Hiya i am finally sleeping ok but when I wake and all through the day I have the shakes and fuzzy head all day my levo has been reduced from 150mg to 125mgs 2 weeks ago still feel so tired even though I am getting 7 to 8hrs sleep a night. My T4 was 32 2 weeks ago feeling hopeless at mo as cannot do anything physically demanding been off work 9 weeks now.Even my feet feel like they sweating all the time.
Ranges from last year or so
2019
T4 21
Tsh 2.9
May 2020
Tsh 13
T4 19
Oct 20
Tsh 0.24
Jan 2021
Tsh 0.78
10 2021 August monitor my health
Tsh 0.29
T4 31.4
FT3 5.4
31 August 2021
Tsh 1.37
T4 32
T3 5.4
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sunsation1
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Suggest you look at getting FULL Thyroid and vitamin testing done after 6-8 weeks on 125mcg levothyroxine
Which brand of levothyroxine are you currently taking
Is this always same brand
What vitamin supplements are you currently taking
When were vitamin D, folate, ferritin and B12 last tested
You could ask GP to test vitamin levels now
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)
Is this how you do your tests?
Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a B12 supplement as well as a B Complex (to balance all the B vitamins) initially for first 2-4 months, then once your serum B12 is over 500 (or Active B12 level has reached 70), stop the B12 and just carry on with the B Complex.
The present review of the literature regarding B12 status among vegetarians shows that the rates of B12 depletion and deficiency are high. It is, therefore, recommended that health professionals alert vegetarians about the risk of developing subnormal B12 status. Vegetarians should also take preventive measures to ensure adequate intake of this vitamin, including the regular intake of B12 supplements to prevent deficiency. Considering the low absorption rate of B12 from supplements, a dose of at least 250 μg should be ingested for the best results.3
supplementing a good quality daily vitamin B complex, one with folate in (not folic acid) may be beneficial.This can help keep all B vitamins in balance and will help improve B12 levels too
Thorne Basic B is a recommended option that contains folate, but is large capsule. You can tip powder out if can’t swallow capsule
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
Hiya, looking at your results some well most nutrient levels need increasing. B12 needs to be at the top of the range, ie 770
Folate about 2/3-3/4 of the range
Ferretin needs to be at about 100 or 2/3rds of the range (could be a source of your fatigue)
Often in hypothyroidism there's an imbalance in the Copper Iron/Ferretin and Zinc triangle of nutrients, example is say high copper could be suppressing your ferretin. Also vitamin C and B2 is needed for proper absorption of iron. Plus Levothyroxine depletes Iron/Ferretin
Also often stomach acid is low, hypochloridria this prevents proper nutrient breakdown and absorption. Amino acids are also linked too as to make stomach acid, we need the amino acid Histidine, + Zinc and B1/thiamine. The amino acid for thyroid is Tyrosine ie T4= 1 molecule of Tyrosine and 4 molecules of iodine. To ensure I get all my amino acids I use a whey protein shake with almond milk, I made the mistake of taking it after dinner and didn't realise that that's why I got energy an hour or so afterwards, now it's in the AM Protein fires all things up including helping the Liver too.
I use whey Protein from Simply Supplements with almond milk I use one scoop in about 300ml of milk even chuck in some blueberries too. Simply Supplements is a brand I trust for quality, I also used Nature's Best B50 B Complex
No it's not weight loss one, is appetite issue being no appetite..?? If so I know/knew the feeling. Whey protein gives a satisfying appetite feeling full longer without cravings so does fibre carbohydrates should come from mainly vegetation, simple carbs like bread biscuits, too much cheese cause fatigue ie crashes, never mind low thyroid hormones or low iron...
There's about 5 flavours of the whey protein anyway here's a link
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Advice on Blood Work Please 
advice on bloods please
T3 Supplementation Advice Please.
Dose changes advice please 
advice on results please
