I suffer from hashimotos, and diagnosis of of fibromyalgia and chronic fatigue I also have done a private cortisol and have high cortisol levels which I am working with a naturopath to try reduce.
I managed to get a NHS endo to do me thyroid bloods at Xmas currently I am taking 1.5 grains of NP NDT and and previous when bloods I was taking same dose but on WP before it went out of stock.
These are my results I want to try increase my T4 levels as years back when I actually felt well my T4 was 18 but I was only on T4 levo 50 and taking alot of vitamins since then had a lot of hormonal issues and symptoms got worse last 6 years
Does anyone have any advice on how to upp T4 I am starting to supplement again I just had to come off them due to a severe bacterial infection of helicobacter in my stomach.
Free T4 11.2
Free T3 6.3
TSH 1.1
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Merlio18
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As you have Hashimoto’s Are you on strictly gluten free diet
What vitamin supplements are you currently taking
On NDT Ft4 is often low. But usually TSH is very low when on adequate dose NDT
For full Thyroid evaluation you need TSH, FT4 and FT3 tested.
Also EXTREMELY important to test vitamin D, folate, ferritin and B12
Low vitamin levels are extremely common with Hashimoto’s
Ask GP to test vitamin levels
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)
If/when also on T3, or NDT 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
Is this how you do your tests?
Private tests are available as NHS currently rarely tests Ft3 or thyroid antibodies or all relevant vitamins
You need to add the reference ranges for your results so that we can interpret them, ranges vary from lab to lab.
What we can probably deduce from what you have posted is that your FT3 is on the high side and FT4 is probably on the low side, and this is what we usually see when someone is on NDT.
You need to tell us when you took your last dose of NDT before the test - it should be 8-12 hours before blood draw.
If you want your FT4 higher then you'd either need to add Levo or go onto Levo plus T3 to get the right balance.
If you were fine on Levo only with an FT4 of 18, why did you start taking NDT?
I wasn't well on levo only it was just one year I stabalised, I was on liothyronine combination for several years until they blacklisted it, I started reacting to levo and the brand of liothyronine the hospital prescribed so then had to self source.
I am gluten free yeah and the bloods for done without NDT in my system for over 12 hours.
I just don't feel totally well with my T4 at 11 ish I want to try get it mid range. It could be Cortisol issues and hormonal imbalance
So what are the reference ranges for your results so that we can interpret them properly?
And exactly how long before the test did you take your last dose of T3? You say it was "over 12 hours" which, if your FT3 is near the top of the range, probably means that your FT3 could be over range if last dose of NDT was taken at the proper time which might mean that you are overmedicated.
I kept it to 1.5 grains as couldn't split NP into quarters and don't no my levels at the moment so been 3 months now since last bloods.
I am not sure I took NDT in the morning thinking about it at 6am as my appointment was at 4pm in afternoon and I had bloods after about 5pm that day at the hospital so was around 8-12 hours
Ranges are standard ranges that
NHS use all the ranges I have ever had have always been around these ranges which would make no difference to my blood results I just want to try increase my T4 levels to mid range around 16 and wondered if any one on NDT had managed to do it
There are no standard ranges that the NHS uses, each lab has their own. If your surgery uses the same lab each time then obviously your ranges will always be the same, but it doesn't mean that another NHS uses those ranges.
For example, my NHS lab uses 7-17 for FT4, and we often see on here 9-19, 11-23, 12-22 and others.
It might be worth getting up to date tests done with correct timing, as you have Hashi's levels can fluctuate anyway.
The only way to increase FT4 when on NDT is to add extra T4 in the form of Levo. If you add more NDT you will increase your FT3 and this is already at or near the top of the range.
Optimal nutrient levels are needed for thyroid hormone to work properly and good conversion of T4 to T3, but it's the actual thyroid hormone T4 you appear to need.
If you have a reaction to levothyroxine then it might be the fillers so try another brand, if all brands of tablets cause reactions then there is Tirosint (liquid in a capsule) or levothyroxine liquid to try.
Hi thanks I have tried alot of brands and also the liquid which made me rough as I have estrogen issues too and I don't think I tolerated it well so settled for NDT
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