I have recently been struggling with severe fatigue, weight gain and a puffy face. My GP has prescribed me 125mg Levothyroxine but wasn’t happy about it because my TSH was very low and therefore she wanted to reduce me to 100mg. I was adamant that I don’t want to go any lower so she kept me at 125mg.
Recently, I have increased my dose alternating between 125/150mg because I thought my GP won’t increase and I was feeling the hypo symptoms, weight gain and fatigue. I have gained about 10kg on the last 12 months. However, despite the increase in my dose I haven’t felt any better.
I got my bloods done via Medichecks and the results have just come in. The test was done on 30/01/2023 at 07:20 and the last dose of levothyroxine was taken 24 hours prior to test. However, the tests have given me a scare, I feel I have just messed up by increasing my dose, but the only thing I am unable to understand is that I haven’t lost a single pound of weight and I am not having any palpitations.
The doctor at Medichecks has wrote that:
“In the presence of a raised CRP (inflammatory marker), the ferritin(meant to reflect iron stores) reading isn't always accurate. It can appear higher than your iron store level really is. Consider rechecking ferritin in a few months time, once the CRP has settled. Since your ferritin here is entirely normal, it is unlikely that with such a small rise in CRP that you ferritin would be lower than normal but the only way to be sure is to recheck in a few weeks.”
I would appreciate any advise or support with my results. Many thanks.
Looking at your old reults you seem to be a good converter just your TSH tends to be on the low side. Doctors don't like this and will always try and reduce Levo.
Do you have the last results from your previous Levo dose?
Have you been supplementing at all? Often low vitamin levels mean our thyroid hormone doesn't work properly.
Thank you for replying.
I had my last results in 04/10/2022 and my GP only shared my TSH which was 0.02
Previous to that my results in 13/01/2022 was TSH 0.01, T4 - 14.8, T3 - 5.80
So whatever the dose was on 13/1 was OK.
Have you ever been hyperthyroid? Sometimes TSH stays put.
I think you should reduce back to where you were and start a vitamin B complex. That would bring your low folate and low B12 up and help your body to use the hormones you have there.
i was on 125mg at the time but GP wasn’t happy even then. I will start with B Complex, do you know any good ones I can purchase ?
I have never been Hyperthyroid x
You need to explain that TSH is a pituitary hormone and not a thyroid hormone. Your Thyroid hormone of FT4 is well within range. Explain that you understand the risks of a TSH below the reference range of osteoporosis (actually thin evidence of this) and accept the risks. I'll try and find the NICE quote for you.
This B complex is good and reasonably priced. amazon.co.uk/Yipmai-Liposom...
thank you so much for you help. I really appreciate it x
This wasn't exactly what I was looking for but should also work.