Dr Annice Mukherjee: Hello, If anyone has... - Thyroid UK

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Dr Annice Mukherjee

LadyLovely84 profile image
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Hello,

If anyone has experience of this Dr please will you PM me? I’m looking for a private endo in NW England as being fobbed off by GP. Concerned I may have Hashimotos, already have low ferritin and high TIBC, coeliacs, flooding periods, fibrocystic breast disease, lactation though not pregnant, depression, low blood pressure, fast heart rate, low body temperature, numbness and pins and needles in extremities, IBS, chronic right sided abdominal pain, low rt3, family history of Hashimotos and graves and diabetes. I have poor quality of life and I’m only 37 but feel 50 years older than that. Currently awaiting blood test results too.

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SeasideSusie profile image
SeasideSusieRemembering

If anyone has any information, please reply by private message as requested as we can't discuss individual doctors on the forum without their permission. I will turn off replies so that no informatin is posted here.

SlowDragon profile image
SlowDragonAdministrator

Before seeing any thyroid specialist endocrinologist, especially if paying you need to get FULL thyroid and vitamins tested BEFORE consultation

How much levothyroxine are you currently taking

Do you always get same brand

What vitamin supplements are you currently taking

As you have Hashimoto’s are you on absolutely strictly gluten free diet

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

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, 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

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.co/tests/thyroid-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...

monitormyhealth.org.uk/

NHS easy postal kit vitamin D test £29 via

vitamindtest.org.uk

If taking any supplements that contain biotin it’s important to stop taking a week before ALL Blood Tests as biotin can falsely affect test results

Suggest you write new post ....with most recent results

Email Thyroid UK for list of recommend thyroid specialist endocrinologist

.NHS and Private

tukadmin@thyroiduk.org

The aim of levothyroxine is to increase dose upwards in 25mcg steps until TSH is ALWAYS under 2

When adequately treated, TSH will often be well under one.

Most important results are ALWAYS Ft3 followed by Ft4. When adequately treated Ft4 is usually in top third of range and Ft3 at least 60% through range (regardless of how low TSH is)

Extremely important to have optimal vitamin levels too as this helps reduce symptoms and improve how levothyroxine works

Strictly gluten free diet frequently essential

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