Asking this beautiful community because I feel fobbed off
I‘ve got an underactive thyroid and my GPs seem reluctant to adjust my dose. A fee years ago my TSH was just under 1 and it‘s been steadily going up. I can feel the fatigue and exhaustion and although it‘s been steadily moving up my GP claim that it is within normal range which is 4 and below. I find this to be false because when the condition is 'managed‘ I was told by my previous doctor in Germany who is fab that it should stay under 2. He also stated that seeing how it is increasingly getting worse my medication should be adjusted. However, my GPs here constantly tell me it‘s fine. I also have PCOS and really struggle with weight and my hormones. All I get told is to eat less and healthier even though they know I had eating disorders in the past and a private nutritionist at the time confirmed that I am in fact eating too little.
Even during my pregnancy my GP never bothered to manage it even though it‘s a known fact that it gets worse during pregnancy. My midwifes even contacted the GP but never responded to them or me so it was never checked throughout apart from when the hospital did a check at 12 weeks.
Any advice?
Sorry to hear that you're having such a difficult time getting the support you need, the fatigue can be so very debilitating and you are definitely not alone with this issue. There are many more knowledgeable than I on this forum when it comes to interpreting test results but one thing that would be helpful to know is when this test was taken - in particular, what time of day and how long after the last dose of T4/T3 - because it can make quite a difference to the free Ts (although not TSH so much, which definitely looks suboptimal to my eyes too).
Thank you so much for replying! I done the blood test 10/05 and got my results today. I did it in the morning so lets say 8/9am. I hadn‘t taken my medication yet, but I never forget my medication and have been vigorously taking it since I was diagnosed 2012/13 (can‘t remember the exact date).
That sounds about right, the recommendations on here are always to do the test before 9am at the latest. Doing the test a little earlier, say 7-7:30, may capture the increased TSH level even more clearly because the daily TSH cycle is at a higher point earlier in the morning - if you have the option to do that. It's so frustrating when doctors refer rigidly to the entire TSH reference range when making clinical decisions, even where there's a history of stable symptoms and TSH level specific to the individual. Do you think there'd be any value in seeing another GP to get a second opinion?