New beginnings : Hi Everyone, I’m new to here to... - Thyroid UK

Thyroid UK

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New beginnings

Duckling27 profile image
22 Replies

Hi Everyone,

I’m new to here to please bare with me, just getting use to all the terminology & different diseases related to the thyroid

I’ve been struggling with horrendous symptoms of;

All over muscle/joint pain

Dizziness

Memory loss, short & long term

Confusion

Hair loss

constant sore throat & swollen tongue

Chronic flu/virus like symptoms

Plus many more but the above are the main ones I’m struggling with the most

I’ve recently researched online & came across Dr Jacob Teitlebaum from America who highlighted Hashimoto’s disease along with some others which I’m still looking into

This seems to be a long journey to getting any kind of diagnosis & I’ve had the usual blood test which all come back “normal” except Vit D which is low

I’m currently waiting for the results of an advanced thyroid test which I’m hoping holds the answers as my quality of life is very limited at the moment

Does anyone have any suggestions of where to go from here if results come back “normal”Please as I’m at my wits end

Thank you in advance lovely people 😊😊

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Duckling27 profile image
Duckling27
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22 Replies
Lalatoot profile image
Lalatoot

Duckling welcome. There is a difference between normal and optimal.Thyroid hormone results come with a range in brackets after your actual result. That range is where results are considered normal. Somewhere within that range will be your optimal or best result. A range for the hormone ft4 can be 10 to 22. You'd be told result normal if your level was 11 and you'd be told the same if it was 20. Yet you might feel optimal with a level of 18. One size does not fit all!

It's like shoes normal sizes 3 to 8. The doctor would expect you to wear a size 4 because it's in the normal size range. But a size 4 won't work if your feet are a size 7 which is also in the normal range.

If you post results on here we can explain and offer help.

Duckling27 profile image
Duckling27 in reply to Lalatoot

thank you for your reply, yes I’ve heard the theory of “shoe size” & “normal” results

If I call the GP & ask for a print out will they do this do you think?

Thank you

Lalatoot profile image
Lalatoot in reply to Duckling27

You are entitled to a copy of your results by law. If you live in England you may be able to access your records online. If you live in Scotland you will need to contact the surgery as we don't have online access.

Duckling27 profile image
Duckling27 in reply to Lalatoot

hi

Finally got my results from GP

I’m new on here so not sure how or where to post

Here’s my results

TSH 2.31 mIU/L (0.40 - 4.50) 46.6%Free T4 (fT4) 9.10 pmol/L (7.0 - 17.0) 21.0%Free T3 (fT3) 5.5 pmol/L (3.9 - 6.9) 53.3%T4:T3 Ratio 1.655 Thyroid Peroxidase Antibodies (TPO) 9 IU/mL (≤ 9)C-Reactive Protein (CRP) 7 mg/L (0 - 8) 87.5%Folate - Serum 4.2 ug/L (3.1 - 19.9) 6.5%Vitamin B12 (active) 267 nmol/L (145 - 910) 15.9%Vitamin D 37.4 nmol/L (50.0 - 250.0) -6.3%Ferritin 81 ug/L (11 - 307) 23.6%Serum parathyroid  30.1 Pg/ml (19.0 - 67.0) 23.1%HbA1c level -IFCC standardised  45 Mmol/mol (41 - 41)

Lalatoot profile image
Lalatoot in reply to Duckling27

Duckling pop your results in a new post. Folks won't see them embedded here. That way you will get more replies and better help from a variety of folks.

humanbean profile image
humanbean in reply to Duckling27

Don't talk to GPs about getting a copy of your test results. Talk to the receptionists. And definitely don't make an appointment! Doctors consider that a waste of an appointment and can get quite angry about it because some (?) or many (?) of them don't approve of patients having access to their records any way.

Singwell profile image
Singwell in reply to Lalatoot

Thank you for that explanation re 'normal' as its helpful to me

Lalatoot profile image
Lalatoot in reply to Singwell

You are most welcome. It is by paying attention to ft4 levels and ft3 if you can get it done that you get tuned into what is best for your body and how your body is using thyroid hormones. It is one of the keys to successful treatment.

Singwell profile image
Singwell in reply to Lalatoot

Just posted about seeing GP tomorrow with test results, which is why your comment is so useful at this point. I do feel better overall but have some concerns re interaction with heart.

PurpleNails profile image
PurpleNailsAdministrator

For full results you need TSH, FT4 & FT3. 

 Important to test folate, ferritin, B12 & vitamin D.  Low nutrients can lower TSH.

When GPs in UK screen for possible thyroid issues, sometimes only TSH is tested & thyroid issues are missed / go undiagnosed.  

You asked on another post if you need an antibody test….  & I’ll reply here.  

If your full function, ie TSH, FT4 & FT3 showed healthy levels then no their no benefit of testing thyroid antibodies. 

If your levels were in range but on the border of abnormal, then it worth testing antibodies as it would show if an autoimmune condition is affecting the thyroid and treatment can be commenced as the levels approach treatable levels, hopefully before. 

If your levels are already overtly abnormal you will we offered treatment as all hypothyroidism is treated the same.  By replacing the low hormones.  It’s useful to know of antibodies are present but often they only only tested 1x to confirm if present.  Sometimes antibodies are not present but you will still need to be treated for low levels.  

TiggerMe profile image
TiggerMe

Welcome along to the fun and games, have you had your sex hormone levels checked, are you on HRT? You certainly sound like you can join the dysfunctional thyroid gang but have a look at menopause symptoms too as there is about an 80% cross over of symptoms just to add to the confusion 🤗

SlowDragon profile image
SlowDragonAdministrator

How low was vitamin D

What dose vitamin D are you now taking?

NHS Guidelines on dose vitamin D required

ouh.nhs.uk/osteoporosis/use...

GP will often only prescribe to bring vitamin D levels to 50nmol.

Some areas will prescribe to bring levels to 75nmol or even 80nmol

leedsformulary.nhs.uk/docs/...

GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)

mm.wirral.nhs.uk/document_u...

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 when supplementing 

NHS private testing service

vitamindtest.org.uk

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...

humanbean profile image
humanbean

Many of your symptoms sound like they could be symptoms of hypothyroidism and obviously you should get tested properly for that. But they could also be symptoms of low vitamins and minerals, vitamin deficiencies, mineral deficiencies, and/or anaemia.

Here are some lists of symptoms of nutrient deficiencies :

B12 : b12deficiency.info/signs-an...

Folate (B9) : b12deficiency.info/folate-b...

Iron : healthline.com/nutrition/ir...

en.wikipedia.org/wiki/Vitam...

en.wikipedia.org/wiki/Miner...

lpi.oregonstate.edu/mic/nut...

The nutrients most often mentioned and discussed on this forum are :

Vitamin B12

Folate

Ferritin (iron stores)

Serum iron

Vitamin D

The above are believed to be important in converting thyroxine (T4) to liothyronine (T3). T3 is the active thyroid hormone that every cell in the human body needs for proper functioning.

Other nutrients which get mentioned to a lesser extent - but are still important :

Magnesium

Zinc

Copper

Selenium

Iodine

Sleepman profile image
Sleepman

As per the ateam above. I am a newish member.

Could also be gluten intolerance/celiac. Gluten issues do not always show in gut.

I cut out gluten and some things got better but still felt very cold all the time in summer. Then found out I was low thyroid caused by my immune system.

I thought I was going to be low vitamin B12, they are all so similar.

Good luck

Libuse profile image
Libuse

My goodness Duckling 27, you could be talking about myself! I started on this scary journey 2 years ago when I was diagnosed with B12 deficiency. Have you been tested for this? That and hypothyroidism are often linked which I found out in November when I woke up one morning with severe vertigo and could barely stand. Blood test revealed TSH of 67.6 which I believe is incredibly high, from research on this site. Now on minimum of 25 mgm levothyroxine, still dizzy and hair feels fine, thin and dry. I self inject B12 every other day as prescribed 3 monthly doses woefully inadequate.

My advice, gather all the information you can from these posts, get tested for B12. From my experience, this forum and that of B12 (called pernicious anaemia society) have saved me from severe depression . People are really kind

SlowDragon profile image
SlowDragonAdministrator in reply to Libuse

Libuse

Bloods should be retested 6-8 weeks after each dose increase

Unless over 65years old, standard starter dose levothyroxine is 50mcg

Always test early morning and last dose levothyroxine 24 hours before test

Libuse profile image
Libuse in reply to SlowDragon

thanks for taking the time to reply to me SlowDragon. I am very au fait now with B12 thanks to PA forum but still confused and uncertain about Hypothyroidism. All my knowledge comes from this site. I am 70 and only weigh 48 kilos so 25mgs right starting dose, I think. In January TSH dropped to 49 from 67, and GP kept me on same dose, just had 3rd blood test and am waiting for results. However these figures seem an awful long way from TSH at 1 which I believe is ideal!

SlowDragon profile image
SlowDragonAdministrator in reply to Libuse

yes…..push for next increase after next test

Because of your age (and petite) perhaps increase slowly initially to 25mcg and 50mcg alternate days

Or cut a 25mcg in half to add 12.5mcg to give 37.5mcg daily

Which brand of levothyroxine are the 25mcg tablets?

Eventual dose of approx 1.6mcg per kilo will give daily dose of 75mcg

ESSENTIAL to test vitamin D, folate and ferritin

Do you have PA?

Are you on B12 injections and if so how frequently

Are you taking a daily vitamin B complex too?

Libuse profile image
Libuse in reply to SlowDragon

for 3 months it was Teva now Wockhardt this month. Because of treatment for throat cancer 15 years ago I can’t swallow and I have to crush tablets to inject into peg tube with syringe. I find the Teva dissolve easier but a lot of members on site seem not to like this brand….. I know where I am with B12 but still a newbie on this forum. Really appreciate your support!

Libuse profile image
Libuse in reply to Libuse

I inject B12 every other day as I have neuropathy in hands and feet, and I take one drop vitamin d every morning. I don’t have PA. My deficiency caused by many years of peg feeding not into stomach but into small intestine.

SlowDragon profile image
SlowDragonAdministrator in reply to Libuse

Gosh you have been through tough times then

Have you noticed any difference between the two brands?

Many people find different brands are not interchangeable

Teva in particular upsets many people

There’s liquid levothyroxine, but I think it’s possibly quite viscous

GP’s always reluctant to prescribe as it’s expensive at over £100 a bottle

Currently liquid levothyroxine also very difficult to get hold of

vitamins

Has GP tested folate, iron and ferritin levels

Libuse profile image
Libuse in reply to SlowDragon

folate 19.0 ug/l

Ferritin 72 ug/l

Both tested December and appear to be within range. Never been tested for iron

Only been on Wockhardt a few days. I just prefer the way Teva dissolves quickly 😂. I can’t tell you how grateful I am for your interest.

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