Update on bloods - retested

[AleB]

Hi all

I had my bloods done again through Medichecks as the GP refused to re-test. Endo agreed that the GP's FT4 result was utter rubbish.

Results as follows:

CRP <0.3 (range 0 - 5)

Ferritin 112.0ug/L (range 13 - 150)

Folate Serum 18.74ug/L (range 13 - 150)

Vit B12 - Active >150 (range 37.5 - 188)

Vit D 134.00nmol/L (range 50 - 200)

TSH 4.64mU/L (range 0.27 - 4.2)

Free T3. 3.92pmol/L (range 3.1 - 6.8)

Free T4 15.000pmol/L (range 12 - 22)

TgA 11.400IU/ml (range <115)

TPA 13.00 IU/ml (range <34)

I had not taken iron or B Complex for a week before taking this test. There was an 11hour gap from my dose of T3. I currently dose Levo 100/100/75/75/100/75/75 repeat. I also take 2.5 mcg of T3 alongside the Levo at 6am, a further 2.5mcg T3 at 2pm. I have been on this dose now for 7 weeks. Last week I started to feel a bit nervous/jittery as though my body couldn't keep up with the pace. Pulse was getting too high at 82 on a morning, body temp not really changing much at 36.2. I spoke to my endocrinologist on Wednesday, he said to leave until I get bloods done. I have sent these across to him tonight. In the meantime, my right adrenal has flared up, and I have tenderness around my throat. I have also been off B12 for 3 months. I take B complex 4 times per week. Looking at these results I only need to take 1 to 2 per week. Also Vitamin D is high enough, should I reduce this also (2000 per day for 3 years). My question is, should I hold with the thyroid hormones or increase. Sorry for the long post. X

[SlowDragon Administrator]

Ft4 is low

TSH high

Suggest you increase levothyroxine dose to 100mcg daily

Retest in 6-8 weeks

Do you always get same brand levothyroxine at each prescription

Perhaps reduce vitamin D dose a little…

[AleB in reply to SlowDragon]

Thanks Slow Dragon, I really appreciate your help. X

[AleB in reply to SlowDragon]

Yes, the brand of Levothyroxine is the same. How much should I reduce Vitamin D by? I have been taking 2000iu per day for over 2 years. Could I get away with 2000iu 3 x per week or maybe just 1 x per week?

[SlowDragon Administrator in reply to AleB]

Perhaps reduce vitamin D to 1000iu daily or 1000iu and 2000iu on alternate days

Trial and error what suits each person

[AleB in reply to SlowDragon]

Thanks again for your advice, I'll reduce to 1000iu (chop the tablet in half). Will see from the next set of bloods in 6/8 weeks time. X

[JAmanda]

I would want an increase in Levo and lio. Admins on here say do one at a time but I often do both (say 12.5 Levo or 5 lio) as Levo takes a long time to get up to level.