Hi, thanks for reply. The GP hasn’t seen this result, they are going off the tests I had done at the GP surgery which I put in my previous post (TSH 0.04)
I haven’t had my whole pituitary gland removed, I had a tumour removed from there however I take the point that TSH may not be totally accurate given it’s a pituitary hormone and my gland may not be normal.
When you say ‘they suggest an increase’ do you mean the GP?
In the majority of patients 50-100 μg thyroxine can be used as the starting dose. Alterations in dose are achieved by using 25-50 μg increments and adequacy of the new dose can be confirmed by repeat measurement of TSH after 2-3 months.
The majority of patients will be clinically euthyroid with a ‘normal’ TSH and having thyroxine replacement in the range 75-150 μg/day
(1.6ug/Kg on average).
The recommended approach is to titrate thyroxine therapy against the TSH concentration whilst assessing clinical well-being. The target is a serum TSH within the reference range.
……The primary target of thyroxine replacement therapy is to make the patient feel well and to achieve a serum TSH that is within the reference range. The corresponding FT4 will be within or slightly above its reference range.
The minimum period to achieve stable concentrations after a change in dose of thyroxine is two months and thyroid function tests should not normally be requested before this period has elapsed.
Hi slowdragon. Currently taking 75 levothyroxine. One 50 and one 25 which are different brands, I think the last few prescriptions have been the same brands- mercury and accord.
Vit D and Ferritin will be tested at GP in next check up as they missed them off and I had to request.
GP said B12 normal but read here it is too low…
please could you recommend a B12 and B- complex? It’s fine to take these together?
Thorne Basic B recommended vitamin B complex 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.
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