I haven't posted for a while but I developed Hives on my scalp, few itchy spots on my upper body and itchy ears in February. Was given fexofenadine and lotion which calmed the itching down but never went away, every time I've tried to stop the antihistamine I have to start it again. I've got oral lichen planus in my mouth which I manage. I take 75mg levothyroxine wondering if its connected? Had blood test in April 23 because of the itching and my results for thyroid are
FREE T4 17.7
TSH 0.31
I queried the TSH as showing out of range and dr said it would show that as I've got an underactive thyroid not sure if this is right?
My cholesterol was 5.9 and I've got CKD stage 3a so was offered statins in a text from drs but I'm giving it 6 months and having another blood test.
Can you please advise on my levels and the hives please.
Thank you.
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Oraney
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I eat a wheat free diet at the moment but shall change to a gluten free. Was told yrs ago I am probably border line coeliac by a consultant after a biopsy on my bowel. Will also get a full private thyroid test. Thank you for your reply.
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
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
Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce Rye or Barley 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
Thank you for all the information. I don't eat dairy but finding it even harder with diet as trying to cut out salt and lots of gluten free products are quite high in salt especially bread. My diet is mainly fresh non processed food.
The GFR is reversibly reduced (by about 40%) in more than 55% of adults with hypothyroidism[40] due to several reasons.
There is a reversible reduction in the kidney to body weight ratio in hypothyroidism, where the renal mass almost doubles with treatment. Hypothyroidism results in a reversible elevation in serum creatinine due to the reduction in GFR as well as possible myopathy and rhabdomyolysis. There is a reduction in serum cystatin C levels in hypothyroidism due to reduced production, consequent to reduced cellular metabolism.[30] Both these changes are reversible with treatment of hypothyroidism.
Your current results don't include an FT3 so I would recommend doing a private test if GP not able to do that for you. Private tests are available, 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 London, Surrey, Sussex, Kent areas. No charge for blood draw in clinic. Check to see if there is a blood test company near you. onedaytests.com/products/ul...
Only do private postal testing early Monday or Tuesday morning.
Are you continuing to supplement vitamin levels and what were your latest results?
You likely need to raise your FT3 to help some of your other symptoms. You can email info@thyroiduk.org for a list of T3 sympathetic Endo's.
Thank you for your reply. I shall contact the new one day tests as this is nr me. GP didn't test FT3. My vitamin levels were OK last yr I take calcium vi t D zinc and omega 3. GP didn't test vit levels in April this year.
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