My daughter hashimotos & a under active thyroid currently on Levo 75 mcg.
Introduced 12.5 mcg of T3
Daughter is in the midst of her 3rd miscarriage which is heartbreaking. She has a telephone conversation on Monday with her GP & now needs to be monitored. She also has a hospital appointment this sfternoon(Sunday) miscarriage related
What can she ask for or do from her hypothyroidism health concern.
Daughter ovaries cervix womb all healthy. Conception fertilising of the embryo then at 10 weeks this is happening.
Thank you in advance
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Harthill42
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What were her most recent thyroid and vitamin results
As she on T3, TSH will almost always be suppressed
ESSENTIAL to test Ft4 and Ft3 at every test…..that usually means paying for private blood tests
Was dose levothyroxine or T3 increased at confirmation of conception
What vitamin supplements is she taking
When were vitamin D, folate, iron, ferritin and B12 last tested
If she looses a lot of blood, iron and ferritin may need improving
As she has Hashimoto’s is she on strictly gluten free diet or tried it
all thyroid blood tests early morning, ideally before 9am last dose levothyroxine 24 hours before test
On T3 or NDT - day before test split daily dose into 2 or 3 smaller doses, spread through the day at approx 8 hour intervals, taking last 1/2 or 1/3rd of daily dose 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 and money off codes
Thank you for your kind words & reply. The article was very interesting & made sense. My daughter is going to get a private blood testing privately through Blue horizon or similar.
Just a little reminder for your daughter when having a blood test. I am sure you know it but just in case you don't:-
Always make the earliest possible appointment - even if made weeks ahead as sometimes we cannot get the earliest.
It is a fasting test but water can be taken.
Take thyroid hormones after blood draw with one glass of water and wait an hour before you eat.
I, myself have never split doses - it is too inconvenient and I doubt I could take at the same time every day. I prefer taking dose when I awake with one glass of water and wait an hour before I eat. I have no problem with results and feel well - and that's the aim for all of us - to feel well and feel normal with no symptoms.
The only time I've had a problem is when a change had been made in the tablet,.
If your daughter is unmedicated or under-medicated for hypothyroidism, and/or is a poor converter of T4 to T3 then that would increase her risk of miscarriage.
Another issue is low nutrients which are incredibly common in hypothyroid people. The ones that are often low in people with hypothyroidism are vitamin B12, folate, vitamin D, and ferritin (iron stores). If ferritin is low or high then serum iron might be poor too, and getting an iron panel would be worth it - supplementing iron without full information on iron status could potentially be poisonous if it is not needed.
Low magnesium is also a problem for many, and the commonly available tests for magnesium are very poor and unreliable. In order to supplement magnesium it is essential to have functioning kidneys because excess is excreted in the urine.
Another problem that may crop up in hypothyroidism is low selenium but few people get it tested either privately or via the NHS, but it would be good if it could be tested. But I must admit I've never had it tested myself.
Other common issues are low zinc and high copper. (Rarely the opposite might occur - high zinc and low copper).
Obviously testing always costs money and GPs are reluctant to test anything if they can avoid spending that money. The same is true of patients getting involved in private testing - few people have loads of money. So, most of us start with testing thyroid-related levels, B12, folate, ferritin and vitamin D and see what needs to be improved.
Note that just having a result in range is not enough. We need optimal. For example, if your daughter has a result of, say, 20 mcg/L for her ferritin and the range is 13 - 150 , many doctors will say that is fine. But optimal for ferritin in people with thyroid disease is variously stated to be around mid-range (about 80) up to about 100.
There are other things to learn...
1) What supplements to avoid in the days before having a test.
2) Best timing for testing.
3) Consistency of conditions e.g. fasting, avoiding drinks other than water for a period of time before testing.
4) Learning to keep records of symptoms, test results, doses of hormones prescribed.
Your daughter should consider joining the forum. If she needs thyroid hormones we can help her with information to pass on to her GP to try and convince them to increase dose or start dosing. If she has low nutrients we can tell her what the best supplements are, brands, prices, doses etc.
Thanks you for your in-depth reply. My daughter contributes through paid yearly subscription but doesn’t post herself. I think she now needs to do this & show all her results from blood tests.
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