hi all,my wife had a full thyroid removal a number of years ago and has really struggled to get her thyroxine levels under control. after her bloods yesterday she was 58? And should of been 4? I think she's now under an endocrinologist She's worried and frightened that they'll never been under control or will affect long term health ater they where initally too low. I'm not sure what to ask or say to help any advice wouldbe appreciated.
levothyroxine thyroid levels worried for my wif... - Thyroid UK
levothyroxine thyroid levels worried for my wife,help
![Brothergrim101 profile image](https://images.hu-production.be/avatars/a4312d11f4614b1ab4acc1d023a502ce_small@2x_100x100.jpg)
![Brothergrim101 profile image](https://images.hu-production.be/avatars/a4312d11f4614b1ab4acc1d023a502ce_small@2x_100x100.jpg)
Hello Brothergrim and welcome to the forum :
Can you please give a little more detail such as when and why your wife had a thyroidectomy and do you or your wife have access to her medical records online and can see what this number of 58 relates to, and the details of her most recent thyroid function blood test ?
![shaws profile image](https://images.hu-production.be/avatars/315f6af7d7ebd52a995c0f9bec6552df_small@2x_100x100.jpg)
Other members will also respond.
It's no wonder you and your wife are worried but the majority on this forum have found most GPs useless and are not too happy with their enocrinologists.
I am assuming your wife has only been prescribed levothyroxine? If so she may not convert this (T4 - inactive) into the active thyroid hormone (T3). Our brains and hearts have the most T3 receptor cells.
I have my thyroid gland but could only recover when I was prescribed T3 - liothyronine.
T4 (levo) is an inactive hormone and is expected to convert to T3 (active hormone) but many of us cannot do so. Many people seem to do o.k. on T4 but many cannot and I am another who cannot.
I feel for your wife and know how she will probably wonder if this is how her life will be from now on. That's not the case and we have to ensure that our T3 is optimum. My life is now 'normal' thankfully as a problem with our thyroid gland can make us symptomatic and we cannot figure out when given a 'replacement' i.e. T4 or T3 that we can still feel unwell until we have an optimum dose,
This is the procedure we should use when we have a blood draw for our thyroid hormones.
Always make the very earliest appointment. Do not take thyroid hormones before but afterwards. Always take them with one glass of water on an empty stomach and wait an hour before eating.
p.s. you can read my profile if you click on my name.
Other members will also respond.
![SlowDragon profile image](https://images.hu-production.be/avatars/27fbbead1f291333f83bad1f31359fe3_small@2x_100x100.jpg)
Welcome to the forum
Can you give us a bit more information
How much levothyroxine is your wife taking
Does she always get same brand levothyroxine at each prescription
Always get printed copies of test results or online access
What was reason for thyroidectomy
She is legally entitled to printed copies of blood test results and ranges.
The best way to get access to current and historic blood test results is to register for online access to your medical record and blood test results
UK GP practices are supposed to offer everyone online access for blood test results. Ring and ask if this is available and apply to do so if possible, if it is you may need "enhanced access" to see blood results.
Link re access
healthunlocked.com/thyroidu...
In reality many GP surgeries do not have blood test results online yet
Alternatively ring receptionist and request printed copies of results. Allow couple of days and then go and pick up.
Important to see exactly what has been tested and equally important what hasn’t been tested yet
Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine
For full Thyroid evaluation she needs TSH, FT4 and FT3 tested.
Very important to test vitamin D, folate, ferritin and B12 at least once year minimum
Low vitamin levels are extremely common when on levothyroxine, especially if not correctly treated
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 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
Link about thyroid blood tests
![SeasideSusie profile image](https://images.hu-production.be/avatars/3f6ac069f2a50ca9d0e85f59f13a7499_small@2x_100x100.jpg)
Brothergrim101
her bloods yesterday she was 58? And should of been 4?
Every blood test has a reference range, this would seem to be a TSH test as this is the one with the lowest range, usually something like 0.27-4.20. Please find out exactly what tests have been done, full results with reference ranges and post here. If this reesult is the TSH test then a level of 58 means that she is very hypothyroid.
I think she's now under an endocrinologist
Surely she knows?