Latest Thyroid Bloods (!)(Thriva) Advice

[mayz131]

Hello all,

Please see below for latest thyroid bloods:

TSH: 0.018

fT4: 19.5

fT3: 5.5

T4: 117

TGAb: 12.5

TPOAb: <9

B12: 71.7

Vitamin D: 101

See attached for ranges of the thyroid hormones. I don’t think this shows poor T4>T3 conversion anymore so I am confused!

How do I convince my GP to stick to my current dose of levothyroxine (50mcg) rather than reducing?

Thanks in advance!

[SlowDragon Administrator]

was test done early morning, fasting and last dose levothyroxine 24 hours before test

From previous post…… strict vegan since 2016

I have previously had blood tests for ferritin - latest was Nov 2022 and it was 35ug/L. My results have always been on the lower side of normal.

No folate result?

What vitamin supplements are you taking

[mayz131 in reply to SlowDragon]

Bloods done just before 9am and fasted and hadn't had levothyroxine since 24 hours prior. I'm currently only taking magnesium and vitamin D supplements.

[SlowDragon Administrator in reply to mayz131]

As a vegan you likely need continuous iron supplements

Retest full iron panel test 3-4 times a year when supplementing

Definitely B12 at least 3-4 days week and daily vitamin B complex

[Lovecake]

If you feel fine and don’t have any symptoms, why can that not be a good enough reason to stay on your dose? Go on Thyroid UK and print out their symptoms checker. If you still have some under active symptoms that would be all the more reason to stay on your dose.

I found that dropping too low made me feel worse very quickly and it to ages to get anywhere near balanced again.

If you have Hashimoto’s, you could try being dairy, soy and gluten free and see if that helps. (Noticed you are vegan, but I’d still try and not have the soy)

[mayz131 in reply to Lovecake]

Hiya I am still having some underactive symptoms such as fatigue and hypothermia but with tachycardia (but that is more due to stimulant ADHD medication) which GP is putting down to ‘overtreatment’. I am gluten free and mostly soy free, but I struggle for lack of protein when I completely cut out soy and that makes me feel worse. I should probably mention I was recently in eating disorder treatment where I had to drink soya milk 3 times a day and my energy was actually better not worse and my TSH was low, T4 high/normal etc. so I think I’m okay with soya? My weird ‘flu-like’ symptoms started this week and I have blocked sinuses. Tested negative for COVID. Also noticed brand changed to Teva so may be related to fillers? No idea what’s going on as everytime I get used to something, something else changes!

[Lovecake in reply to mayz131]

Sorry to hear you have been going through so many things. You sound like you are on the ball. Your GP needs to take into account the whole package (they rarely do, sadly).

I’m not vegan, so please excuse my naivety, but can you have pea protein powder? I’ve heard it’s very good.

There are some nasty cold viruses about at the moment. I think this heat (if you live where it’s hot at the mo) and the dust from the Sahara (this is affecting England etc) will be aggravating all our lungs. I can’t wait till next week when I can put my socks back on and even a fleece. So comforting compared with flaking out on the sofa with my feet and ankles cold from the fan trying to cool the rest of me down.

I hope you can rest and recover and feel a bit better very soon ☺️