these are my latest results. I’m on combo t4/t3. 150 t4 and 15 t3 taken once a day in the morning.
This time there was 11 hrs gap from doses to testing .
13/3/23 Monitor My Health 150mcs Levo plus 15mcgs T3Tested at 7pm 11 hrs after doseTsh <0.01 (0.27-4.2)Ft4 20.1 (12-22)Ft3 5.8 (3.1-6.8)
Are these giving you a better idea than my previous posts where there was a 24hr gap
previous test with last dose 24 hours before test
150 Levo 15mcgs T3
TSH <0.3 (0.35-4.94)
Ft4 16.8 (9-19)
Ft3 4.52 (2.6-5.7)
So if we combine the two
Taking TSH and Ft4 results from testing morning and 24 hours before test ……and Ft3 from 12 hours before test
TSH <0.3 (0.35-4.94)
FT4: 16.8 pmol/l (Range 9 - 19)
Ft4 is 78.00% through range
FT3: 5.8 pmol/l (Range 3.1 - 6.8)
Ft3 is 72.97% through range
So these results look “perfect “
How do you feel
Important to test vitamin D, folate, ferritin and B12 at least annually
What vitamin supplements are you currently taking
Is your thyroid disease autoimmune?
Ft4 was actually 20.8 11hrs after dose not 16.8….
Well I have a knotted feeling in my tummy most days. I’ve gained weight. Constipated. Thinned hair. Rarely feel tired.
Last time I had my B12 tested without supplementing it was 615 top of range 640
Folate was 6.4 before supplementing and over range after supplementing.
Vit D 101
Ft4 was actually 20.8 11hrs after dose not 16.8….
Yes, I realise that
But last dose levothyroxine should be 24 hours before test and ONLY T3 should be 8-12 hours before test
When were iron and ferritin levels last tested
as I only dose once a day I was previously asked to test 12 hrs after dosing with t3 which is what I did.
sorry SlowDragon. I see what you’re saying now!!
Using the ft4 from the 24hr result and using the ft3 from the latest results!! Silly me.
So as far as you’re concerned you think my results from those two are good?
My B12 was 615 top of range 640
Folate before supplementing was 6.4 but went over range after supplementing
Ferritin was 101 I think
Vit D was 125
My RBC has dropped a bit also wbc is now below range
You say my results look perfect but I have terrible constipation and have to take laxatives every day
sorry SlOwDragon . I forgot to say I have a feeling in my tummy like it’s knotted /anxious most days to the point it feels tight and uncomfortable
Are you gluten free? If not, have you tried going GF for a few weeks? That may help
no I’m not gluten free. I have no idea what I can eat that is gluten free.
I’ve been hypo for over 38 years and never had a problem with gluten as far as I’m aware
What kind of things do your normally eat? There are the obvious things you need to think about in terms of buying gluten free substitutes, like bread and pasta (and if you're wanting treats, gluten free cakes and biscuits). Then of course there is the hidden gluten, so that means checking everything, especially stuff you wouldn't necessarily think of like sauces, stock cubes etc.
However, there is also a lot that is naturally gluten free. Meat and fish (assuming you're not veggie like me), dairy, vegetables, fruit.
Don't get me wrong, it is a lot to get your head around to start with, but it does become much easier as you go along. I'm vegetarian, and have been gluten free for coming up 3 years now (I basically eat as if I am coeliac, so don't eat any may contains, am careful with cross contamination when out, our house is completely gluten free etc). We also low carb most of the time, and find it pretty easy to do all of that whilst being gluten free. Eating out takes a lot more organisation, but we don't do it that often, and when we go away I do a LOT of research so we always have a list of places to go.
why after nearly 40 years would I need to go gluten free ?
I was more answering your question as to you saying you had no idea what you'd be able to eat if you are gluten free.
I don't know if your hypothyroidism is caused by Hashimoto's (I may have missed you saying that and haven't looked at any other of your posts), but if it is, it's highly recommended you do a trial of gluten free. I think it's @SlowDragon who often puts up a post about the benefits of trialling gluten free (apologies if that's the wrong person though!).
A lot of people with autoimmune thyroiditis can benefit from a gluten free diet. Having problems with gluten doesn't just manifest itself in having tummy issues, a lot of the symptoms of hypothyroidism overlap with coeliac disease or gluten intolerance such as fatigue, sore joints, brain fog etc. It is also possible to have no symptoms at all, but still be causing damage internally.
It was only a thought. Your symptom sounds rather like mine. It's maybe worth thinking about.
Gluten sensitivity can develop at any time I believe. It happened to my father (diagnosed as coeliac when he was 75) and I am definitely being affected now ( and I'm early 70s)
have you been tested for gluten ?
Are you now gluten free?
I've had 2 negative blood tests.
Before the second one last year, I'd gone gluten free and felt loads better. They agreed to test me again, so I ate a full gluten diet for nearly 6 weeks beforehand. That second test was also negative, but I felt awful eating gluten again.
Since then I've cut out gluten again and have stopped being bloated, no pain, and less tired. Each time I have eaten gluten since, I've felt those symptoms again.
I know the definitive answer would be to have an endoscopy/biopsy, but I don't want to eat gluten again for 6 weeks!
My dad has several blood tests but they were negative. When he 75 he had the endoscopy (it was positive for coeliac), and the consultant rang him to apologise that he hadn't diagnosed him earlier.
has the feeling in your tummy like mine gone then?
what are the symptoms of gluten sensitivity?
You might find my profile interesting
I had zero symptoms of gluten or dairy intolerance….. turned out to react significantly to both
The only way to know is to try it
The GP can do a blood test, but unfortunately these give many false negatives. The definitive answer is from a biopsy. Before either, you need to be eating gluten for at least 4 weeks.
very common to develop gluten intolerance and/or dairy intolerance the longer we are on Levothyroxine
many of us turn out to be gluten and dairy intolerant
Like many I was astonished at transformation cutting gluten out …… and again recently cutting dairy
Gluten in wheat, rye and barley
Get coeliac blood test ideally before cutting gluten out as 3-6 months trial
I tested negative for celiac
so you can immediately trial strictly gluten free
Only 5% of autoimmune thyroid patients test positive for coeliac
But further 81% find gluten free is noticeable or significant improvement or absolutely essential
You don’t need to have any obvious gut symptoms
suggest you spend next fortnight working out what you would eat instead at each meal before taking the plunge
No point being almost gluten free
I’ve looked at the list of gluten foods and I really don’t eat them regularly
There is gluten in all sorts of foods you don't think about. Soups, sauces, dressings, cereals, snacks in packets, sweets and chocolates. Sausages too. You have to read the ingredients list on everything if you want to try it and you can't eat just a bit of it, it all has to go to let the gut heal and see if you have any positive improvements as a result.
I was gluten free for around 18 months at one point. I lost a ton of weight, but probably because I was eating a much healthier diet. I didn't notice other benefits though and I do now eat gluten again. I was not diagnosed with hypothyroidism back then. I found I didn't like or want the gluten free substitutes of bread etc. I just ate different meals. Salads in a Tupperware box for lunch at work instead of a sandwich, that sort of thing.
I don’t think I’m sensitive to gluten as I don’t have the symptoms of it.
You won't know if you don't try. You have symptoms. That's enough. But you do need to be in the right frame of mind to go gluten free, and you don't sound like you are to me. You are fighting all the suggestions of it. I'm not advocating it for you. Just explaining what it entails. I'm glad I tried it and ruled it out. It was one less thing to play at the back of my mind.
what symptoms of it do I have?
Bread, cakes, biscuits, sauces, pasta, pizza etc etc
Wheat is hidden in thousands of products