Now what!: According to GPS surgery I am taking... - Thyroid UK

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Now what!

Hylda2 profile image
7 Replies

According to GPS surgery I am taking 125 of Levo with a TSH of 0.01 and T4 22.3! Have purchased some Tiromel and had a Medichecks blood test after 8 weeks. They couldn’t do TSH. T4 the same and with 12.5 of lio. T3 now 5.75. Without T3 3.89.

Now what?

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Hylda2
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SeasideSusie profile image
SeasideSusieRemembering

Hylda2

So FT4 is slightly over Medichecks range of 12-22 if it's 22.3. What is the range of your GP FT4 test?

Did you do your test as we always advise:

* Blood draw no later than 9am.

* Nothing to eat or drink except water before the blood draw. This is because eating can lower TSH and coffee can affect TSH.

* Last dose of Levo 24 hours before blood draw, last dose of T3 8-12 hours before blood draw, splitting T3 dose into 2 the day before and taking 2nd part of the dose 8-12 hours before test. This avoids measuring hormone levels at their peak after ingestion of hormone replacement. Take your thyroid meds after the blood draw. Taking your dose too close to the blood draw will give false high results, leaving any longer gap will give false low results.

* If you take Biotin or a B Complex containing Biotin (B7), did youleave this off for 7 days before any blood test. This is because if Biotin is used in the testing procedure it can give false results (most labs use biotin).

Did you lower your dose of Levo when you added your T3?

Your FT3 level looks pretty good.

How do you feel?

Hylda2 profile image
Hylda2 in reply toSeasideSusie

Still fuzzy brained and breathless but could be AF. Everything done by the book. GP T4 range7-20. Dropped Levo to 100

SlowDragon profile image
SlowDragonAdministrator

Important to test vitamin D, folate, ferritin and B12

What vitamin supplements are you currently taking

Do you wear a Fitbit or equivalent

How do you feel

Hylda2 profile image
Hylda2 in reply toSlowDragon

Wear an Apple Watch. Take B Complex, B12, Vit C and D. Still a bit breathless and foggy brain

SlowDragon profile image
SlowDragonAdministrator in reply toHylda2

So what’s your resting heart rate

Lowest heart rate in night?

Did you stop vitamin B complex a week before blood test

When were vitamin levels last tested

Breathlessness often low iron/ferritin

Are you on strictly gluten free diet

Hylda2 profile image
Hylda2 in reply toSlowDragon

Lowest in night 42. During day low 50s. Had B12 tested recently by GP but it was a tussle. Stopped b complex and b12. Plenty of red meat and pate.

Icicles profile image
Icicles

Is it looking like you could be on the right amount of T3 but could do with dropping some Levo? And check again in 6 weeks?

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