Blood test results

[Miffyblue]

Hi can anyone help me interpret my blood test results. I’ve been on Levi for 25 years (from 50 - 175 mcg) since menopause, my test results indicate that my Levo dose is too high. My gp cut my dose to 125 and I felt awful - mainly unable to catch a deep breath like being interrupted mid yawn and feeling sluggish. I’d been on 175 for Bout 10 years and felt fine. Any pointers most appreciated

[jgelliss]

Miffyblue Health and Strength for you. It's very concerning from a patients prospective . If a patient feels well on one dose that lowers the TSH but continues to feel well on that dose .Why would a Dr/Endo then go ahead and lower the dose that worked well ? Dr's that dose by TSH are not Dr's that understand how to dose patients *Optimally*. Symptoms are cellular results and as such one needs to respect the patients over lab results . Lab results are just a snap shot of the moment the labs where down at that time.

Why don't you try alternating 150 mcg T4 with 175 mcg T4 and see/feel how that works for you ? Lowering the dose from 175 mcg to 125 mcg is a huge reduction. What your Dr should have done is to reduce your dose if he felt that indeed your dose was too high for you was lower 25 mcg one day only per week and see/feel how that feels. He also missed an in between dose 137 mcg.

But if you feel your best on 175 mcg T4 why not hold on to it ???

Tiny doses make a huge difference. Slow and steady wins the race.

Nutrients are very valuable they help our thyroid meds work better for us.

Vitamin "D"/ K2 , Zinc, B-Complex, B-12/folate, Iron , magnesium, vitamin "C", Celtic Sea Salt for electrolytes/ adrenals.

Stay Strong and Positive.

[Miffyblue in reply to jgelliss]

Thank you

[SlowDragon Administrator]

Your cortisol is extremely high

Hidden might pop along to comment

Cortisol might reduce as levothyroxine dose is increased slowly back upwards

Ft3 only 43% through range

Helpful calculator for working out percentage through range

chorobytarczycy.eu/kalkulator

So you either need levothyroxine dose increase or addition of T3 prescribed alongside levothyroxine

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,

"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.

In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.

Most patients will feel well in that circumstance.

But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.

This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."

(That’s Ft3 at 58% minimum through range)

You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor



please email Dionne at

[e-mail]

Vitamin B12 low

[Miffyblue in reply to SlowDragon]

Thank you so much- this is really helpful.

[SlowDragon Administrator in reply to Miffyblue]

Did you stop vitamin B complex a week before test?

Biotin in vitamin B can falsely affect test results

Week before test, recommend instead just supplementing separate folate and separate B12 ....helps maintain optimal levels

[Hidden]

Hi What time was your blood test done? Your cortisol result of 633 is high. Have you gained weight, especially round your tummy? Do you struggle with insomnia, have round flushed face, high BP, losing hair but have facial hair? If you are not on the oestrogen contraceptive pill, HRT or Biotin the your GP needs to check you out for Cushing's syndrome. I can help you further if you need to know more.