On 75micrgrms levo but TSH score gone from a no... - Thyroid UK

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On 75micrgrms levo but TSH score gone from a normal fluctuating from 2-3 to 8.57 suddenly

Needlehaystax profile image
3 Replies

Hypothyroid and on levothyroxine 75micrograms

Hashimoto's Antibodies 263

TSH 8.57

T3 4.3

T4 15.4

I recently read about the timings of blood draws before 9am and not taking meds, food before the draw and no supplements 3 days before. So I ran a test. I had GP bloods done on the 15th august and had a normal reading 3.34, they didn’t take my T4 for some reason but my T3 was normal at 3.2. They took it just before 9am.

on the 19th August I decided to do a private advanced thyroid test through medichecks at 7.20am my TSH is now 8.57, t3 4.3, free thyroxine 15.4. All vitamins were good apart from b12 and ferritin were on the low side of normal. (I am prescribed ferrous fumerate and I take other vitimins but I’ve had a break recently so maybe it’s down to that?)

I am now very confused as to how my TSH has suddenly jumped up like that. Have all my GP bloods been wrong? Am I on the wrong dose of levothyroxine? Please read my bio for full background. Any help or advice would be really appreciated. I am due to start ivf with frozen eggs with my partner and need my TSH to be below 2.

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Needlehaystax
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SlowDragon profile image
SlowDragonAdministrator

Your helpful profile info says you have Hashimoto’s, so levels hop about especially if on inadequate dose levothyroxine

GP bloods done on the 15th august and had a normal reading 3.34, they didn’t take my T4 for some reason but my T3 was normal at 3.2.

TSH too high so you need immediate 25mcg dose increase in levothyroxine

What is range on Ft3 result …..FT3 looks extremely low

Retest in 6-8 weeks

Obviously private test confirms you’re not on high enough dose levothyroxine

Which brand of levothyroxine are you currently taking

Approximately how much do you weigh in kilo

75mcg levothyroxine is only one step up from starter dose

Guidelines on eventual dose levothyroxine required is approximately 1.6mcg per kilo of your weight per day

Please add actual results and ranges on B12, ferritin, folate and vitamin D

Have you had coeliac blood test done at diagnosis of Hashimoto’s

Are you now on strictly gluten free diet/dairy free diet

Jaydee1507 profile image
Jaydee1507Administrator

Welcome to the group and thank you for completing your helpful profile.

To understand your results better we need to see the reference ranges for each test - numbers in brackets after your result. This is important as they vary from lab to lab.

You are relatively recently diagnosed and treated so changes in numbers are to be expected. That, coupled with the fact your TSH was still above 2 and its not surprising things are changing. You clearly need a dose increase of 25mcgs so make an appointment to see your GP and insist on that. Most people feel well when their TSH is at or just under 1.

Exactly what supplements are you taking? We don't recommend multivitamins here as they contain too low a quantity to make a difference to our levels, contain iodine and iron which prevents absorption of other vitamins.

What were your most recent vitamin levels for ferritin, folate, B12 & D3?

It's ideal if you can always get the same brand of levo at every prescription. You can do this by getting GP to write the brand you prefer in the first line of the prescription. Many people find that different brands are not interchangeable.

Always take Levo on is own on an empty stomach an hour away from food or caffeine containing drinks & other meds. Many people find taking it at bedtime works well for them.

Do you know if you had positive thyroid antibodies? Many with autoimmune thyroid disease aka Hashimoto's benefit from a gluten free diet. A smaller percentage of those also need to remove dairy from their diet to feel well. These are intolerances and will not show up on any blood test.

SlowDragon profile image
SlowDragonAdministrator

I am due to start ivf with frozen eggs with my partner and need my TSH to be below 2.

As you’re on Levo more likely to need TSH around or below 1

Most important results are ALWAYS Ft3 followed by Ft4. Looking for Ft3 at least 50-60% through range minimum. Ft4 often needs to be a bit higher

Pregnancy

Before even considering TTC levels need to be stable

verywellhealth.com/infertil...

.

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/...

See pages 7&8

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 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...

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