GFR ....MDRD 83(90-500.0) Below low reference limit!!
Potassium 4.0(3.5-5.3)
Calcium 2.48(2.2-2.6)
My bloods don't look too bad. I take 150mcg levothyroxine (Teva)...I increased it myself a few months ago as I was so constipated & tired(had uterine cancer op in April)...it improved constipation...but I now feel dreadful...so,so tired..v.bad low back pain & I have v.painful knees(had 3 meniscus tear ops). I also have bad indigestion...(since gall bladder op...I have large build up of bile...cannot take painkillers as it causes stomach ulcers! Surgeon dropped gall stone & couldn't find it..so his search obviously damaged something...had 2 gastroscopys last year 1st showed inflames stomach/ulcer...on PPIs for 8 weeks to 2nd gastroscopy where stomach lining & ulcer good...but still loads of bile...GP left it there...so still have loads of bile!!).
My grandmother died of Penicious anaemia..Lack B12...my mother was hypothyroid & my son & one daughter hypo.
Please advise...I have tel.appmt with GP next week...so want to be able to suggest something to her.
Thanks folks
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PolyannaYorkshire
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Sorry to hear about your gastric issues - what a shambles!
I agree your bloods don't loo too bad Don't let the GP bully you about under-range TSH; your free T4 is 2/3 through range (67.6%) so increasing dose as you did seems very sensible to me. Remember you are only over-medicated when T3 is over-range, and yours hasn't been tested. So maybe ask if next time they will test TSH, free T4 and free T3 together x
Thank you so much fuchsia-pink!! Not like me to feel so down!! I'm usually the one getting everyone into action ..hence the meniscus tears. Too much fell walking..ha😅
Obviously essential to test TSH, Ft4 and Ft3 together
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
Only test on Monday or Tuesday morning and post back via tracked postal service
cheapest option via NHS postal kit TSH, FT4 and FT3
£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code
Thanks Slow Dragon. I had bloods done first thing in am and hadn't had levothyroxine since 3am the previous day. Yes I thought D3 would have been done....I thought my current poor health was maybe B12 related but that reading looks OK. Thanks for your help.
Igennus Super B is good quality and cheap vitamin B complex. Contains folate. Full dose is two tablets per day. Many/most people may only need one tablet per day. Certainly only start on one per day (or even half tablet per day for first couple of weeks)
Or Thorne Basic B is another option that contain folate, but is large capsule
If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
With such low B12 result taking a B12 supplement as well as a B Complex (to balance all the B vitamins) initially for first 2-4 months, then once your serum B12 is over 500 (or Active B12 level has reached 70), stop the B12 and just carry on with the B Complex.
Thank you Slow Dragon. I have printed off your info. I have a phone appmt with my GP next week to discuss my bloods...v.difficult getting a GP appmt...no one answering phone..cannot make appmt at GP reception...ended up having to do an eConsultation just to get bloods done (& same again for GP appmt) so I wanted to try to have as much info to hand for the call as I don't feel good!! So Thanks...much appreciated
In general, which comes first : getting levo up to the dose which will raise T4 sufficiently while supplementing any low vitamins, or, getting T3 checked alongside TSH and T4 while vitamin supplementing has only just begun? Should one wait for optimal vitamins before private testing T3?
At moment GP/endo will only look at very low TSH and want to reduce levothyroxine
Getting vitamin levels optimal may help improve low TSH so you can get dose increase in levothyroxine
I would work on getting vitamins optimal first unless you come under pressure to reduce dose levothyroxine - if that happens get TSH, Ft4 and Ft3 tested - almost certainly will show low Ft3
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