T3 / NDT

[Acadia0708]

Hi - I'm 39 and have had hashimotos / under active thyroid for 10+ years. I have suffered from 3 miscarriages recently + had 2 poor quality / outcome IVF egg retrievals. I'm on 100mg of levothyroxine, TSH is in range (around 2) but T3 is really at the bottom of the range. I don't think I'm converting t4 to t3 very well and think I need to supplement additionally. Pls could you send me a list of the doctors who might be prescribing that in London ideally? Thanks a lot!

[SlowDragon Administrator]

Welcome to the forum

First step is to get FULL Thyroid and vitamin testing done BEFORE booking any consultation

Most important result is always Ft3

Which brand of levothyroxine are you taking, do you always get same brand levothyroxine at each prescription

please add most recent TSH, Ft4 and Ft3 results

Was test done as recommended…..early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

When were vitamin D, folate, ferritin and B12 last tested

Please add results and ranges

Exactly what vitamin supplements are you taking

As you have Hashimoto’s have you had coeliac blood test and are you on strictly gluten free and/or dairy free diet

List of thyroid specialists and endocrinologists

healthunlocked.com/thyroidu...

[SlowDragon Administrator]

Very sorry for your losses

Pregnancy guidelines

thyroiduk.org/having-a-baby-2/

NICE guidelines that if hypothyroid or subclinical you should see endocrinologist BEFORE TTC

cks.nice.org.uk/topics/hypo...

gp-update.co.uk/files/docs/...

IMPORTANT See pages 7&8

Dose levothyroxine should be increased as soon as conception confirmed

btf-thyroid.org/Handlers/Do...

Also here - dose increase in levothyroxine as soon as pregnancy test confirms conception

cuh.nhs.uk/patient-informat...

thyroidpharmacist.com/artic...

Low iron/ferritin and increased risk of miscarriage

Low ferritin, low thyroid levels and miscarriage

preventmiscarriage.com/iron...

Low iron and hypothyroid

endocrineweb.com/news/thyro...

Folate and B12 and Neural tube defects and autism

healthunlocked.com/thyroidu...