Good Morning ,
Just wondering if you took thyroxine in evening instead of morning would you get sane. Results . What is best time of day to take vit D multi. vitamins and magnesium.
Doctor prescribed omeprazole for stomach acid and reflux reading some reviews maybe best to avoid anything eke I could take.
looking at previous post, you have had dose levothyroxine reduced from 125mcg to 75mcg
Being UNDER medicated for thyroid frequently causes LOW stomach acid.
Just testing TSH and Ft4 is completely inadequate
Do you always test thyroid levels early morning, ideally just before 9am and last dose levothyroxine 24 hours before test
Are you in the U.K.
What brand levothyroxine are you currently taking
Many people take Levothyroxine soon after waking, but it may be more convenient and perhaps more effective taken at bedtime
verywellhealth.com/best-tim...
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
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
Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine
For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested.
Very important to test vitamin D, folate, ferritin and B12 at least once year minimum
About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high thyroid antibodies
Autoimmune thyroid disease with goitre is Hashimoto’s
Autoimmune thyroid disease without goitre is Ord’s thyroiditis.
Both are autoimmune and generally called Hashimoto’s.
Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease (Hashimoto’s or Ord’s thyroiditis)
20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis
In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)
Recommended on here that all thyroid blood tests early morning, ideally just before 9am and last dose levothyroxine 24 hours before test
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins
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...
NHS easy postal kit vitamin D test £29 via
Only do private testing early Monday or Tuesday morning. Watch out for postal strikes, probably want to pay for guaranteed 24 hours delivery
multivitamins are never recommended on here
Test vitamin D, folate, ferritin and B12 and only take what’s necessary
Usually that’s vitamin D and vitamin B complex, sometimes B12 too
Never supplement iron without getting full iron panel test for anaemia including ferritin
Low stomach acid can be a common hypothyroid issue when under medicated and should improve once dose levothyroxine is increased
Only increase in 25mcg steps maximum
Often fine tuning dose necessary
Eg might need 100mcg 5 days and 87.5mcg 2 days
Thousands of posts on here about low stomach acid
healthunlocked.com/search/p...
But never assume you have low stomach acid
healthygut.com/4-common-bet...
Web links re low stomach acid and reflux and hypothyroidism
nutritionjersey.com/high-or...
stopthethyroidmadness.com/s...
thyroidpharmacist.com/artic...
How to test your stomach acid levels
healthygut.com/articles/3-t...
meraki-nutrition.co.uk/indi...
Thank you for all your advise. ,
I will switch it evening for thyroxine see If that helps is best to stop eating and drinking 1-2 hours before . My tests are usually mid morning .
I am in uk different brand each time this two months are Teva 25mcg 50mcg accord
You would be better off booking tests for as close to or earlier than 9am. Gives highest TSH reading.
Medication at bedtime 
Medication Clomipramine
Medication is not working
Hypothyroid medication 
Problems with medication
