Advice after latest test result.

[Kazzyloulou]

Hello. Looking for some advice from you lovely people regarding the latest TSH result. Yes, TSH only as that's all the doc requested....(head in hands). After a bad reaction to Teva 75mcg, 3 weeks into taking Teva 75mcg one day, and Accord 50mcg the next, the pharmacist recommend I just go up to 75mcg of Accord everyday. I was feeling desperately unwell so just went with it. 4 weeks later I had a blood test and TSH was 2.1 range 0.35 to 4.94 reduced from 3.19 in September. Doctor said continue on the daily 75 mcg and test again in 4 weeks. Or should I increase another quarter of a 50 mcg to a total of 87.5 mcg now and retest in another 8 weeks? The doctor has agreed to do TSH, FT4 and FT3 at the next test. I feel a bit better, still tired but getting out of bed is a bit easier. Sleeping a bit better, but I feel very bloated and have had changes in stools, and a bit breathless. I don't think it is Ferritin related as that has been slowly on the increase in the last few months. (67 in September and i take 2 x Ferrous Fumarate everyday). Also at 49 I'm peri menopausal, this is the first month where i haven't had a period. Can an increase in Levo disrupt periods? After being undermedicated for 20 years of course I'm in a hurry to feel better but want to do the best thing for my body. Also I'm starting a new job on Monday and really want to be able to think, remember things and perform! I have in the past been sacked due to under performance (severe anxiety). A worry living alone with mortgage and bills and no family to help out. Thank you all for being so helpful. xx

[Regenallotment]

hi, others will be along soon with more detail but yes, unless it’s a coincidence my change from 75-100mcg led to a 3 week period and now I seem to have skipped one. There could have been other factors, age, peri menopause, stress, flu & covid jabs.

With my increases I wait 8 weeks each time, get private blood tests and show the GP so I can control the timing of the blood test.

When increasing I take the new dose on alternate days for a few days. I’ve noticed I feel amazing week 1 and 2, dreadful week 3-5 and then a bit better but then it wears off. For the first time at 100mcg I’m actually unsure whether I need an increase. I need to figure out if my symptoms are caused by other things! 🦋💚🦋

[Kazzyloulou in reply to Regenallotment]

Thank you for your reply. Good luck in finding your best self. 💖

[SlowDragon Administrator]

So how long have you been on 75mcg Accord everyday?

Are you now taking a daily vitamin B complex to improve low folate levels

[Kazzyloulou in reply to SlowDragon]

4 weeks on Accord 75mcg daily. I have been taking seperate B vits for a long time but not Folate, and that was a bit low so started that 1 month ago as well.

[SlowDragon Administrator in reply to Kazzyloulou]

so yes really you do need to wait on 75mcg another 4 weeks…..get tested and then can increase to 100mcg on alternate days

100mcg and 75mcg alternate days for 6-8 weeks…..then retest

Likely to need further increase after that

Remember to stop taking any supplements that contain biotin a week before blood test

[Kazzyloulou in reply to SlowDragon]

Thank you so much, I will do that. 😊