A bit of help to understand results, please. Was given the option of upping thyroxine dose to 100mg from 50mg, or going with 2g of NDT.
Also told I have very low vitamin d
Waiting on my medication being dispensed but in the mean time I started taking the vitd that I got from holland and barret. Don't know if it's a coincidence but got bad chest and stomach pain. Is there a vit d supplement that's easier on the stomach.
Dose levothyroxine should be increased in 25mcg steps.
Going from 50mcg to 100mcg is too big an increase in one go
How long have you been on just 50mcg levothyroxine
Request 25mcg dose increase in levothyroxine to 75mcg and retest in 6-8 weeks
Which brand of levothyroxine are you currently taking
How low was vitamin D exactly
But with Hashimoto’s, improving to around 80nmol or 100nmol by self supplementing may be better
pubmed.ncbi.nlm.nih.gov/218...
vitamindsociety.org/pdf/Vit...
Once you Improve level, very likely you will need on going maintenance dose to keep it there.
Test twice yearly via NHS private testing service when supplementing
Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.
There’s a version made that also contains vitamin K2 Mk7.
One spray = 1000iu
amazon.co.uk/BetterYou-Dlux...
Another member recommended this one recently
Vitamin D with k2
amazon.co.uk/Strength-Subli...
It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average
Vitamin D and thyroid disease
grassrootshealth.net/blog/t...
Vitamin D may prevent Autoimmune disease
newscientist.com/article/23...
Web links about taking important cofactors - magnesium and Vit K2-MK7
Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine
betterbones.com/bone-nutrit...
medicalnewstoday.com/articl...
livescience.com/61866-magne...
sciencedaily.com/releases/2...
Interesting article by Dr Malcolm Kendrick on magnesium
drmalcolmkendrick.org/categ...
Vitamin K2 mk7
betterbones.com/bone-nutrit...
healthline.com/nutrition/vi...
Have you had folate, B12 and ferritin levels tested
Suggest you reread your previous post from month ago
healthunlocked.com/thyroidu...
Have you changed brand levothyroxine from Teva
I done my tests through the Thyroid clinic. They are going to try me on NDT. When the prescription arrives I've to stop taking my thyroxine. I take accord just now. Been on 50mg for almost 4 years. Get bloods checked by gp twice a year, but still get symptoms
50mcg is only the standard starter dose levothyroxine
Dose should have been increased slowly upwards over first 6-12 months until on full replacement dose which is typically 1.6mcg per kilo of your weight per day
Very poor treatment from your GP
pathlabs.rlbuht.nhs.uk/tft_...
Guiding Treatment with Thyroxine:
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.
You also need folate, B12 and ferritin levels tested and improved to good levels
Always take vitamins with a meal, or at least some food, unless they specificaly say otherwise. Then the body digests them interspersed with plenty of other nutrients, and digestive problems, of the sort you describe, are much less likely to occur.
results
Results
results
