Help with results, apparently I’ve swung hyper - Thyroid UK

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Help with results, apparently I’ve swung hyper

Jessica1987 profile image
5 Replies

Hi all

On 75mcg Levo but Medichecks test done 15/12/2020 is showing that My TSH is too surpressed (it started out at 7 back in July) and my T4 and T3 are now above the top of the reference range

I think a step change down to 50 would be a good idea, but wondering how long levels will take to normalise back down?

No notable symptoms, just slightly higher heart rate but overall feel fine! However I don’t want to be off the top of the scale as I can’t imagine that’s good?

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Jessica1987 profile image
Jessica1987
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5 Replies
SlowDragon profile image
SlowDragonAdministrator

So high thyroid antibodies confirms autoimmune thyroid disease - though GP may not agree as only TG antibodies are raised

Did you do blood test as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test?

Do you always get same brand of levothyroxine?

Suggest you reduce dose a TINY amount. 50mcg twice week and 75mcg 5days week

Retest in 6-8 weeks

Are you on strictly gluten free diet

When were vitamin D, folate, ferritin and B12 last tested

What vitamin supplements are you currently taking

helvella profile image
helvellaAdministratorThyroid UK

At the start of the reports of interference from biotin, the issue was discussed regarding Multiple Sclerosis patients who were taking absolutely massive doses of biotin. Like "three daily doses of 100mg".

The maximum dose of biotin available from a UK chain is 5000 micrograms. That is, 5 milligrams. Just 5% of the dose being used for MS - and probably only taken once a day!

Most "B complex" and other multi-ingredient supplements will have far less.

Our actual established daily requirements are as low as 35 micrograms a day. We might get that much from our diets.

There has never been evidence of interference with tests from the sort of dose we get in our diet.

To begin with, the advice was that two days was plenty of time without biotin. This is very likely plenty for low dose biotin - somewhere near daily requirement level.

To be absolutely sure, it is often suggested laying off biotin for a week. It is a short, easy to remember, safe and probably universally acceptable time. But almost certainly excessively long for people who just get a little biotin in a multivitamin or B-complex.

I feel that while everyone should be aware of the issue, it is getting people excessively worried.

healthunlocked.com/thyroidu...

Rapunzel profile image
Rapunzel in reply to helvella

Word. Have a great Christmas Rod x

tattybogle profile image
tattybogle

do you mean Skew /Skewed :)

'Skewer' being a cooking implement for sticking in things.

Sorry for being pedantic.

tattybogle profile image
tattybogle

lol

x

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