Underactive thyroid and increased night time urination?

[Tired_MiddleAged]

Hi all

I’m at the very early stages of trying to manage underactive thyroid. It’s been a battle with my doctor as TSH high but T3 and T4 in range but very high antibodies. I’m now 2 weeks into being on 50mg thyroxine and not noticing any difference yest. Symptoms have been tiredness, low mood, weight gain, coldness, generally feeling not right. My biggest issue of the last few months is that I’m getting up three times a night to urinate. Usually it’s once, maybe twice if perhaps I’ve been out for a few drinks. Anyway added to the general exhaustion I’m even more tired, and just wondered if anyone else has this as a symptom of underactive thyroid? I usually have a small glass of water/squash at 8pm and that’s my final drink.

Any thoughts would be appreciated. Thank you!

Have added my Medichecks blood results here too:

TSH 6.51 (R 0.27-4.2) T3 4.1 (R 3.1-6.8)T4 14.6 (R 12-22) Iron 35 (R 30-150)Folate 14.9 (R 8.85-60.8)B12 29 (R 37.5-188)Vit D 59 (R 50-250)Taking 50mg thyroxine from Accord. Been on it for 2 weeks.Age 41 and female.

[SlowDragon Administrator]

Welcome to the forum

50mcg is only the standard starter dose of levothyroxine

It takes 6-8 weeks for each dose change to have full effect

Bloods will need retesting 6-8 weeks after each increase

Unless extremely petite likely to eventually be on at least 100mcg levothyroxine per day

Dose levothyroxine is increased slowly upwards in 25mcg steps over 6-12 months

Retesting 6-8 weeks after each increase

ALWAYS test thyroid levels early morning, ideally just before 9am, only water between waking and testing….and last dose levothyroxine 24 hours before test

What were thyroid levels before starting on levothyroxine

Which brand of levothyroxine have you started on

Important to test vitamin D, folate, ferritin and B12 levels too, especially as you have autoimmune thyroid disease also called Hashimoto’s

Increased urination at night should improve as you become less hypo

[Tired_MiddleAged in reply to SlowDragon]

thanks for this - apologies I replied in a new post, instead of replying to you

[SeasideSusie Remembering]

Are you male or female?

[Tired_MiddleAged in reply to SeasideSusie]

female

[RedApple]

Frequent night time urination is a sign of under-medication for me. 50mcg levothyroxine is a low dose, so things may improve over time, as your dose increases.

[Tired_MiddleAged in reply to RedApple]

good to know - thank you! My GP was reluctant to medicate so I’m hoping I won’t have issues with requesting it to be increased

[Tired_MiddleAged]

Thanks for your responses everyone. I must admit I’m finding it all a bit overwhelming!

Had private bloods done with medichecks and here are my results;

TSH 6.51 (R 0.27-4.2)

T3 4.1 (R 3.1-6.8)

T4 14.6 (R 12-22)

Iron 35 (R 30-150)

Folate 14.9 (R 8.85-60.8)

B12 29 (R 37.5-188)

Vit D 59 (R 50-250)

Taking 50mg thyroxine from Accord. Been on it for 2 weeks.

Age 41 and female.

Thank you for any thoughts you may have.

Anna

[Marz in reply to Tired_MiddleAged]

What are you taking in the way of supplements ?

[Tired_MiddleAged in reply to Marz]

nothing yet - I need to do some research as to what ones are best but that’s on my list of things to sort this week!

[Marz in reply to Tired_MiddleAged]

Slowdragon has given you details above of important ones to be tested :- B12 - Folate - Ferritin - VitD. Thyroid hormones tend to work better when vitamins and minerals are OPTIMAL. B12 500+ - Folate and Ferritin mid range and VitD 100+ These are rarely tested routinely - they need to be requested.

[Tired_MiddleAged in reply to Marz]

sorry yes I replied up thread with my vitamin results. New to this forum and should have replied directly to SlowDragon but just getting the hang of it!

[Marz in reply to Tired_MiddleAged]

As you can see your vits and minerals are far from good so improving them will help your thyroid hormones to work well. Take a look at Replies to SeasideSusie Click onto her name and then Replies to view excellent advice given to others.

[Tired_MiddleAged in reply to Marz]

thank you - will do