Beanie, don't forget to mention that for those labs, you took your levo and T3 about 2.5 hours before the blood draw. So, they don't count - apart from the TSH.
Oh, and you should also mention that all your blood draws are at around 2 pm.
You should always test as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test
Important to take 1/3rd of daily T3 dose roughly 8-12 hours before test
This gives most consistent results
Do you have Hashimoto’s? Autoimmune thyroid disease diagnosed by high thyroid antibodies
Essential to regularly retest vitamin D, folate, ferritin and B12
Hashimoto's and Graves’ disease frequently affect the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Important to maintain optimal vitamin levels
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.
approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Many Greaves disease patients also find strictly gluten free diet is extremely beneficial
Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first
I’ve done the celiac serumPanel, which was negative. I’ve been tested for pretty much everything under the sun. All autoimmune diseases. Nutrients. CMP/CBC all the time.
Iron panel etc.
The only thing other than thyroid is the vitamin D and my cortisol is wacky.
My dose is pretty high for my weight going off the 1.6xkg rule. I am
the best paper on this that I have seen indicates that a TSH of 0.03-0.5 is best on therapy. Above that is insufficient and below MAY or MAY NOT indicate slight overdosing
Interestingly, patients with a serum TSH below the reference range, but not suppressed (0.04–0.4 mU/liter), had no increased risk of cardiovascular disease, dysrhythmias, or fractures. It is unfortunate that we did not have access to serum free T4 concentrations in these patients to ascertain whether they were above or within the laboratory reference range. However, our data indicate that it may be safe for patients to be on a dose of T4 that results in a low serum TSH concentration, as long as it is not suppressed at less than 0.03 mU/liter. Many patients report that they prefer such T4 doses (9, 10). Figure 2 indicates that the best outcomes appear to be associated with having a TSH within the lower end of the reference range.
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