As I have stated in my previous posts I’m hypothyroid and believe I’m being under medicated at the moment. I’m having a problem getting a face to face with a doctor at my surgery so I’ve written my doctor a letter hoping she would contact me to arrange an appointment. No luck so tried doing an e-consult thought I was going to get at least a phone call. No luck just an email reply saying my last blood test result was fine and if I was still worried about my weight gain to book a blood test! We all know that will just be a TSH test don’t we. So I now have to resort to ringing up at 8 am every morning hoping to get a face to face. So to that I’m trying to be prepared. I have had lots of very good advice on here but don’t want the doctor to use the old people on forums aren’t doctors so don’t know what they are talking about excuse. So does anyone have links to the following articles that I print out.?
Why FT4 and FT3 levels should be 60% - 70% through range.
Why GP should test vitamin D, folate, ferritin and B12 yearly?
Why the above needs to be optimal for high Levothyroxine dosages? And what is optimal?
Anything that says hypothyroidism should be treated before starting patients on treatment for type 2 diabetes of cholesterol problems?
thanks in advance
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Dadof5
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This post Dadof5 .... use these references to show an increase in dose which takes your TSH lower than 1.8 is perfectly safe / even recommended. healthunlocked.com/thyroidu.... (*one has ref to cholesterol)
the above ref's work as long as TSH stays over 0.4/0.5 on the higher dose.
GP does NOT know what TSH will go to on a higher dose unless they try it .. so you re asking for "a trial of higher dose to see if it improves symptoms".
if TSH is lower than 0.4 after a few months on higher dose, but you feel better and want to keep that dose .... then this post contains the evidence you need to show TSH between 0.04 -0.4 has no greater risks than TSH in range 0.4 - 4 healthunlocked.com/thyroidu....
there are no proper references to 60/70% being needed / better .. that is just a observation that often turns out to be true , but it is not true for everyone .
" If you have an underactive thyroid (hypothyroidism), treatment may be delayed until this problem is treated. This is because having an underactive thyroid can lead to an increased cholesterol level, and treating hypothyroidism may cause your cholesterol level to decrease, without the need for statins. Statins are also more likely to cause muscle damage in people with an underactive thyroid".
HiI'm not an expert on anything except my own experience. I had radio- iodine treatment in 2010 for Graves disease. It took three years and a lot of blood tests before I was stable on 125mcg levothyroxine. The endocrinologist was very supportive but told me right at the beginning it was going to be a long road and he was right. I kept going hypo and put on three stone. I lost the weight eventually via weight watchers. I've been stable for 10 years but it was a long haul. I just had to keep plugging away
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would be grateful for some help please
TSH levels
What would expected TSH and T4 be like after 3 months on levo?
