I have posted on here a few times since xmas about my battle to get my hypothyroidism taken more seriously by my doctor.
Due to my surgrey having major staffing issues( they turned E-Consult off for a week) I decided to switch surgeries to another one in town which my partner was registered at.
Once registered there I finally got an appointment to discuss my thyroid on 2nd May. She seemed really nice and listened to my concerns that I fely my hypothyroidism had been neglected by previous doctors since being diagnosed in 2016 and that Metformin may be suppressing my TSH.
To that end she agreed to order a full thyroid screening panel and to check my HbA1c so that it was still in the mid 40's and not above 50 she would let me stop the Metformin for 2 months before rechecking my HbA1c.
As I live virtually next door to the local hospital I booked my bloods to be done there at 0820 the following week.
On the day I checked the blood forms and she was good to her word. Thyroid screening, Cholesterol, HbA1c and Thyroid Peroxidase antibody were all there.
I finally got the to she the results yesterday and good news/bad news
HbA1c 43 mmol/mol
Range (0 - 42)
TSH 1.72 mU/l
Range (0.34 - 5.6) 26.24%
FT4 13.5 pmol/l
Range (7.7 - 15.1) 78.38%
No FT3 or Thyroid antibodies although I am not supriused.
So I am going to make an appointment to discuss these results and hopefully come off the Metformin for 2 months as we had previously agreed, but looking at that FT4 result I am not sure what she is going to say.
Any thoughts?
Written by
Dadof5
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No I have never had my antibodies tested hence why I asked the doctor to do them.
As for the vitamins I have found it a bit confusing to be honest. Did speak to the doctor about it and she said my B12 was probably low because of the time of year ie just turning to spring.
I have started eating pate 4 or 5 times a week and brought some max strength vitamin d from the supermarket and have started taking those.
As for the other’s money is a bit tight at the moment so struggling to justify it to the missus.
on levothyroxine we frequently need to supplement B vitamins
A separate B12 initially and a separate vitamin B complex
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement and add a separate vitamin B Complex after a week or so
Then once your serum B12 is over 500 (or Active B12 level has reached 70), you may be able to reduce then stop the B12 and just carry on with the B Complex.
If Vegetarian or vegan likely to need ongoing separate B12 few times a week
IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg) and continue separate B12
Only add one supplement at a time then wait 10-14 days to assess any changes before adding another
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