I’m needing some advice in readiness for my appointment with my GP this Thursday please 🙏
I’m currently taking 1/2 grain of Armour Thyroid privately but I can no longer keep up with the costs of this .
I’ve attached my recent bloods from 26th May this year .
If I take 1/2 grain of Armour what is this equivalent dose in Levo ? Am I better to start at 25mcg ?
Honesty I feel soooo tired atm , brain fog , nails very thin and brittle and one coming off nail bed / depressed 🙈
I have tried Levo before but to be fair never gave it a good try to see how well I converted etc so I’ll chat with GP Thursday…..GP knows I’m on Armour and has suggested before about going on Levo on the NHS
As always any advice / feedback would be appreciated 😃
I’ll also attach my recent vitamin results below .
Thank you all 🦋
Written by
Kisca
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Retest bloods 6-8 weeks after each dose increase in levothyroxine
Work out which brand levothyroxine suits you best and always get same brand at each prescription
Essential to regularly retest vitamin D, folate, ferritin and B12
What vitamin supplements are you taking
Recommended that all thyroid blood tests 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)
guidelines on dose levothyroxine by weight
Even if we normally start on only 50mcg, most people need to increase levothyroxine dose slowly upwards in 25mcg steps (retesting 6-8 weeks after each increase) until eventually on, or near full replacement dose
Consider starting levothyroxine at a dosage of 1.6 micrograms per kilogram of body weight per day (rounded to the nearest 25 micrograms) for adults under 65 with primary hypothyroidism and no history of cardiovascular disease.
In the majority of patients 50-100 μg thyroxine can be used as the starting dose. Alterations in dose are achieved by using 25-50 μg increments and adequacy of the new dose can be confirmed by repeat measurement of TSH after 2-3 months.
The majority of patients will be clinically euthyroid with a ‘normal’ TSH and having thyroxine replacement in the range 75-150 μg/day (1.6ug/Kg on average).
The recommended approach is to titrate thyroxine therapy against the TSH concentration whilst assessing clinical well-being. The target is a serum TSH within the reference range.
……The primary target of thyroxine replacement therapy is to make the patient feel well and to achieve a serum TSH that is within the reference range. The corresponding FT4 will be within or slightly above its reference range.
The minimum period to achieve stable concentrations after a change in dose of thyroxine is two months and thyroid function tests should not normally be requested before this period has elapsed.
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