Good morning everyone,
My daughter (17, nearly 18) was diagnosed with hypothyroidism is the summer, initially prescribed 25mcg which was obviously inadequate so she requested dose increase which was granted. She’s been on 50mcg since beginning of September, she initially felt an improvement in symptoms and I noticed that she was losing weight and her skin was clearer (bad acne). After a few weeks the symptoms have returned and she’s back to feeling fatigued, sleeping through two alarms, acne returned, weight creeping up.
We sent in online requests for both a dose increase of Levo and further tests to explore possible anemia yesterday. A GP just called my daughter and it was after I interjected on the call, outlining my concerns, that he asked if we could come in.
She had her bloods checked last week, we also requested that her core vits be tested since she’s supplementing:
TSH 3.34 (0.47-3.41)
T4 12.2 (9.3 - 17.6)
Folate 3.2 (3.1-20.5)
Ferritin 8 ug/L (6-67)
B12 >300 ng/L
Vit D not tested
So obviously her folate and ferritin are woeful. She takes Lipsomal B complex and Three Arrows. I have some folate for her to start taking.
On the phone just now GP referred to her thyroid results as normal, unsurprisingly.
I have the nice guidelines which clearly state that levo should be increased incrementally ‘according to response’ so I feel confident taking about that, but, is there some compelling research or guidelines I can refer to regarding euthyroid TSH levels being c.1? Anything else that might be helpful?
Appointment is at 10.30.
*Many* thanks 🙏
J9
Edit: I’m assuming that the results above have been calibrated using child ranges?