I have just had my bloods back. I am on 112.5mcg thyroxine and 20mcg T3 taken 4 times a day. I took the test 24hrs after last dose of thyroxine and 12 hrs after T3.
I have played with increasing thyroxine but I feel worse. Every time I reduce thyroxine and increase T3 I feel better than before but I'm not there yet. The completely rubbish days have improved to rubbish and the good days are better than before so I think I'm moving in the right direction.
My instinct is to reduce thyroxine again and increase t3 but am a little scared because ft4 is on the lower end. I did try to increase t3 but got mild symptoms of being over replaced and so back tracked and decided to do a blood test first.
My crp is high but lower than before. The gp says that's my normal. I believe there must be a reason. Maybe my thyroid health is not in a good place and so I get inflammation?
The vit D is still low despite taking 4000iu for 3 months.
The thyroglobulin antibodies are normal but the thyroid peroxidase antibodies are higher than before. Does that mean I have Ord's as I don't have a goitre?
Would 100mcg Thyroxine and try to increase T3 be a sensible next step?
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27ah
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Yes I'm taking the vit D mouth spray 4000iu and have been for 3 months and I also take magnesium citrate. Crp is high and the gp says that's just my normal which I'm not really convinced about. It just means I had inflammation for a long time. I didn't have a cold or covid. It is always elevated. I haven't tried a gluten free diet.
Have you coeliac blood test…if not get tested via GP or privately before cutting gluten out
Poor gut function with Hashimoto’s can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps, sometimes significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first
Assuming test is negative you can immediately go on strictly gluten free diet
(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)
Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
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