new blood test

[morcan54]

i had test on the 11th of this month and tsh was 2.81 and because i felt hyrthyroide i repeted the test toay and this is the resaults ft4 is 1734 [12-22] tsh is 4.70 [27-4.2] and t3 i s 3.77[3.11- 5.8 i also did tpo 284.8 [34 iu/ ml] why d i get irregular heart beats and al this other symptoms? how the tsh changed in 15 days

[SlowDragon Administrator]

irregular heart beats (ectopic beats) are common when hypothyroid

Your results show you are not on high enough dose levothyroxine

drsanjayguptacardiologist.c...

As the heart rate slows down patients with hypothyroidism may be more prone to developing ventricular ectopics. These are extra but ineffective heart beats that come in when the heart slows down and this may manifest as missed beats or heart flutters.

Free T4 (fT4) 17.43 pmol/L (12 - 22) 54.3%

Free T3 (fT3) 3.77 pmol/L (3.1 - 5.8) 24.8%

High thyroid antibodies confirms cause is autoimmune thyroid disease - Hashimoto’s

Have you had vitamin D, folate, B12 and ferritin levels tested

Please add results

[morcan54 in reply to SlowDragon]

well i asked my gp to raise to 100mg and she said no but i will do it tomorrow she doesent know nothing about thyroxine i am also changing from lt4 to euthyrox hope i will feel beter too much depression crying .. yes i am taking vit d 2000 and b12 1000mg thank you so much your advice helps thks

[SlowDragon Administrator in reply to morcan54]

You haven’t got use to 75mcg daily yet

You will need to be on constant unchanging dose and brand at 75mcg everyday for 6-8 weeks before retesting

Too much Levothyroxine (Ft4) too soon would push Ft4 over range

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)

Exactly what vitamin supplements are you taking

What were most recent vitamin results

[SlowDragon Administrator]

Have you had coeliac blood test yet

Get this tested BEFORE trial on strictly gluten free diet

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

nice.org.uk/guidance/ng20/c...

Or buy a test online, about £20

Assuming test is negative you can immediately go on strictly gluten free diet 

(If test is positive you will need to remain on high gluten diet until endoscopy) 

Trying gluten free diet for 3-6 months.

If no noticeable improvement then reintroduce gluten and see if symptoms get worse

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

drknews.com/changing-your-d...

Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease

pubmed.ncbi.nlm.nih.gov/296...

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

nuclmed.gr/wp/wp-content/up...

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

restartmed.com/hashimotos-g...

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

With loads of vegan dairy alternatives these days it’s not as difficult as in the past

Post discussing gluten

healthunlocked.com/thyroidu...

Suggest you also get your children tested for Hashimoto’s

[morcan54]

i dident test for gluten but i have boating and stomach pains i do eat pata and brad no milk and try to have fresh products .. since i take thyroxine i feel as in my thoughts are blank and very forgeful all day andd] i dont know if i will feel well again i am 70 years old and alone i dont have any body to help and is difficult lately i feel so bad that i stay in bed mostly.. and now i am afraid to raise to 100mg if i get any worse i cant find doctor and appoiments take few months , your help is essential tky

[SlowDragon Administrator in reply to morcan54]

You need to stay on 75mcg for 6-8 weeks while your body gets used to this dose

It’s too soon to increase to 100mcg yet

Meanwhile try gluten free diet. Absolutely no wheat, rye or barley

Please add most recent vitamin D, folate, B12 and ferritin results

Or ask dr to test these if not done yet

[morcan54 in reply to SlowDragon]

i was 8 weeks on 75mg and i was bad thats why i paid private bloods test and done theme again .. my firitin is 95 b12 345d is 16.5 low i am taking b12 and vit d3

[SlowDragon Administrator in reply to morcan54]

Ok

So increase Levo to 100mcg twice week initially

Wait 6-8 weeks

Retest

Many people have to increase slowly, especially when vitamin levels are so poor

Vitamin D I assume is 16ng/ml - this is very low

Aiming to improve to around 40ng/ml

(100nmol in U.K. units )

How much vitamin D are you taking

Are you also taking a separate magnesium supplement in afternoon or evening (at least 4 hours away from levothyroxine)

A week after starting daily B12 add a separate vitamin B complex

[serenfach]

Tell your GP you would like to "trial" an increase in dose "as your TSH is rapidly going out of range".

They rely so heavily on the TSH (wrongly) but mentioning the TSH out of range should do the trick. Good luck!

[morcan54 in reply to serenfach]

thank you