Question I wanted to ask

[vakilzf]

Wanted to double check I was on 150mcg for 05days and 200 mcg for 2days of Euthryox My TSH results came back 6.73 and my dosage was increased to 200mcg daily I have been also having a irritating cough Can this due to fillers & Binders in the Thyroid medicine Kindly advise

[greygoose]

Have you also had your thyroid hormones tested: T4 and T3. Difficult to advise anything without knowing those levels. Such a high TSH would suggest under-medication, but you're on quite a high dose of levo. However, it could be that you're not converting all that T4 to T3. But you can't tell that just by testing the TSH. You need more in-depth testing, I think.

Also, how do you take your thyroid hormone? On an empty stomach at least one hour away from food and coffee, and at least two hours away from other supplements and medications?

[SlowDragon Administrator]

cough can be acid reflux or dairy intolerance

Both very common issues when hypothyroid

Is your hypothyroidism autoimmune

What are your most recent TSH, Ft4 and Ft3

Essential to test TPO and TG antibodies at least once

Test vitamin D twice year

Test folate, ferritin and B12 annually

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

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)