profile image
confusedkm in reply to SlowDragon

thank you very much for your reply! I’ll take on board your advice! I am very thankful that there is such a great support system here!

SlowDragon profile image
SlowDragonAdministrator in reply to confusedkm

GP will always call Hashimoto’s autoimmune thyroid disease and probably completely ignore the autoimmune aspect

helvella profile image
helvellaAdministratorThyroid UK

I have just deleted the image attached to your post.

The only reason was that it included your name in clear text.

Please obscure personal details and add it again. :-)

You may also like...

Statins and Levothryoxine

found any issues whilst taken Levothyroxine.? I take liquid 4ml Levothyroxine as had issues with...

\"Mercury Pharma Eltroxin\" and \"Mercury Pharma Levothryoxine\"

Mercury Pharma branded Levothyroxine marketed in the UK by ADVANZ PHARMA. As you are aware...

Why are FT4 and FT3 stuck at the bottom of the range despite increasing Levothryoxine?

seems impossible to get my levels to rise to decent levels. Even though my TSH is supposedly in the

Starting levothryoxine: to keep going or not?

not, I decided not to and to see how it went. I was tested for thyroid antibodies and they were...

Low sodium. Related to hashimotos?

Hello all On two blood tests 3 months apart, my sodium levels have both come back as 133 (range 136...