Advice about low temperature please: Does anyone... - Thyroid UK

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Advice about low temperature please

Mollyfan profile image
10 Replies

Does anyone else have a low body temperature despite “ adequate thyroid replacement”?

I would be very grateful for advice…. My basal temperature is 35.5 and never above 36 despite levothyroxine 125 and liothyronine 20 per day. Should I take any notice?

I feel very much better with the addition of lio, but honestly don’t know what normal is! My suspicion is that I am still moderately hypo but would appreciate your comments. Thanks!!

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Mollyfan profile image
Mollyfan
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Mollyfan profile image
Mollyfan

Recent results.

Recent vitamin results
SlowDragon profile image
SlowDragonAdministrator in reply to Mollyfan

What vitamin supplements are you currently taking

Aiming for Vitamin D at least around 80nmol and around 100nmol maybe better

Folate is low but B12 is good

supplementing a good quality daily vitamin B complex, one with folate in (not folic acid) may be beneficial to improve low folate .This can help keep all B vitamins in balance

Difference between folate and folic acid

chriskresser.com/folate-vs-...

B vitamins best taken after breakfast

Igennus Super B is good quality and cheap vitamin B complex. Contains folate. Full dose is two tablets per day. Many/most people may only need one tablet per day. Certainly only start on one per day (or even half tablet per day for first couple of weeks)

Or Thorne Basic B is another option that contain folate

IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

radd profile image
radd

Mollyfan,

I would say your thyroid hormone levels are ok as FT4 often goes low when T3 is added. Others might suggest you raise Levo a little but I would wait longer as long as your ferritin levels are adequate (you have not added an iron test result) and are not suffering other hypo symptoms.

Although you have been medicating for years it is quite likely that you have only been 'optimal' since adding the T3. Therefore, you have a lot of rebuilding to do. I added T3 about 5 or 6 years ago and this winter was the first ever I slept without an electric blanket on my bed. I marvel at being so deliciously warm now as previously had spent my whole life cold.

Have you had iron levels tested?

Mollyfan profile image
Mollyfan in reply to radd

Thanks for that, it is really helpful. My ferritin is, if anything, over range.

I am not sure what normal is..... happy to wait and see as I am definitely better. I am so glad you feel well even if it has taken so long.

Ferritin
SlowDragon profile image
SlowDragonAdministrator in reply to Mollyfan

Presumably you are post menopause

Assuming you are not taking any supplements that contain iron....if you are definitely stop immediately

Ask GP to do full iron panel test to see if iron is also high

As you have Hashimoto’s, it’s likely ferritin is high due to inflammation. But important to check iron levels not high due to hemochromatosis

Mollyfan profile image
Mollyfan in reply to SlowDragon

Thank you, yes I think it is inflammation. My CRP was 10 and has reduced to 5 on 3 months of lio. My GP checked my iron panel and it seemed OK.

Thanks for the advice.

Iron panel Nov 2020
SlowDragon profile image
SlowDragonAdministrator in reply to Mollyfan

I have similar ferritin and iron results (hashimoto’s too)

Mollyfan profile image
Mollyfan in reply to SlowDragon

It is so interesting….. everything is connected and relevant!

Zazbag profile image
Zazbag

In your shoes I'd increase my levothyroxine to 150mcg. I'm on 150mcg levothyroxine and 20mcg liothyronine. When I was on 125mcg levothyroxine and 25mcg liothyronine my feet were always cold. 150mcg levothyroxine keeps my feet warm.

Mollyfan profile image
Mollyfan

Thanks, I may well give that a go as I definitely still feel cold. What a steep learning curve!

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