Dose increase advice

[J675]

Morning All. Can I have some of your collected advice on my T4 dosage, please? I was on 100mcg/day Aristo taken at 04.30 with just water. I'd been on that dose for 9 weeks and I was in 75mcg for a couple of years prior to that. My recent private results confirm how I feel (= awful joint pain, insomnia, constipation, massive hair loss and all the other joys of hypothyroidism) is possibly due to slightly low T3&4 levels. My test was taken at 6am, 24 hours after last dose, no biotin for seven days and only water to drink. I've been gluten free for a couple of years and I went dairy free a few months ago. My last ferritin test was 27 and I'm now on prescription iron and my slightly low vitamin D levels are being supplemented with Betteryou D3 and K2. Enough other supplements taken throughout the day to make me rattle!

I raised my levo to 125mcg six days ago and I'm now incredibly hot, especially in comparison to being cold for most of my adult life. Resting heart rate still around 60ish and no other overt over medication symptoms. Have I raised my levo too much and need to drop to 112.5? Or is this just an acclimatisation period while my body gets used to the additional hormone?

TIA 😉

[Lalatoot]

After an increase it is normal to feel worse before symptoms ease. For me it is usually weeks 2 and 3 after an increase that are the worst. I would keep going for 8 weeks and then bloods.

[J675 in reply to Lalatoot]

Thank you. Although I've been on T4 since 2014, it's only since I had a massive crisis a few months ago that I've tried to educate myself and understand my condition a bit more. It's reassuring to have your much more knowledgeable advice.

[Lalatoot in reply to J675]

It is awful when you feel horrible and you doubt an increase. Best to stick it out then you know if it was right or not.