I was diagnosed around 7 years ago and last 9 months or so have been felling pretty awful - no energy, forgetful, hair falling out, vertigo worse than usual, dry skin and if you were to just place your hand around your throat no pressure that is what I feel all the time
I was on 125mg of levo (same brand) for the last 6 years with annual checks that have gradually been getting worse but Dr kept saying they were in range.
Tests on 17th April showed (test done at 8:30am no levo taken before the test)
Serum TSH Level 5.16 mlU/L (range 0.40 to 4.90)
Serum Free T4 Level 12.1 pmol/L (range 9.0 to 19.0)
Anti-TPO antibody 810.0 (range 0.0 to 24.9)
After these results my Dr gave me a 25mg increase to150mg levo and I have seen a slight improvement mainly to skin and vertigo but still very tired
New results on 5th June show (test done at 9am no levo taken before the test)
Serum TSH level 0.29 (range 0.40 to 4.90)
Serum free T4 15.1 pmol/L (range 9.0 to 19.0)
Serum Free T3 4.3 (range 2.6 to 5.7)
Anti-TPO antibody 919.0 (range 0.0 to 24.9)
I am now not sure what to expect when I go to my next Dr appointment next week and am concerned they will want to reduce my dose again and I will be back to square one. Also confused why my Anti-TPO antibodies are getting worse?
Any advice would be appreciated.
Thank You
Written by
Belinda1136
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Remember to stop vitamin B complex 5-7 days before any test as contains biotin
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)
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working and results in symptoms due to low vitamin levels
Extremely common to need to supplement vitamin D, vitamin B complex and magnesium daily
Many also initially need separate B12
And many members struggle to maintain good iron/ferritin
But ALWAYS test first before starting any supplements and retest at least annually
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances.
Most common by far is gluten.
Dairy is second most common.
A trial of strictly gluten free diet is always worth doing
Only 5% of Hashimoto’s patients test positive for coeliac but a further 81% of Hashimoto’s patients who try gluten free diet find noticeable or significant improvement or find it’s essential
A strictly gluten free diet helps or is essential due to gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and may slowly lower TPO antibodies
While still eating high gluten diet ask GP for coeliac blood test first or buy test online for under £20, just to rule it out first
Assuming test is negative you can immediately go on strictly gluten free diet
(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially)
Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
Similarly few months later consider trying dairy free too. Approx 50-60% find dairy free beneficial
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I Would Like Some Advice Please? Re: Blood Test After Levo Reduction.
Thyroid Blood Results
Blood test results 
Blood test results
