Hello
I just received my bloods after three months on levothyroxine - 25 micrograms once a day.
TSH: 0.005 T3: 6 T4 13.3
Background: Hashimoto
Should I be on a higher dose? It seems my T3/T4 are in range but TSH suggests I’m hyper..
Thank you!
My previous bloods before treatment were:
First: TSH 0.005 (0.39-5.33), T4 16.3 (7-16), T3 7.3 (3.8-6)
Second: TSH 9.36, T4 6.3
Third: TSH 14.1 T4 7.5
Your results suggest you have Hashimoto’s also called autoimmune thyroid disease
Hashimoto’s frequently starts with transient hyperthyroid results and symptoms before becoming increasingly hypothyroid
Essential to regularly retest vitamin D, folate, ferritin and B12
What vitamin supplements are you currently taking
Have you had coeliac blood test
My gp has just called and said they want me to take levothyroxine 25mcg on alternate days now because of my bloods. They refused to take vit b12
I have asked for coeliac test
Your levels are swinging up and down almost certainly because of Hashimoto’s/autoimmune thyroid disease
Strongly recommend getting full thyroid and vitamin testing done privately in New year
Strictly gluten free diet often helps or is essential
Come back with new post once you get results
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
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 do your tests?
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 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...
Also vitamin D available as separate test via MMH
Or alternative Vitamin D NHS postal kit
If TPO or TG thyroid antibodies are high this is usually due to Hashimoto’s (commonly known in UK as autoimmune thyroid disease).
About 90% of all primary hypothyroidism in Uk is due to Hashimoto’s. Low vitamin levels are particularly common with Hashimoto’s.
Gluten intolerance is often a hidden issue to.
Link about thyroid blood tests
thyroiduk.org/getting-a-dia...
Link about Hashimoto’s
thyroiduk.org/hypothyroid-b...
List of hypothyroid symptoms
thyroiduk.org/signs-symptom...
The aim of levothyroxine is to increase dose upwards until Ft4 is in top third of range and Ft3 at least half way through range (regardless of how low TSH is) ...important to have optimal vitamin levels too as this helps reduce symptoms and improve how levothyroxine works
20% of Hashimoto's patients never have raised antibodies
New Blood Results after changing from Levothyroxine to Armour
First bloods since starting Levothyroxine 
Latest thyroid results after reducing Levo
First bloods after starting Levothyroxine 
Latest results after dosage change
