t3 and heart burn acid reflux: hello, I have... - Thyroid UK

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t3 and heart burn acid reflux

Jasmine2021 profile image
11 Replies

hello,

I have not long started t3 monotherapy (2 x 5mcg doses approx 8 hours apart).

Since I started though I have had really bad acid reflux and heart burn. I have had this a little bit for many years (and tried many different remedies in the past) but it has definitely worsened since starting T3 about two weeks ago.

has anyone else experienced this? I want to persist but I must admit I am struggling with it a lot.

any advice most welcome thank you

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Jasmine2021 profile image
Jasmine2021
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11 Replies
Jaydee1507 profile image
Jaydee1507Administrator

10 mcgs T3 is a relatively low dose so no doubt once you get closer to your optimal dose this will improve.

Have you tried a teaspoon of apple cider vinegar (must contain the ‘Mother’, see label) to a glass of water before your main meal. This helps acidify the stomach.

What supplements are you taking?

what were your latest results for key vitamins ferritin, folate,, B12 & d3?

Jasmine2021 profile image
Jasmine2021 in reply toJaydee1507

thank you so much for your response. I will try and stick it out and hope it does improve!

I have previously tried apple cider vinegar but not for a while so I will give that another try.

I am only taking calcium and vitamin d supplements (away from T3).

My vit D level is 79nmol. I can’t remember my others off the top of my head. They were in range but I can’t remember if they were optimal but I will check. I probably ought to get them tested again to be honest.

Jaydee1507 profile image
Jaydee1507Administrator in reply toJasmine2021

It essential to have optimal vitamin levels to firstly tolerate thyroid hormones well but also for them to work well. In range results are not good enough and not the same at all as optimal.

Definitely get full vitamin testing done and come back when you have he results with a new post.

See link for companies offering private blood tests & discount codes, some offer a blood draw service at an extra cost. thyroiduk.org/help-and-supp...

There is also a new company offering walk in & mail order blood tests in Crawley, Hove and Reigate areas. Check to see if there is a blood test companies near you. onedaytests.com/products/ul...

Jasmine2021 profile image
Jasmine2021 in reply toJaydee1507

thank you!

greygoose profile image
greygoose in reply toJasmine2021

Why are you taking calcium? That's really not a good thing to take unless you absolutely have to. Did your calcium test very low?

Jasmine2021 profile image
Jasmine2021 in reply togreygoose

hello, I have osteoporosis which I’m on treatment for and have been advised to take it although I try to get as much as possible through my diet rather than supplement and take a form which is easier to digest and absorb

greygoose profile image
greygoose in reply toJasmine2021

Calcium is neither a cure nor a treatment for osteoporosis, and excess can actually make things worse. Did they test your calcium levels before telling you to take it?

It is highly unlikely that you need more calcium, most people get quite enough from their diet. And taking vit D increases your absorption of calcium from food. Are you taking vit K2 - MK7 and magnesium with your vit D? Vit D and magnesium work together, and magnesium is actually more important for bones than calcium. And K2 makes sure that the extra calcium you'll be getting with the vit D goes into your teeth and bones, and doesn't build up in the arteries and soft tissues.

Doctors know nothing about about nutrition but have been brainwashed to believe that if you have osteoporosis you need extra calcium. This is rarely true. I would suggest that you get your calcium tested as soon as possible. :)

SlowDragon profile image
SlowDragonAdministrator

Previous post 2 years ago

healthunlocked.com/thyroidu...

Do you have Hashimoto’s

How much levothyroxine were you taking before changing to T3

How long on that dose levothyroxine and which brand

Please add most recent thyroid and vitamin results from on only levothyroxine

2 x 5mcg T3 is the sort of dose of T3 that’s ADDED ALONGSIDE levothyroxine …..as 5mcg waking and 5mcg 10-12 hours later

Jasmine2021 profile image
Jasmine2021 in reply toSlowDragon

hello,

thanks for your response.

No I don’t have hashimotos.

I was taking Levothyroxine 50mcg for 12 months (Accord brand)

On Levothyroxine only my results were

TSH 0.1 (0.27-4.2)

Free T3 4.3 (3.1-6.8)

Free T4 21.9 (12-22)

Vitamin D 79 (>49.9)

Serum B12 403 (211-911)

Serum Folate Level 6.84 (>4.0)

Ferritin 63 (15-204) 

SlowDragon profile image
SlowDragonAdministrator in reply toJasmine2021

was test done early morning and last dose levothyroxine 24 hours before test

50mcg is ONLY standard STARTER dose

Dose should be increased slowly upwards in 25mcg steps….retesting 6-8 weeks after each dose increase

pathlabs.rlbuht.nhs.uk/tft_...

Guiding Treatment with Thyroxine: 

In the majority of patients 50-100 μg thyroxine can be used as the starting dose. Alterations in dose are achieved by using 25-50 μg increments and adequacy of the new dose can be confirmed by repeat measurement of TSH after 2-3 months. 

The majority of patients will be clinically euthyroid with a ‘normal’ TSH and having thyroxine replacement in the range 75-150 μg/day (1.6ug/Kg on average).

The recommended approach is to titrate thyroxine therapy against the TSH concentration whilst assessing clinical well-being. The target is a serum TSH within the reference range. 

……The primary target of thyroxine replacement therapy is to make the patient feel well and to achieve a serum TSH that is within the reference range. The corresponding FT4 will be within or slightly above its reference range.

The minimum period to achieve stable concentrations after a change in dose of thyroxine is two months and thyroid function tests should not normally be requested before this period has elapsed.

SlowDragon profile image
SlowDragonAdministrator

All four vitamins on low side

What vitamin supplements are you taking

Have you had BOTH TPO and TG antibodies tested for Hashimoto’s

If both antibodies negative have you had ultrasound scan of thyroid

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