Hi , the last 6 months I have been on eltroxin 50/25 alternative days.Vitamin d , b12 and testosterone have all been tested this year ..... all were in range b12 was at the lower end tho.
Next bloods are next week ...with endo appointment end of month.
Not got my last bloods .... they were taken in june
Jesus wept ....that’s a minuscule dose....surprised your functioning at all
Standard starter dose of levothyroxine is 50mcg-100mcg
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, or near, full replacement dose
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.
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.
When I came off after Xmas, I was on 50/75 alternative days .... I did go up to 75 previously but that made me really ill as in hyperthyroidism symptoms
You are legally entitled to printed copies of your blood test results and ranges.
The best way to get access to current and historic blood test results is to register for online access to your medical record and blood test results
UK GP practices are supposed to offer everyone online access for blood test results. Ring and ask if this is available and apply to do so if possible, if it is you may need "enhanced access" to see blood results.
In reality many GP surgeries do not have blood test results online yet
Alternatively ring receptionist and request printed copies of results. Allow couple of days and then go and pick up.
Important to see exactly what has been tested and equally important what hasn’t been tested yet
Far too often only TSH is tested which 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 regularly test vitamin D, folate, ferritin and B12
Strongly recommend getting FULL thyroid and vitamin testing done
Low vitamin levels are extremely common, especially as you have Hashimoto’s
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)
Is this how you did your last tests?
Private tests are available as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins
First time around it was teva ..... then I come off meds for 6months and felt pretty good...... had a blood test and endo encouraged me to try eltroxin which I'm currently taking.Vitamin test was done in June.
Plus I always take first thing in the morning fasted.
So test must be done as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test
TSH, Ft4 and Ft3
Essential to test vitamin D, folate, ferritin and B12 too
You are legally entitled to printed copies of your blood test results and ranges.
The best way to get access to current and historic blood test results is to register for online access to your medical record and blood test results
UK GP practices are supposed to offer everyone online access for blood test results. Ring and ask if this is available and apply to do so if possible, if it is you may need "enhanced access" to see blood results.
Have you had your testosterone and SHBG checked. If you’re hypo these can be significantly impacted.
You can push your GP to check this or if not get an endo to check. You can google symptoms of low testosterone and see which ones you have, make a note of them and then push for testing. This will show up if indeed you have issues.
You could of course get a full Sex hormone profile done privately with one of the online services which is easier and costs around £100-£150 depending on number of things you check.
If you are going private also add in Estrogen, LH, FSH and DHEAS.
If these are out of range or even close to the end of range you have enough evidence to push for further treatment.
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