Hi
For those who have been following what I’ve been posting, my GP re-test results have come back. Although not been contacted as my GP is seeking advice from a specialist.
Also done a full blood count will post that after as I can’t seem to do both images.
Can anyone help me understand please?
Thank you.
These tests clearly show you have hypothyroidism
High TSH, well over top of range
As is common when hypothyroid you also have folate deficiency and vitamin D deficiency
B12 very low
You also need to have ferritin tested
GP should be starting you on levothyroxine
Standard starter dose of levothyroxine is 50mcg.
Bloods should be retested 6-8 weeks after each dose increase
Dose is increased slowly upwards in 25mcg steps until TSH is stable UNDER 2
Important to also be prescribed vitamin D and folic acid to improve low vitamin levels
Hypothyroidism is EXTREMELY common, your GP should be well aware how to treat ..
Vitamin D
GP should prescribe 300,000iu in total of Vitamin D over 6-8 weeks.
NHS Guidelines on dose vitamin D required
ouh.nhs.uk/osteoporosis/use...
GP will often only prescribe to bring levels to 50nmol.
Some areas will prescribe to bring levels to 75nmol or even 80nmol
leedsformulary.nhs.uk/docs/...
GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)
mm.wirral.nhs.uk/document_u...
Once you Improve level, you will need on going maintenance dose to keep it there.
Test twice yearly via vitamindtest.org.uk
Vitamin D mouth spray by Better You is very effective as it avoids poor gut function. There’s a version made that also contains vitamin K2 Mk7
amazon.co.uk/BetterYou-Dlux...
It’s trial and error what dose we need,
Calculator for working out dose you may need to bring level to 40ng/ml = 100nmol
grassrootshealth.net/projec...
Government recommends everyone supplement October to April
gov.uk/government/news/phe-...
Taking too much vitamin D is not a good idea
chriskresser.com/vitamin-d-...
Web links about taking important cofactors - magnesium and Vit K2-MK7
Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine
betterbones.com/bone-nutrit...
medicalnewstoday.com/articl...
livescience.com/61866-magne...
sciencedaily.com/releases/2...
Vitamin K2 mk7
betterbones.com/bone-nutrit...
healthline.com/nutrition/vi...
2 good videos on magnesium
See/speak to different GP
gp-update.co.uk/Latest-Upda...
See flow chart on top of page 2
It’s quite clear
TSH over 10 equals lifelong treatment with levothyroxine
Starting on 50mcg levothyroxine while vitamins are slowly improved by supplementing
You will need several more dose increases in levothyroxine over the coming months
