Hi, Could someone look over my latest blood test results from my GP.
I have followed all requirements before the test.
I should also let you know that I seen a private Endo to have a trial of T3 and had been advised to drop my T4 to 25 mgs ( from 75mg) and take 10 mgs of T3 each day.
I have been taking this dose for over 2 months at the beginning I didn’t feel too bad but now I feel exhausted come 2pm and have to sleep as soon as I get home from work at 5pm, not good as need to start dinner for my children.
I have been given another 2 months prescription for T3 but not sure if I should increase T3 or T4 ??
I will do a private BT from monitor my health to get my T3 results later this week.
Many Thanks
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Bright-eyes
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I sometimes get accord and sometimes wockhardt of levothyroxine. For T3 I get Teva. I don’t split T3.
I take T3 & T4 doses at 7am.
Ok. Thankyou. I have an Endo appointment on 22/12/23. But as I’m becoming more aware from posts on this forum it seems that Endo’s can be just as clueless as Gp’s when it comes to thyroid issues and medicating. 🤷🏻♀️
I will post private blood results when I get them.
You were clearly not on high enough dose levothyroxine and needed 25 mcg dose increase to 75mcg then retest
What were results 6-8 weeks after being on 75mcg levothyroxine
Vitamin levels
Ferritin was virtually deficient at 33
Quite likely Ferritin even lower now
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)
On T3 - day before test ALWAYS split T3 as 2 or 3 smaller doses spread through the day with last dose 8-12 hours before test
Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins
Testing options and includes money off codes for private testing
I can’t quite figure out why the private endo told you to drop your levothyroxine. You definitely weren’t overmedicated—in fact, your last post shows you to be undermedicated. You may not even have needed liothyronine if you’d been on enough levothyroxine—you weren’t on the right dose for you at that time.
Anyway. You are where you are, so let’s move from here. Are you due to see the private endo again?
25mcg levo and 10mcg liothyronine is very unlikely to be enough for anyone with hypothyroidism.
Obviously getting a full set of thyroid function tests is going to be important—we need to see your FT3 result—but I think you may actually end up needing more levothyroxine and more liothyronine.
Ok. Thankyou. I have an Endo appointment on 22/12/23. But as I’m becoming more aware from posts on this forum it seems that Endo’s can be just as clueless as Gp’s when it comes to the thyroid 🤷🏻♀️
Your high TPO antibodies confirms cause of your hypothyroidism is autoimmune thyroid disease aka Hashimoto’s
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.
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten. Dairy is second most common.
A trial of strictly gluten free diet is always worth doing
Only 5% of Hashimoto’s patients test positive for coeliac but a further 81% of Hashimoto’s patients who try gluten free diet find noticeable or significant improvement or find it’s essential
A strictly gluten free diet helps or is essential due to gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and may slowly lower TPO antibodies
While still eating high gluten diet ask GP for coeliac blood test first as per NICE guidelines
The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported
In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned
Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.
Similarly few months later consider trying dairy free too. Approx 50-60% find dairy free beneficial
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