It's been a while since I've posted - 10 months or so... I've been very lazy about meds for months and finally recommitted myself to the process when my hair REALLY started to get thin and I got even heavier.
Below are my Oct and December Thriva results. I haven't spoken to a doctor in months about my Hashimotos. Do you think I should up my dosage at all?
Points to note:
- I took the October test when I was barely taking the Thyroid meds. I wanted a starting point again.
- All tests done early morning on an empty stomach.
- December results are after taking the meds religiously each evening since early October 2021 i.e. 75 mcg of Levothryoxine (25 mcg of Mercury Pharma + 50 mcg Accord).
- All supplements taken most morning with some orange juice beginning October 2021
- I take Vitamin D3 (1,000 IU)
- I take Aloe Vera (12,000mg)
- I take Iron (15mg)
- I take 1tsp Inulin (this is a prebiotic)
- I'm almost gluten free
- I'm almost diary free
Any feedback welcome. Thank you so much for your help. I really appreciate it.
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KBA22
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Colloquial way of referring to Free T4 and Free T3 and tests for them.
The precise point is individual. Some people feel better with them a little higher, or lower, than others.
You just might find the article below (and the full paper which you can access) interesting and/or useful.
The normal range: it is not normal and it is not a range
1. Martin Brunel Whyte
2. Philip Kelly
Abstract
The NHS ‘Choose Wisely’ campaign places greater emphasis on the clinician-patient dialogue. Patients are often in receipt of their laboratory data and want to know whether they are normal. But what is meant by normal? Comparator data, to a measured value, are colloquially known as the ‘normal range’. It is often assumed that a result outside this limit signals disease and a result within health. However, this range is correctly termed the ‘reference interval’. The clinical risk from a measured value is continuous, not binary. The reference interval provides a point of reference against which to interpret an individual’s results—rather than defining normality itself. This article discusses the theory of normality—and describes that it is relative and situational. The concept of normality being not an absolute state influenced the development of the reference interval. We conclude with suggestions to optimise the use and interpretation of the reference interval, thereby facilitating greater patient understanding.
Having been very hypothyroid in October it’s going to take a while to recover
75mcg levothyroxine is only one step up from starter dose
December test - was this done as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test ?
December results…..Ft4 is at top of range…..suggests you might have taken levothyroxine before test ?
High TSH suggests you need next 25mcg dose increase in levothyroxine up to 100mcg
In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency
Look at increasing iron rich foods in diet
Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption
This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.
If you didn’t take your Levo just before the test (but took test 24 hours after last Levo as advised) you’ll need to add in some T3 liothyronine because your t4 is already at the top of range so I don’t see how you can take a Levo increase without feeling jittery.
Why do you take the Levo with juice, do you suggest it helps absorption?
I'd be very wary of orange juice alongside levothyroxine. (Though there have been claims that lemon juice aids absorption.)
2.9. Levothyroxine-Fruit Interaction
2.9.1. Fruit Juices
Different categories of transporters contribute to carrying l-T4 from the small intestine to the bloodstream, i.e. the organic anion-transporting polypeptide (OATP) family (such as OATP1A2, OATP1B1, OATP1C1, etc.), the monocarboxylate transporter (MCT) family or NTCP (sodium-taurocholate co-transporting polypeptide) transporters. Active ingredients of juices—especially grapefruit, orange, and apple juice—may block the transporters.
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Advice plz..Tnk you!! 😊
Any advice welcome 
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