I was diagnosed with UAT many years ago (around 12 years). I'm almost 60 now.
I've been on alternate 50mcg/75mcg for quite a few years but not been reviewed for around 5/6 years by an endo or even a GP.
I've recently had a nasty bout of labyrinthitis around August but this settled down a lot.
I'm currently experiencing jitters in my belly every day that makes me anxious and feel tired and fuzzy-headed.
My sleep isn't great either.
I am sent for routine blood tests but all they tell me at the blood clinic is 'its just routine' so I never know my scores.
Today I saw a paramedic who did some tests on me and will see a GP later.
I've also supposedly got osteoporosis and will have another dexa scan in a few weeks.
I'm not on any medication for the osteo but I feel this will be pushed into this.
I'm wondering whether the above may be related to under active thyroid or maybe I'm taking too much thyroxine now. It's so hard to work out and I am getting worried about this.
Any advice/insights would be welcomed.
Written by
Padster60
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First step is to get hold of existing blood test results
And then get FULL Thyroid and vitamin testing
Unless extremely petite likely you are not on high enough dose levothyroxine
Levothyroxine doesn’t “top up” failing thyroid, it replaces it so it’s essential to be on high enough dose
Being under medicated for thyroid, frequently results in low stomach acid, poor nutrient absorption and low vitamin levels as direct result
Osteoporosis can be result of being left on inadequate dose levothyroxine
Improving low vitamin levels is ESSENTIAL
You are legally entitled to printed copies of your 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.
Thank you, I used to be on this forum all the time & I guess I got complacent and forgot all the great advice. My endo discharged me when I told him I wouldn't reduce my dose to prevent osteoporosis as I was very poorly on less. He told me there was nothing he could do for me!! I am due to see GP in an hour so will endeavour to get some tests organised.
In the majority of patients 50-100 μg thyroxine can be used as the starting dose. Alterations in dose are achieved by using 25-50 μg increments and adequacy of the new dose can be confirmed by repeat measurement of TSH after 2-3 months.
The majority of patients will be clinically euthyroid with a ‘normal’ TSH and having thyroxine replacement in the range 75-150 μg/day (1.6ug/Kg on average).
The recommended approach is to titrate thyroxine therapy against the TSH concentration whilst assessing clinical well-being. The target is a serum TSH within the reference range.
……The primary target of thyroxine replacement therapy is to make the patient feel well and to achieve a serum TSH that is within the reference range. The corresponding FT4 will be within or slightly above its reference range.
The minimum period to achieve stable concentrations after a change in dose of thyroxine is two months and thyroid function tests should not normally be requested before this period has elapsed.
Thanks for the info, appreciate it. Been to see GP, she said my thyroid bloods were all good in her records. She will give me some HRT for menopause symptoms.
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