I was not aware of nothing about hashimato’s disease. I am diagnosed at 2012 with 25mg and for years I continued using 50mg. I moved here in during the pandemic and I had difficulty in finding gps who know about this disease. According to my results, My blood tests are coming normal but it is not really. I dont feel at myself and I started to go gluten free.
I hope to feel good again.
Please someone give me the advice about my results.
T4 16.3
TSH 9.3
At the end of April 2021, My doctor asked me to increase to 75mg. I do feel really really sleepy tired since.
I’m looking forward to hear your interpretation.
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Denide
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If you supply the test ranges (numbers in brackets) members can give a more informed answer. You can add them to your post by clicking on the little grey arrow at the bottom of your post and selecting 'edit'.
The reference ranges aren't showing in your post. Please add them so that we can accurately interpret your results.
We know that your TSH is high as most TSH ranges have a top limit no more than 5, but we can't interpret your FT4 result. The range will be something like
If the range is 12-22 then your FT4 is 43% through it's range which, yes, is classed as normal because it's in range, but so is 13 at 10% through range and 21 at 90% through range but you'd feel very different at 21 than you would at 13.
The aim of a treated hypo patient on Levo only, generally, is for TSH to be 1 or lower with FT4 and FT3 in the upper part of their reference ranges if that is where you feel well.
To have a TSH of 9.3 with an FT4 of 16.3 is very unusual. With such a high TSH one would expect FT4 to be very low in range, I wonder if something has affected the result.
Did you drink coffee or other caffeinated drink before the test, as this can affect TSH.
Do you take Biotin or a B Complex, if so did you leave it off for 7 days before the test?
Your high TSH result suggests you are under medicated
GP was correct to increase dose of levothyroxine by 25mcg
Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine
Always test as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test
Which brand of levothyroxine are you currently taking?
Important to also test vitamin D, folate, ferritin and B12
These are often very low when hypothyroid and often need to take vitamin supplements to improve
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 below 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
Come back with new post once you get bloods retested after 6-8 weeks on 75mcg levothyroxine
These informations have enormous value for me. Thank you. I am on Levothyroxine since 2020. Before 2020, I was on Euthyrox. I am going to try to have a detailed blood test then and in July I am going to come back and share my results. Happy to find the community!
Physicians should: 1) alert patients that preparations may be switched at the pharmacy; 2) encourage patients to ask to remain on the same preparation at every pharmacy refill; and 3) make sure patients understand the need to have their TSH retested and the potential for dosing readjusted every time their LT4 preparation is switched (18).
Levothyroxine is an extremely fussy hormone and should always be taken on an empty stomach and then nothing apart from water for at least an hour after
Many people take Levothyroxine soon after waking, but it may be more convenient and perhaps more effective taken at bedtime
No other medication or supplements at same as Levothyroxine, leave at least 2 hour gap.
Some like iron, calcium, magnesium, HRT, omeprazole or vitamin D should be four hours away
(Time gap doesn't apply to Vitamin D mouth spray)
If you normally take levothyroxine at bedtime/in night ...adjust timings as follows prior to blood test
If testing Monday morning, delay Saturday evening dose levothyroxine until Sunday morning. Delay Sunday evening dose levothyroxine until after blood test on Monday morning. Take Monday evening dose levothyroxine as per normal
REMEMBER.....very important....stop taking any supplements that contain biotin a week before ALL BLOOD TESTS as biotin can falsely affect test results - eg vitamin B complex
Do you think is it possible to ask my GP about a detailed tyroid test and hemogram test including minerals and vitamins? I secured a phone call with her at 21 of June. But I am not sure I can convince her for detailed tests.
I personally would obtain a Medichecks full panel, including antibodies. If you’re feeling rubbish, then the medication isn’t’ sorting out the issues. Amazon do a really good thyroid support supplement which has loads of other stuff and I’ve been feeling amazing since switching to that and i’m now concentrating on reducing my thyroid antibodies which is the ‘thing’ that is attacking my thyroid. From the research I’ve done, if you can reduce/eliminate your thyroid antibodies, your thyroid function will go back to normal. Most gp’s don’t even have the knowledge of this and think they’re irrelevant. Lack of training!
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