Blood results

[Harthill42]

Hello once again friends of TUK

I wish some advice please on the attached results.

They are not a full blood evaluation, I know you need ferritin & folate + for this.

Many thanks in advance.

[SlowDragon Administrator]

Previous post

healthunlocked.com/thyroidu...

On 100mcg levothyroxine and 25mcg T3

As you would expect…..TSH suppressed

Ft4 too low at 14 (12-22) at only 20% through range

No Ft3 result

Was test done early morning, ideally before 9am and last dose levothyroxine 24 hours before test

Last 1/4 tablet T3 approx 8-12 hours before test

GP reduced dose levothyroxine to 75mcg after this results

GP unaware that you take T3

You definitely didn’t need dose reduction

More likely a dose increase in levothyroxine

Current results….

How do you feel

Was test done as recommended

obviously just testing TSH and Ft4 is completely inadequate ….but with Ft4 abnormal and below range you clearly need 25mcg dose increase in levothyroxine

Bloods should be retested 6-8 weeks after any dose change or brand change in levothyroxine

Cheapest for TSH, Ft4 and Ft3 is Monitor My Health at £29 and 10% off via code from Thyroid U.K.

What vitamin supplements are you currently taking

Most people when adequately treated when on levothyroxine plus T3 will need BOTH Ft4 and Ft3 at least 50-60% through range

[SlowDragon Administrator]

Just seen this post from 6 Months ago

healthunlocked.com/thyroidu...

Dose increased to 75mcg and 100mcg alternate days

Clearly not increased enough

Now get dose increase to 100mcg daily

Retest in 6-8 weeks

May need further increase after this

Do you always get same brand levothyroxine at each prescription

If yes, which brand

Approx how much do you weigh in kilo

[Harthill42 in reply to SlowDragon]

Thank you once again for your reply. I weigh 75 Kilo I am 5ft 5 fit & healthy 63 year old.

I am much better since I joined this group but still get the fatigue, I put it down to my busy life and age related ?

If I increase my dose this may help do you think ?

I am on Teva Levo & Tiromel ,I have decreased Tiromel down to 12.5 in the past month as I had palpataions

I don’t do a gluten free diet I take selium also

I shall get private blood tests but on the interim should I increase my levo to 100 mcg not just on alternate days?

[SlowDragon Administrator in reply to Harthill42]

You need to get your GP to agree to 100mcg daily…..or your prescription won’t match what you’re taking

Retest thyroid levels after 6-8 weeks…..plus vitamin D, folate, ferritin and B12 if GP doesn’t test now

Are you on dairy free diet as taking Teva brand levothyroxine

[Harthill42 in reply to SlowDragon]

Thank you. I bought over the counter in Spain 100 mcg of Sanofi Adventis so I can manage my dose and not run out. The conversation with the sr want fruitful in getting an increase in dose and only agreed on the alternative days. I can tell when I’m on the 75 days , I shall take your advice on testing but the drs won’t test for all I shall go private. Have you head of SA levotiroxina ?

[SlowDragon Administrator in reply to Harthill42]

GP would be an idiot not to agree to increase in levothyroxine

Ft4 is below range

[SlowDragon Administrator]

As you have Hashimoto’s, are you on absolutely strictly gluten free diet and/or dairy free diet

If dairy free, are you on lactose free levothyroxine

Obviously Tiromel T3 isn’t lactose free

ESSENTIAL to test vitamin D, folate, ferritin and B12 at least once a year

List of private testing options and money off codes

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

If you can get GP to test vitamins and antibodies then cheapest option for just TSH, FT4 and FT3

£29 (via NHS private service ) and 10% off down to £26.10 if go on thyroid uk for code

thyroiduk.org/getting-a-dia...

monitormyhealth.org.uk/

NHS easy postal kit vitamin D test £29 via

vitamindtest.org.uk