my endocrinologist started me on 30mcg of Thybon which hasn’t made a difference in symptoms so far. I am starting 100mcg Levothyroxine this weekend too so fingers crossed it will help.
I have struggled to feel well for ages and my endo wants me to go for a functional medicine package but can’t afford it in one go so I am going to do it myself. I am going to check for food intolerances (fine with gluten but maybe other stuff) and check my adrenals ( I have tested low for cortisol before). Using the tests recommended on Thyroid UK. Should I pay for a micro biome test too?
What test would you recommend doing first and any advice on what to look for?
2 - long Covid
I had my 2nd dose of Covid in June and this version is hanging around. I am exhausted, breathless, getting tingling in my hands and feet and it’s making my thyroid symptoms worse. Has anyone got any tips on trying to get rid of it. It’s not getting any better and as a change in medication isn’t giving me a boost I think it’s making it worse.
I am self employed and both issues are making it hard to work.
I appreciate your advice. Thanks
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Eimear78
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Copied from my previous post so will duplicate some of the answers above.
I probably have a gut issue I’d say because I am on top of taking nutrients.
Inflammation CRP HS 1.46 mg/L (Range: 0 - 5)
Iron Status Ferritin 83.8 ug/L (Range: 13 - 150)
Vitamins Folate - Serum 10.43 ug/L (Range: > 3.89) - Daily methylated Vitamin B Complex with folate. I've also cranked up my green veg intake so I have some with lunch and dinner now.
Vitamin B12 - Active X >150 pmol/L (Range: 37.5 - 150) - as above. My endocrinologist tested homocysteine levels and I am fine.
Vitamin D 74 nmol/L 75 - 200 Optimal (Range: 50 - 200) - Better Health vitamin D & K 3000IU daily spray.
Thyroid Hormones TSH X 0.13 mU/L (Range: 0.27 - 4.2)
Free T3 4.73 pmol/L (Range: 3.1 - 6.8) - 45mcg Receptura Lio (25 in the morning, 10 at lunch, 10 at teatime)
Free Thyroxine X 11.7 pmol/L (Range: 12 - 22) - 75mcg Mercury Pharma Levo- take in the morning on an empty stomach, an hour before coffee
Free T3 4.73 pmol/L (Range: 3.1 - 6.8) - 45mcg Receptura Lio (25 in the morning, 10 at lunch, 10 at teatime)
Free Thyroxine X 11.7 pmol/L (Range: 12 - 22) - 75mcg Mercury Pharma Levo- take in the morning on an empty stomach, an hour before coffee
Assuming test was 9am
Day before test did you take last dose T3 at least after 9pm
Last dose levothyroxine 24 hours before test
If last dose T3 was 3-4pm day before test, Ft3 result is falsely low
Ft4 is below range
Suggest you try increasing levothyroxine by 25mcg and retest in 6-8 weeks
Many members find they need BOTH Ft4 and Ft3 at least 50-60% through range
Vitamin D. Currently taking 3 sprays per day….suggest you increase to 4 per day
Perhaps try splitting levothyroxine. Taking 50mcg waking and 50mcg bedtime
If you normally take levothyroxine at bedtime/in night ...adjust timings as follows prior to blood test
Similarly if normally splitting your levothyroxine, take whole daily dose 24 hours before 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
Day before test did you take last dose T3 at least after 9pm
Last dose levothyroxine 24 hours before test
It was a Medichecks test I did at 7am. My last Levothyroxine dose was at 6.30am the day before
If last dose T3 was 3-4pm day before test, Ft3 result is falsely low
The 10mcg T3 was taken at around 5.30pm the night before
Ft4 is below range
Suggest you try increasing levothyroxine by 25mcg and retest in 6-8 weeks
My endo has increased it from 75mcg to 100mcg. My FT4 has been at the lower end of the range or below for ages, probably at least 3 years and neither of the two last endow took it seriously. They are more concerned about me being over replaced
Many members find they need BOTH Ft4 and Ft3 at least 50-60% through range
Vitamin D. Currently taking 3 sprays per day….suggest you increase to 4 per day
Perhaps try splitting levothyroxine. Taking 50mcg waking and 50mcg bedtime
If you normally take levothyroxine at bedtime/in night ...adjust timings as follows prior to blood test
Similarly if normally splitting your levothyroxine, take whole daily dose 24 hours before 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
I take the Levothyroxine in the morning but will look at trying all of your recommendations.
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
I stopped the B complex for two weeks as recommended by Medichecks as it makes the B12 ineffective.
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Adrenal testing and advice
Hypothyroid and Depression/etc
Hypothyroidism and Adrenal Issues
