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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LadyLovely84
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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
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
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