hi all , would love your thoughts on these results ...
info first - 47 year old male , weight 110kg
taking 150mcg levo and 25mcg of T3 daily
also taking 160mg of propranolol daily for blood pressure (along with losartan)
test taken following normal protocol
would you change anything ?!
thanks in advance
If I still had symptoms I’d increase Levo to help bring both t4 and T3 up a little. Maybe just an extra 100 over the week. I’m always trialling to find the sweet spot!
How do you feel? I’m surprised that your TSh is so high, given the Levo and T3 you’re on, although to put it in context, you’re 110kg and I’m 69kg and I’m on pretty much the same amount of Levo/Lio. My FT4/3 results are similar to yours but my TSH is 0.03
He’s on high dose propranolol
How do you feel
That’s a high dose propranolol
When did you start taking propranolol…….before starting on levothyroxine or after?
Propranolol slows uptake and conversion of levothyroxine ….so much so it’s used to treat hyperthyroid patients
rejuvagencenter.com/hypothy...
Propranolol must only be reduced INCREDIBLY SLOWLY
Propranolol reduces magnesium levels too
ESSENTIAL to regularly retest vitamin D, folate, ferritin and B12
What vitamin supplements are you currently taking
Low vitamin D and low magnesium often go together
I was stuck on propranolol almost 20 years….you might find my profile info helpful. Took me 7-8 months to ween off 40mg propranolol
What was reason for your hypothyroidism
Autoimmune thyroid disease also called Hashimoto’s
RAi or thyroidectomy
thanks for your input everyone , will try to give you a bit of history !
i started on propranolol about 7 years ago for high bp and stress and im aware of its effect on on the thyroid now ... seemed ok for a few years though , but i started piling weight on ( used to be about 90 kgs ) and my tsh went to just under the threshold but the doc wouldnt do anything and didnt tell me about the propranolol link ...thats when i started self medicating
the levo made me feel better but hasnt helped me lose weight so i started adding t3 about a month ago but it hasnt helped yet ...
im in the process of tapering off propranolol and swapping it with atenolol which is meant to be the least thyroid affecting and then im going to get off that as well !
supplements i take daily are a multivit with iron and milk thistle , but thats all for now
overall i dont feel that bad , but ive had problems with stomach ulcers and episodes of flushing that are pretty severe , and as mentioned the weight gain !
thanks all for your input
Stomach ulcers …H pylori…. linked to autoimmune thyroid disease
thyroidpharmacist.com/artic...
endocrine-abstracts.org/ea/...
Suggest you get FULL thyroid and vitamin testing, including thyroid antibodies
You’re likely better to supplement separate vitamin supplements…..rather than just multivitamins
Propranolol affects PTH
labtestsonline.org.uk/tests...
Drugs that may decrease PTH include cimetidine and propranolol.
So can end up with low vitamin D and low magnesium
Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine…..or after reduction in propranolol
For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested.
Very important to test vitamin D, folate, ferritin and B12
Low vitamin levels are extremely common, especially with autoimmune thyroid disease (Hashimoto’s or Ord’s thyroiditis)
Low vitamin levels common as we get older too
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 and last dose levothyroxine 24 hours before test
On day before blood test, split T3 into 3 smaller doses, at roughly equal 8 hour intervals, taking last 1/3rd of daily dose approx 8-12 hours before test
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins
List of private testing options
thyroiduk.org/getting-a-dia...
Medichecks Thyroid plus antibodies and vitamins
medichecks.com/products/adv...
Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins by DIY fingerprick test
bluehorizonbloodtests.co.uk...
If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3
£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code
thyroiduk.org/getting-a-dia...
NHS easy postal kit vitamin D test £29 via
If TPO or TG thyroid antibodies are high this is usually due to Hashimoto’s (commonly known in UK as autoimmune thyroid disease). Ord’s is autoimmune without goitre.
About 90% of all primary hypothyroidism in Uk is due to Hashimoto’s. Low vitamin levels are particularly common with Hashimoto’s. Gluten intolerance is often a hidden issue too
Link about thyroid blood tests
thyroiduk.org/getting-a-dia...
Link about Hashimoto’s
thyroiduk.org/hypothyroid-b...
List of hypothyroid symptoms
Good that you’re going to move away from the propranolol and just get your Vits/minerals tested and stop taking a multivitamin amd move over to tailored tablets.
Remember to click blue “reply” button otherwise other poster doesn’t get alert
thank you - have tested negative for h-pylori multiple times and done the treatment course anyway just to be sure !
Have you had BOTH TPO and TG thyroid antibodies tested
im not sure , just tested what is in the results i posted ?
Sorry…yes both tested in image in opening post
Both negative now
Ever tested antibodies by GP at diagnosis?
Not had thyroidectomy or RAI for Graves’ disease
Ever had ultrasound scan of thyroid?
About 90% of primary hypothyroidism is autoimmune thyroid disease also called Hashimoto’s, usually diagnosed by high thyroid antibodies
20% of Hashimoto's patients never have raised antibodies
healthunlocked.com/thyroidu...
Paul Robson on atrophied thyroid - especially if no TPO antibodies
paulrobinsonthyroid.com/cou...
Come back with new post once you get vitamin results
Stop multivitamins a week before test
Ideally only supplement what you need as good quality individual vitamins
How much have you managed to lower propranolol now
hi , i can answer no to those questions , GP doesnt believe anything wrong so no testing done ...
as for propranolol im down to 20 x 2 a day , no problems to report and im hoping to stop completely by the end of next week .
i was wondering how long i should wait to get my thyroid tested again after stopping - does it need time for the propranolol to get out of my system and for the thyroid to start working normally again ?
thanks again
That’s cutting propranolol very quickly
You might need to go slower
Reducing by 5mcg….wait 4-6 weeks…..reduce again by another 5mg etc
Last 5mg ….cut one day week….next week cut twice week….etc until stopped completely
Yes will need 6-8 weeks after stopping propranolol before testing
Always test as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test
Splitting T3 into 3 smaller doses spread through day at approx 8 hours intervals….last dose T3 8-12 hours before test
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