Discombobulation?: Hi there, I’ve had this... - Thyroid UK

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Discombobulation?

EllsBells591 profile image
20 Replies

Hi there, I’ve had this occasionally for short periods for a while now, but the last couple of weeks I seem to be getting it more and more.

It’s like the world is slightly moving around me, like I’m in a boat or something. I know the floor isn’t moving, but it feels like it is. I’m not dizzy - I’ve had vertigo before and it’s not as bad as that, but it’s discombobulating.

Any ideas as to the cause?

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EllsBells591 profile image
EllsBells591
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20 Replies
SlowDragon profile image
SlowDragonAdministrator

That’s absolutely classic symptom of low B12

Like walking on small boat in slightly choppy sea

Exactly what vitamin supplements are you taking

What was most recent B12 results

EllsBells591 profile image
EllsBells591 in reply to SlowDragon

I did actually get my IF done in the end and it was < 0.5 U/mL [0.0 - 10.0]

Late serum b12 earlier this month :

Serum vitamin B12 level 607 ng/L [> 178.0]

Haven’t had active done for a while.

I’m on Thorne B12 basic supplement as well as B12 supplement (vegan)

SlowDragon profile image
SlowDragonAdministrator in reply to EllsBells591

So on face of it these look ok

Get thyroid and vitamins tested including active B12

Also full iron panel

when were iron and ferritin last tested

Are you taking any iron supplements

Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing. It’s possible to have low ferritin but high iron

stop iron supplements 5-7 days before test

Test early morning, only water to drink between waking and test. Avoid high iron rich dinner night before test

Medichecks iron panel test

medichecks.com/products/iro...

EllsBells591 profile image
EllsBells591 in reply to SlowDragon

Thanks, my ferratin does need to increase.

TSH 0.18mIU/L

Serum free T4 level 17.9 pmol/L [12.0 - 22.0]

Serum free triiodothyronine level 4.6 pmol/L [3.1 - 6.8]

SlowDragon profile image
SlowDragonAdministrator in reply to EllsBells591

How much levothyroxine and which brand

How much T3 and which brand

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)

T3 ….day before test split T3 as 2 or 3 smaller doses spread through the day, with last dose approximately 8-12 hours before test

Is this how you do your tests

EllsBells591 profile image
EllsBells591 in reply to SlowDragon

Don’t do T3. Yes to doing thyroid blood tests correctly.

SlowDragon profile image
SlowDragonAdministrator in reply to EllsBells591

Which brand levothyroxine

FT4: 17.9 pmol/l (Range 12 - 22)

Ft4 only 59.00% through range

FT3: 4.6 pmol/l (Range 3.1 - 6.8)

Ft3 only 40.54% through range

So you have room to increase your dose Levo

SlowDragon profile image
SlowDragonAdministrator

You’re still vegan?

You need separate B12 daily as well as daily vitamin B complex

As explained here

healthunlocked.com/thyroidu...

What are most recent iron and ferritin results?

EllsBells591 profile image
EllsBells591 in reply to SlowDragon

Yup, still vegan, still taking separate B12 and Thorne B12 complex. My ferratin has actually dipped a bit and is now 68 ug/L so I’m working to get that up again

radd profile image
radd

EllsBells591,

I felt exactly like you when I first introduced Levothyroxine. I used to describe it as a mix of vertigo and motion sickness (where you think you're still traveling in a car when you're not). I also suffered internal vibrations, like being plugged into a fridge. Everything eventually righted itself but it took a long time.

I always thought the reason was poor adrenal health that couldn't support the increased metabolism bought on by Levothyroxine. My stupid GP started me on 100mcg and my heart shot through the roof.

Have you recently had a dose change?

EllsBells591 profile image
EllsBells591

No dosage change recently. Been on 100mcg for a while now.

Singoutloud profile image
Singoutloud

Although it is a classic B12 symptom it could also be an inner ear infection. I have Pernicious Anaemia & have also had Labrynthitis. The symptoms are remarkably similar with the spongy floor, walking sideways & strange perception then turning the head.

destiny234 profile image
destiny234

it could be bppv, to do with the inner ear. There is a manoeuvre you can do yourself it’s called the Epley manoeuvre. There are lots of videos on you tube . I’ve done this manoeuvre on myself twice with 100 % success. Good luck

Lottyplum profile image
Lottyplum in reply to destiny234

The Epley hack worked for me, too!

Mccrae profile image
Mccrae

perimenopause? Present with many of your symptoms. However, blood tests are difficult to determine dx. I found a functional obgyn that basis symptoms and then diagnosis. I kept a monthly journal as symptoms severely presented themselves ever two weeks

AliF profile image
AliF

yep I have the same feeling. Bppv most likely. Though mine doesn’t respond to the Epley manoeuvre. There are also Brandt Darof exercises which sometimes help a bit. Sometimes it rights itself for a few months which is bliss. But it always comes back.

Muffy profile image
Muffy

possible ear wax?

EllsBells591 profile image
EllsBells591

Thanks all. I will look into Bppv.

1405man profile image
1405man

Just a shot in the dark here but are you taking any Blood Pressure medicine, I get that feeling when my BP is about 20 points lower on the systolic end and just need to tweak my medicine a bit.

EllsBells591 profile image
EllsBells591 in reply to 1405man

No, but I do generally have slightly low blood pressure. I’d forgotten that and will check it. Thanks.

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