I have spoken to the doctor and she has recommended taking 175 and 150 alternate days for my Levothyroxine. Do this along with the folate and then go in for bloods to look at levels. She is also going to look at my history with my under active thyroid. I am hoping that she will do more testing on FT3 etc. I have been on Everol for 5 weeks for my HRT and doctor has suggested putting that up from Everol25 to Everol50. I also use inhalers as I have asthma
Which brand of levothyroxine are you currently taking
Do you always get same brand
How long since you increased dose levothyroxine to 175mcg and 150mcg (previously on 150mcg every day)
You should really test 6-8 weeks after any dose change or brand change in levothyroxine
Test early morning, ideally before 9am and last dose levothyroxine 24 hours before test
Is this how you did your test
Previous post shows you have low B12
Are you now taking a separate B12 supplement as well as folic acid?
After you finish folic acid on prescription, recommend you then take a GOOD QUALITY daily vitamin B complex
supplementing a good quality daily vitamin B complex, one with folate in (not folic acid)
This can help keep all B vitamins in balance and will help improve B12 levels too
Thorne Basic B recommended option that contains folate, but they 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
In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate methyl folate supplement and continue separate B12
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a B12 supplement as well as a B Complex (to balance all the B vitamins) initially for first 2-4 months.
once your serum B12 is over 500 (or Active B12 level has reached 70), stop the B12 and just carry on with the B Complex.
Hi, I have been taking the 175/150 alternate days now for 7 weeks.Brand i think is Teva for the 75s and Mercurypharma for the 50s. I am still on the folic acid tablets and haven't started B12 yet. Will get them ordered today. Thanks again for looking at my results as i canny make heed nor tail of them. Its very appreciated Xx
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
Ok, i think in the past i have had 100s but cannot remember the brand. Thanks for all of the info, i had no idea that it could make such a difference. I will ask for all of the same brand in the future fir sure.
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