Hi there again,
I posted last week about levothyroxine, supplements and maybe adding t3 and had some great advice thank you. So I had my blood done at the doctors this week and got the results.
TSH 0.25 mu/L (0.30-5.50)
Free t3 3.8 pmol/L (3.1-7)
Free t4 23.0 pmol/L (11.5-22.7)
Ferretin 67 ug/L (6-81)
B12 423 ng/L (223-1132)
Folate ug/L (3.9-20)
Vit D 52 nmol/L (50-125)
So t4 has dropped slightly from last bloods at 25 as expected as I dropped 25mg on two days a week two months ago now. T3 stayed exactly the same, I am aware it’s still showing a poor conversation and have spoke to nuclear medicine who I am under they are contacting me about adding some t3 alongside my t4. TSH had gone up slightly from 0.1 but if t4 has dropped I guess that’s expected and should drop back again when t3 is added.
B12 went up slightly from 357 I had been taking multivitamins and a b complex but rubbish brands and stopped these a week before. I am aware it still needs raising further and I am going to supplement with one the items previously recommended and also a good B complex.
Folate has gone up slightly from 6.6 and presume this will increase more when I start the B12 and B complex supplements?
Ferritin is this level ok?
Vitamin D is obviously very low and just wondering which are the best products supplement wise to help with this please?
Only other question was I’ve been having a lot of chest and back pain recently, I have seen a physio etc but it’s just been getting gradually worse. I saw my doctor yesterday about this and they think it’s to do with reflux etc. I am not sure it is as doesn’t get worse after eating really, it’s not bad in the morning when usually something like that would be. They want me to try omeprazole for six weeks but I’m not sure whether this is the best thing to do when going to start supplements and maybe t3 in the near future?
Thanks for reading and any advice is greatly appreciated 😊
Do you always get same brand of levothyroxine Which brand of levothyroxine ?
Multivitamins are never recommended on here.
There’s no folate result
Vitamin D is far too low
Aiming to improve vitamin D to at least around 100nmol
B12 still too low
Most hypothyroid patients have LOW stomach acid
Omperazole is to treat HIGH stomach acid ....if you have to take it, it needs to be as far away from levothyroxine as possible
Any PPI should only be used for short course. Often people get left on them for years
Low stomach acid can be a common hypothyroid issue
Thousands of posts on here about low stomach acid
healthunlocked.com/search/p...
Web links re low stomach acid and reflux and hypothyroidism
nutritionjersey.com/high-or...
articles.mercola.com/sites/...
thyroidpharmacist.com/artic...
stopthethyroidmadness.com/s...
healthygut.com/articles/3-t...
naturalendocrinesolutions.c...
Protect your teeth if using ACV with mother
healthunlocked.com/thyroidu...
Ppi and low vitamin levels
gov.uk/drug-safety-update/p...
webmd.com/heartburn-gerd/ne...
pharmacytimes.com/publicati...
PPI and increased risk T2 diabetes
gut.bmj.com/content/early/2...
Thanks for your reply.
So sorry folate was 9.9 ug/L (3.9-20), it was 6.6 last time it was tested.
No don't always get same brand of levothyroxine, have been on accord and teva recently but have had mercuryphama and wockhart in the past. Picked up my prescription yesterday and did think is it worth asking pharmacy to stick to same brand. Although I take 125 mg five days a week so I know some comapines only make certain size tablets.
I have been reading some of the posts about low stomach acid and hypothyroid, I'm not keen to try omeprazole at all, I have in the past and not found its done much for me.
Mercury Pharma brand makes 25mcg. 50mcg and 100mcg
Accord only make 50mcg and 100mcg
Different brands are not interchangeable.
100mcg in one brand will not be exactly same dose in another brand
So you are taking 125mcg x 5 and ......100mcg two days a week?
You have very poor conversion
Highly likely to need small dose T3 prescribed alongside levothyroxine
But you need vitamins optimal first
Folate isn’t bad, taking vitamin B complex will help improve both
Ok I will ask from now if I can be given the same brand.
Yes I'm taking 125mcg five times a week and 100mcg two days a week. With my t4 at 23 do I stay on the current dose when start adding t3 or reduce t4 as well?
What small dose of t3 would you suggest at first?
I'm going to order the vitamins tomorrow and start on them asap, I think by the time nuclear contact me and sort out prescribing the t3 it will be at least a few weeks at best.
Thank you again for all your advice 😊
Starting one vitamin supplement at a time generally recommended
Wait 7-10 days to assess before adding another
Perhaps start with vitamin D, then vitamin B complex, then b12
Meanwhile look at increasing iron rich foods in diet to help maintain ferritin over 70
Endocrinologist should advise on how much T3
Suggest you retest TSH, Ft4 and Ft3 just before starting T3
Yes, if Ft4 is still this high, perhaps reduce to 100mcg daily. 3-4 days after reducing, SLOWLY add 5mcg T3 in morning......wait a week or so
If going ok, add 2nd 5mcg dose T3 roughly 12 hours later..
Probably hold at that for 6-8 weeks before retesting
Day before test
when also on T3, make sure to take last third or quarter of daily dose 8-12 hours prior to test, even if this means adjusting time or splitting of dose day before test
Ok thank you. Also is t3 the same as t4 in that you should take it at least and hour before food?
By and large yes.....but it’s absorbed pretty quickly