Should I stop my thyroxine

[Wee_Bird]

I have previously been on a dose of 75mcg Levo. After having a baby 13 weeks ago. My thyroid results are showing at T4 of 54 (range 12-22) and a TSH of 0.01 (range .27-4.2) which is well outside my usual readings.

Should I stop taking my Levo immediately?

I’m also due to have a procedure under general anaesthetic next week. Can A high T4 of 54 cause any issues?

Thanks

[SlowDragon Administrator]

Yes you need to stop levothyroxine at the moment, you may need to restart again once levels drop

This is likely a Hashimoto’s flare

Have you had thyroid antibodies tested?

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested. Also EXTREMELY important to test vitamin D, folate, ferritin and B12

Low vitamin levels are extremely common, especially if you have autoimmune thyroid disease (Hashimoto's) diagnosed by raised Thyroid antibodies

Ask GP to test vitamin levels and thyroid antibodies NOW if not been tested yet

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)

Private tests are available as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins

List of private testing options

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Thriva Thyroid plus antibodies and vitamins By DIY fingerpick test

thriva.co/tests/thyroid-test

Thriva also offer just vitamin testing

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins by DIY fingerprick test

bluehorizonbloodtests.co.uk...

If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/thyroid

Also vitamin D via MMH

Or

Vitamin D NHS

vitamindtest.org.uk

Likely your procedure will be postponed.

Anaesthetist would be unlikely to want to proceed with such high levels

[SlowDragon Administrator]

Did you have dose levothyroxine reduced back down after pregnancy?

This may be causing higher levels

How much levothyroxine are you currently taking?