I was in touch previously at the end of last year and had a goitre which i got removed through a partial thyroidectomy and thankfully all is benign. I’m now having a few challenges getting meds right and would ask the communities steer, as abit lost
After surgery I was placed on 100mcg of levothyroxine. However as normal life resumed i feel totally exhausted, I take a D3 vitamin spray, B12 vitamin spray and my selenium and asked for my folate to be checked to see those numbers also ( awaiting results) , however my GP came back today to say my thyroid bloods look normal ,
so my TSH is 6.06 ( range 0.27- 4.2mU\L
FT3 3.7 pmol (range 3.1- 6.8 pmol)
FT4 14.3 pmol ( range 12-22 pmol)
after 22 calls to get through to GP they said everything normal and I’m not in agreement... My surgeon is on a sabbatical so cant get in touch with them and due to see my private endo Feb, could anyone give a steer on these results.
appreciate any steer.
Many thanks
Written by
Void1234
To view profiles and participate in discussions please or .
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, spoke to GP this morning and they think 25mcg increase would be too high and 6 is normal TSH, i basically said its not normal for someone medicated already.. They said if i wanted to increase dose it was my choice! So now trying to get through to surgeons secretary!
if GP is adamant that TSH 6 IS in range ...... get hold of the range for that TSH test .. (ask the receptionist at GP's for a printout of your latest thyroid results ( results and lab ranges) , it will be shown on there .
There did used to be some TSH tests that had a lab range that went up to 6 ....ie my NHS lab used [0.02 -6] and then [0.05 -6] until 2015 , but in recent years most UK TSH test ranges have been pretty much standardised .. most are now in the region of [0.4 -4.5] and one is [0.5 -3.6]
If your NHS lab is still using equipment that measures using a reference range that goes up to 6 .. they are behind the times
And of they are not ,and the top of the range for your test is actually closer to 4/5 then it is your GP who is behind the times .
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.
Update to Previous Thread with Results
TSH non existent after Thyroidectomy 
