Bloods results

[Flecmac]

I’m on T4 T3 combo 60 mcg levo and 10 mcg Lio.

On my latest results my T3 has dropped also my T4 a little. I’ve been taking Propranalol for migraines and raised cholesterol and wonder if that could be the reason as I’ve read.

My NHS Endo says to see what next results are before altering dosages but I won’t see him until late March or April.

Results enclosed .

Thanks

[SlowDragon Administrator]

Migraine is hypothyroid symptom

High cholesterol levels suggests you’re under medicated

Propranolol slows uptake and conversion of levothyroxine

How much propranolol are you currently taking

Propranolol must only ever be reduced EXTREMELY SLOWLY……over many months

How much do you weigh in kilo….likely dose levothyroxine is inadequate

Essential to regularly retest vitamin D, folate, ferritin and B12 what vitamin supplements are you currently taking

[Flecmac in reply to SlowDragon]

I am on 80mg slow release Propranalol. I weigh 50kg. I take vitamin D with K in spray. I take b complex in liquid form. My ferritin last year was in the upper part of range.

[SlowDragon Administrator]

Propranolol and thyroid

pubmed.ncbi.nlm.nih.gov/168...

labtestsonline.org.uk/tests...

Drugs that may decrease PTH include cimetidine and propranolol.

rejuvagencenter.com/hypothy...

How much levothyroxine were you taking BEFORE T3 was added?

[Flecmac in reply to SlowDragon]

Endo reduced levo to 50mcg October 2020 then I increased back to 60mcg December 2020. I had tried 75mcg in 2019 but my T4 went over range and palpitations worsened. I started Liothyronine November 2020.

[SlowDragon Administrator in reply to Flecmac]

Well you could try increasing levothyroxine a little more now….. or alternatively add 3rd 5mcg dose T3

But only add one or the other…not both

[Flecmac in reply to SlowDragon]

I was on 15 mcg Liothyronine but reduced as T3 went over range.

[SlowDragon Administrator in reply to Flecmac]

When you tested ….

Did you test as recommended

Testing as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test

Day before test split T3 into 3 x 5mcg and taking last 5mcg dose 8-12 hours before test?

[Flecmac in reply to SlowDragon]

Always test early morning before food and drink with last dose levo 24 hours before test, but I’m on 10mg T3 and there would have been more than 12 hours after last dose.

[SlowDragon Administrator in reply to Flecmac]

Day before test split T3 into 5mcg doses…..last 5mcg approx 8-9pm …assuming testing 8-9am

Or day before test split as 5mcg waking, 2.5mcg mid afternoon and 2.5mcg at 8-9pm

[Flecmac in reply to SlowDragon]

Thank you.

[SlowDragon Administrator in reply to Flecmac]

Obviously you need to test vitamin D, folate, ferritin and B12

What vitamin supplements are you currently taking

Are you on strictly gluten free diet

[Flecmac in reply to SlowDragon]

Vitamin B12, D, Ferrititn and Folate were good. See above post for what I’m taking.

[SlowDragon Administrator in reply to Flecmac]

I take b complex in liquid form

So did you stop vitamin B complex a week before test as contains biotin and can falsely affect test results

Does vitamin B complex contain folate or folic acid

How much vitamin D

When was vitamin D last tested

[Flecmac in reply to SlowDragon]

Yes stopped week before. B complex contains folic acid.

I take 3000 IU D spray.

Last vitamin D results December 2020 was 107nmol/L (50.0 - 200.0) when I had restarted two months prior as I reduce and stop during summer.

[SlowDragon Administrator in reply to Flecmac]

Next time you need to buy vitamin B complex perhaps consider one with folate in

Vitamin D, ideally test twice year.

The red spray by Better You….one spray = 1000iu

The green spray by Better You… one spray = 3000iu

[Flecmac in reply to SlowDragon]

I take the red one with K2. So I take 3000iu which is 3 sprays as it says.

[SlowDragon Administrator in reply to Flecmac]

Many people assume it’s one spray…..

[Flecmac in reply to SlowDragon]

Strange as it does say take 3 sprays.

[Flecmac in reply to SlowDragon]

I struggle taking tablets, is there a vitamin b complex spray with folate instead of the liquid with folic acid?

[SlowDragon Administrator in reply to Flecmac]

I don’t know

I use either Thorne or Jarrow B right

Both are large capsules…I can’t swallow anything large ….just tip capsule powder out into cup, then swallow with water

[Flecmac in reply to SlowDragon]

Ok thanks. I might try that then.I wonder if the difficulty in swallowing is anything to do with thyroid. I have no goitre, very slim neck actually.

[SlowDragon Administrator in reply to Flecmac]

So probably have Ord’s thyroiditis where thyroid shrinks and shrivels up

[Flecmac in reply to SlowDragon]

I’ve never heard of that. I assume the treatment is the same? How would it be diagnosed?

[SlowDragon Administrator in reply to Flecmac]

It’s autoimmune, the same as Hashimoto’s

Hashimoto’s causes goitre, if no goitre almost certainly Ord’s

en.wikipedia.org/wiki/Ord%2...

ada.com/conditions/thyroidi...

[Flecmac in reply to SlowDragon]

Thank you 😊