I've been on medication since April 2021, different options were trialled, none available on the NHS seem to work. (I seemed to be on a good track with NDT but again not available on NHS)
I don't have hashimoto just a conversion issue for which I am.prescribed liothyronine. Most recently my dosage was upped to 40mcg but my numbers both t3 and the keep going lower. My TSH is of course suppressed at 0.01
In the last 6 months or so I've started having neck pains where I have to make an aware effort to keep my neck upstraight to avoid discomfort. I haven't quite developed a goitre but not sure I'd be able to tell since I have a fat short neck to begin with
Could medication (that for some reason doesn't seem to help my levels) have actually upset and enlarged my thyroid?
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Aligoth
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On just T3 …..bloods should be retested 6-8 weeks after each dose increase
Always test thyroid levels early morning, ideally before 9am and day before split T3 into 3 smaller doses taking last dose approx 8-12 hours before test
Assuming testing 9am
So on 40mcg T3 …..day before test …taking 20mcg waking, 10mcg early/mid afternoon and last 10mcg dose between 9pm and 11pm
Only do private testing early Monday or Tuesday morning
Looking at previous posts
Can’t see any recent vitamin D, folate, ferritin or B12 test results
The last tests were done In the hospital at at least 6 weeks after changes. Vitamin were done before starting last year, i used to supplement and still do all those you mentioned. everything optimal.
Takin liothyronine lowers my numbers but tanks my TSH so I do t produce anything on my own.
Is it possible this causes thyroid enlargement? Cause it seems weird I am having neck/throath issues now.
How long would you advice stop taking supplements before testing for vitamins as well? I already stop b complex 3 days before any test to avoid biotin interference but I still take vitamin d and iron bisglycinate
If testing iron, you should stop iron supplements a week before test, test full iron panel, early morning and fasting ….don’t eat high iron meal the night before test
Need full iron panel test 2-4 times year if self supplementing iron
So vitamin d, folate and b12 i can take up to the day before the test, but not the b conplex or the iron, right?Ferritin was 40ug last check, I just started supplementingast month just in case cause tracking my food and micronutrients at times it seemed like I had a hard time reaching RDA
You only need to stop vitamin B complex because it contains biotin. Biotin is used in many labs as part of test process
Iron, only necessary to stop a week before if actually testing iron and ferritin levels
Never assume that because ferritin is low, that iron is too. You can have high iron and low ferritin, that’s why it’s important to get full iron panel test if taking iron supplements
Right I can easily do that then thank you. B complex I stopped exactly for the biotin but I kept hearing 72 hours so never stopped it for more than 3 days prior testing will try a week next time. Thanks again.
Do you know where I can find ideal rather than just in range values for those vitamins I. Case of hypothyroid?
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