Hair loss: Hi, ive been diagnosed with... - Thyroid UK

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Hair loss

Eliza2572 profile image
16 Replies

Hi, ive been diagnosed with hypothyroidism & mot of myhair fell out. I started on 75mg of levothyroxine & it grew again but not for long....it then started yo fall out agsin. My doctor increased my meds to 100mg one day the next 75mg. Been on this for 2 months now but hair is still falling out. I was diagnosed with alopecia due to the hypothyroidism also.Please help !

Thanks

Liz

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Eliza2572
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RedApple profile image
RedAppleAdministrator

Maybe the post about Hair Loss with Hypothyroidism / Levothyroxine that I wrote a while ago will be helpful healthunlocked.com/thyroidu...

Pearlteapot profile image
Pearlteapot

hair loss can be caused by hypothyroidism so we hope it will get better when we reach the land of the optimally medicated. It can also be caused by over- medication. It can also be a symptom of low B12. It can also be a symptom of adrenal disfunction.

It’s worth considering all of those. My hair loss improved when I improved my B12. I still have hair loss but not as bad as before. I’ve recently discovered I have very low cortisol levels and Dhea so I’m working on that. Maybe that will stop the hairfall.

It’s often a combination of factors that you need to address.

Rileyfloof profile image
Rileyfloof in reply to Pearlteapot

How do you address low cortisol and DHEA, Pearlteapot?

Pearlteapot profile image
Pearlteapot in reply to Rileyfloof

With adrenal cortex and dhea supplements I believe. That’s what I’m about to try on the advice of a functional doctor anyway. But you’d need to test first to make sure they are low

SlowDragon profile image
SlowDragonAdministrator

welcome to the forum

First thing is, do you have any actual blood test results? if not will need to get hold of copies.

You are legally entitled to printed copies of your blood test results and ranges.

The best way to get access to current and historic blood test results is to register for online access to your medical record and blood test results

UK GP practices are supposed to offer everyone online access for blood test results. Ring and ask if this is available and apply to do so if possible, if it is you may need "enhanced access" to see blood results.

Link re access

patients-association.org.uk...

healthunlocked.com/thyroidu...

In reality some GP surgeries still do not have blood test results online yet

Alternatively ring receptionist and request printed copies of results. Allow couple of days and then go and pick up.

Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine

For full Thyroid evaluation you need TSH, FT4 and FT3 tested

Also both TPO and TG thyroid antibodies tested at least once

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high thyroid antibodies

Autoimmune thyroid disease with goitre is Hashimoto’s

Autoimmune thyroid disease without goitre is Ord’s thyroiditis.

Both are autoimmune and generally called Hashimoto’s.

Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease

low iron/ferritin often causes hair loss

Request GP do full iron panel test including ferritin

20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis

In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)

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)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

List of private testing options and money off codes

thyroiduk.org/getting-a-dia...

Medichecks Thyroid plus antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Only do private testing early Monday or Tuesday morning.

Link about thyroid blood tests

thyroiduk.org/getting-a-dia...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

Symptoms of hypothyroidism

thyroiduk.org/wp-content/up...

Tips on how to do DIY finger prick test

healthunlocked.com/thyroidu...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

Knowsnothing profile image
Knowsnothing in reply to SlowDragon

SlowDragon is that just for hypo and hyper? As I'm on Carbimazole and lately have been losing tonnes of hair.

SlowDragon profile image
SlowDragonAdministrator in reply to Knowsnothing

Knowsnothing

You need to test all four vitamins at least annually and TSH, Ft4 and Ft3 at every test

What vitamin supplements are you taking

Knowsnothing profile image
Knowsnothing in reply to SlowDragon

SlowDragon I'm taking all the b vits, Ferritin, vitamin d

SlowDragon profile image
SlowDragonAdministrator in reply to Knowsnothing

So stop vitamin B complex 5-7 days before testing

Instead that week just take separate folate

Stop iron supplements 5-7 days before test, and don’t eat iron rich dinner night before test

pennyannie profile image
pennyannie in reply to Knowsnothing

Carbimazole is an Anti Thyroid drug and prescribe when hyperthyroid and not hypothyroid as is the person asking the question.

This drug semi-blocks your own daily thyroid hormone when in a state of over production of thyroid hormone production resulting in over range T3 and T4 blood test results which should fall back down into the ranges and hopefully symptoms relieved with the help of the Carbimazole.

There is an alternative anti thyroid drug if Carbimazole does not suit you - do you have the PIL - Patient Information Leaflet - Propylthiouracil = PTU for short.

Do you have a diagnosis and can share your TSH, T3 and T4 readings and ranges at diagnosis and which antibodies were found positive and over range in a new post of your own as reply on someone else's post causes confusion.

Hair loss can happen when either hyper or hypo, or because of low iron stores and / or other reasons and can be triggered by stress and anxiety.

Eliza2572 profile image
Eliza2572 in reply to pennyannie

Hypothyroidism Ive been on iron tablets ..my iron stores are fine. Yes i have hypothyroidism my levels were TSH 6.52

T4 9.8

Thyroid peroxidase 262

pennyannie profile image
pennyannie in reply to Eliza2572

We need the ranges for these results please and your actual ferritin, folate, B12 and vitamin D readings and ranges please.

Your TSH is much too high and signalling your need more thyroid hormone replacement which when optimally absorbed and utilised lowers the TSH to under 2 and most of us feel better when the TSH falls down towards the bottom of the range.

Your T4 result looks much too low - but without the range - I can't say much.

We generally feel best when the T4 is up towards / in - the top quadrant of its range as this should then convert to a decent level of T3 at around a 1/4 ratio T3/T4.

We need to see at the very least a TSH, Free T3 and Free T4 result and range all drawn from the same blood tests - and then we can help and advise as to your next best step back to better health.

The antibody activity is likely that of Hashimoto's Auto Immune disease - you might like to read around the research and suggestions of Dr Izabella Wentz who as this health issue - thyroidpharmacist.com

shaws profile image
shawsAdministrator

I know exactly how you feel. I have the same condition but hair has grown back and then dropped out again.

I am now bald - once again. You don't quite feel 'well' when your hair has dropped out.

I have bought a couple of wigs as this has been going on for a few years now.

At Least feel well and don't have any other symptoms.

Knowsnothing profile image
Knowsnothing

pennyannie I have Graves hyper and at the last kick off my levels were.Sept

Moved onto 7.5mg one day 5mg the next

TSH 1.4 range 0.27-4.2

T3 4.7 range 3.1-6.8

T4 12.5 range 12-22

In August t3 was 5.2 range 2.5-5.5

T4 11.8 range 11.5-22.7 was on 10mg one day 5mg the next

I said to the endo I wasn't happy on 10mg one day and 5mg the next so we agreed I would do 7.5mg one day the 5mg the next but I'm still feeling rough with loads of hair loss, swollen ankles, carpel tunnel like pain, palpations, dry mouth, dry hair, really hot or super cold. I just wonder if they might be hypo type symptoms.

pennyannie profile image
pennyannie in reply to Knowsnothing

As suggested please start your own bio and information on the forum and start your own question/post on the forum with the above details and information -

This post/question is written by Eliza and replies need to be about Eliza's health issues.

Just start again - on your own page - giving us the above information, and also when diagnosed Graves and your initial blood test results and readings at diagnosis.

In this way many more people than just me will see your post and you too will be helped and advised.

pennyannie profile image
pennyannie in reply to Knowsnothing

The AT drug needs to be titrated up or down - according to blood tests - which tend to run behind symptoms being experienced - and yes - if left on too high a dose of an AT drug for too long you do risk falling too far through the T3 and T4 ranges and experiencing the equally disabling symptoms of hypothyroidism.

When you start your own question - please add ranges and a time line from diagnosis so we can understand better if this is your first phase of Graves, or not, and we also need your very first blood test results and ranges at diagnosis and the antibody readings and ranges found in your blood.

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