I am still sifting through my blood test results and would like to understand if it is normal practice that if your Free T4 results come back within normal ranges that they do not test TSH and freeT3 ?
My head is in a right spin over this , and whilst i know I cannot change whats past I want to go into the future more well informed.
Kim
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kim1965
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Kim It is usually TSH only that is tested. If you are lucky they will also test ft4. If TSH is in range they will not test ft3 - GP surgeries tend to steer clear of ft3.
Thorne Basic B or Jarrow B Right are recommended options that contains folate, but both are large capsules. (You can tip powder out if can’t swallow capsule)
IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
And getting 50mcg and 25mcg tablets, is that correct
Northstar 50mcg and 100mcg are Accord brand of levothyroxine
But Northstar 25mcg is Teva
Accord don’t make 25mcg tablets
Teva brand upsets many people, so if you find Northstar 25mcg doesn’t agree with you….request higher number of 50mcg tablets per month and cut in half to get 25mcg
If a patient reports persistent symptoms when switching between different levothyroxine tablet formulations, consider consistently prescribing a specific product known to be well tolerated by the patient. If symptoms or poor control of thyroid function persist (despite adhering to a specific product), consider prescribing levothyroxine in an oral solution formulation.
Physicians should: 1) alert patients that preparations may be switched at the pharmacy; 2) encourage patients to ask to remain on the same preparation at every pharmacy refill; and 3) make sure patients understand the need to have their TSH retested and the potential for dosing readjusted every time their LT4 preparation is switched (18).
Levothyroxine is an extremely fussy hormone and should always be taken on an empty stomach and then nothing apart from water for at least an hour after
Many people take Levothyroxine soon after waking, but it may be more convenient and perhaps more effective taken at bedtime
No other medication or supplements at same as Levothyroxine, leave at least 2 hour gap.
Some like iron, calcium, magnesium, HRT, omeprazole or vitamin D should be four hours away
(Time gap doesn't apply to Vitamin D mouth spray)
If you normally take levothyroxine at bedtime/in night ...adjust timings as follows prior to blood test
If testing Monday morning, delay Saturday evening dose levothyroxine until Sunday morning. Delay Sunday evening dose levothyroxine until after blood test on Monday morning. Take Monday evening dose levothyroxine as per normal
REMEMBER.....very important....stop taking any supplements that contain biotin a week before ALL BLOOD TESTS as biotin can falsely affect test results - eg vitamin B complex
Hi Kim. If you are already taking levo the GP usually checks the TSH and the FT4. when checking your thyroid results in case you need a dose adjustment. That's my understanding.
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