Feeling low and fed up: About three weeks ago, my... - Thyroid UK

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Feeling low and fed up

luka63 profile image
3 Replies

About three weeks ago, my GP phoned me and told me my tsh level is high. For now, I have to stop having caffeine (a coffee) when I take my thyroxine.

I have to repeat bloods in twelve weeks, then take it from there.

Please advise what does this mean because my stomach has been in knots and I am finding it difficult to deal with this

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luka63
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SlowDragon profile image
SlowDragonAdministrator

Levothyroxine is an extremely fussy hormone and should always be taken on an empty stomach with water and then nothing apart from water for at least an hour after

Many people take Levothyroxine soon after waking, but it may be more convenient and perhaps more effective taken at bedtime

verywellhealth.com/best-tim...

No other medication or supplements at same as Levothyroxine, leave at least 2 hour gap.

Some like iron, calcium, magnesium, HRT, omeprazole or vitamin D should be four hours away

(Time gap doesn't apply to Vitamin D mouth spray)

If you normally take levothyroxine at bedtime/in night ...adjust timings as follows prior to blood test

If testing Monday morning, delay Saturday evening dose levothyroxine until Sunday morning. Delay Sunday evening dose levothyroxine until after blood test on Monday morning. Take Monday evening dose levothyroxine as per normal

Which brand of levothyroxine are you currently taking

Do you always get same brand at each prescription

How much levothyroxine are you on

what vitamin supplements are you taking

When were vitamin D, folate, ferritin and B12 last tested

Bloods could/should be retested 6-8 weeks after any changes

Jaydee1507 profile image
Jaydee1507Administrator

Are you suspecting you might be taking too much Levo? Do you have copies of your blood results? Ask GP receptionist for a print out and post the results here.

tattybogle profile image
tattybogle in reply to Jaydee1507

Luka's; TSH is high Jaydee , this indicates Levo dose is too low ( not too high ).

GP obviously want's to optimise absorption of the current Levo dose (by separating it from coffee), before deciding whether a dose INCREASE is needed .

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