feek horrid continunius sinus probs

[editheve]

feel terrible cold hands feet depressed dry hair skin facial nose pain stuffy all the time with sinuises just got my results was hopimg i need more meds but said i ok low tsh 0.34 range 0.35 5.5 free t4 marginally elevated 24.7 range 10.0 20.0 what does it mean and why do i feel so bad and im not ok

[PurpleNails Administrator]

you need FT3 & nutrients tested. Levo only works well if nutrients optimal f converting well to active hormone.

[editheve in reply to PurpleNails]

thank s eve

[Jaydee1507 Administrator]

With what looks like OK results on Levo only and remaining symptoms you might be a poor converter. We won't know that until you get vitamins tested and optimised and see an FT3 test. You probably need to buy a provate test to get these results. Monitor my health is the cheapest, use discount code from Thyroid UK website.

[editheve in reply to Jaydee1507]

he said vit b12 734 normal and vitd 67.1 serum folate 10 .1 normal ers 14 crp 4 dont know what this means eve

[Jaydee1507 Administrator in reply to editheve]

Do you have ranges for those tests? They vary from lab to lab and are important to interpret the results.

There is no ferritin result.

Can recommend you get a full thyroid profile blood test + vitamins to assess properly if you are converting or not.

[editheve in reply to Jaydee1507]

my tsh at 34 ranges 0.35 5.5 said low free t4 marginally elevated 24.7 range 10.0 20 .0

[Jaydee1507 Administrator in reply to editheve]

You don't have a FT3 result so need the private tests.

You also need ranges for the vitamin results + a ferritin test.

[SlowDragon Administrator]

Do you know if you have autoimmune thyroid disease also called Hashimoto’s usually diagnosed by high thyroid antibodies

Which brand of levothyroxine are you currently taking

Do you always get same brand levothyroxine at each prescription

EXTREMELY common to develop dairy intolerance on levothyroxine with autoimmune thyroid disease

Dairy intolerance frequently causes issues with sinus and post nasal drip etc

Also gluten intolerance

Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine

 

For full Thyroid evaluation you need TSH, FT4 and FT3 plus both TPO and TG thyroid antibodies tested.

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high thyroid antibodies 

Autoimmune thyroid disease with goitre is Hashimoto’s

Autoimmune thyroid disease without goitre is Ord’s thyroiditis. 

Both are autoimmune and generally called Hashimoto’s.

Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease (Hashimoto’s or Ord’s thyroiditis)

20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis 

In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)

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...

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

thyroiduk.org/getting-a-dia...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

Symptoms of hypothyroidism 

thyroiduk.org/wp-content/up...

[editheve]

ivd got hasitomos and had a scan of thyroid which revealed a badly shrunken thyroid been on levothyrozine 10 years accord upped a year ago th 125 which didnt help still getting sinus probs a couple times a year lasting weeks this last one 9 weeks and still got it on amox 500 3 times a day doc said low tsh 0.34 freet4 marginally elevated 24.7 b12 734 vd 67.1 serum folate 10.1 confused still feel ill cold depressed what do i need to do help is it worth booking a private endo or request a talk with doc if they say i ok could i be sensitive to levos ingrediants eve .

[editheve]

should i ask doc for a change of meds to something with no filler s in looks like tirostat has no fillers do you know anyone whos tried this eve i read if you are showing low thyroid like you are not on meds its either low meds or you have grown sensitive to the fillers

[Hedgeree]

Hi editheve,

Are you dairy free? I used to have terrible sinus issues with drip at back of my throat.

It was uncomfortable and I also had regular headaches but across the front of my face.

My sinuses used to gurgle it wasn't pleasant. It all eased off fairly quickly when I stopped eating dairy products.

Best wishes.

[Hedgeree]

What brand of levo were you taking during the recent 9 weeks when you were having sinus problems?

[editheve]

accord 100 and vockhardt 25 i have sinuis issues fir 2 years was on accord 100 then a year ago she gave me 25 m but still getting sinuis issues ivd hS HASM FOR 10 YEARS BEEN ON SAME 100 FOR 9 yesrs then 22 had a extra 25 m had a deviated septum private jan 22 was ok for a couple of months july aug sinuis sep gland throat infection ok oct then second week in nov till now sinuis es face nose pain and under eve pain on antibs amox both times i was well was in spain for a few weeks weird hey eve .

[editheve]

no not dairy free but should try it i have nose and face pain on the left hand side only gums ache feel horrid dont want to talk or socialise eve

[editheve]

justt hinking got a telephone consultation shoulda i askeddoc for a blood test for t 3 to see if it low and try a low t3 tab if it is im freezing cold depressed aches and pains in my legs or should i asked for a change of tabs with t4 t3 in im confused i lead my doc shes no idea neither have i eve what else should i asked her to check has vit b and vtt d said they were fine .