Can I have advice on results? These are from a while back for anyone who has read my recent posts. I was on 1 tablet of T3 a day at this point. I previously had high thyroid antibodies but the LDN I take seems to have lowered them to be in range. I was wondering if the same has happened with pernicious anaemia antibodies as my b12 results seem normal despite not having supplemented for a long time. Does this mean I don’t need to self inject now? Doctors stopped my injections a long time ago. I’m on 20,000iu of vit D per month via doctor which was changed from 800iu per day because levels weren’t going up but they didn’t seem to believe I was taking them daily. Thanks for any help.
Results:
CRP HS 3.71 mg/l (0-5)
Ferretin 63.9 ug/l (13-150)
Folate - serum 3.59 ug/l (>3.89)
Vitamin B12 -active >150 pmol/l (37.5-150)
Vitamin D 46 nmol/l (50-200)
TSH <0.005 mu/l (0.27 - 4.2)
Free T3 4.47 pmol/l (3.1 - 6.8)
Free Thyroxine 11.5 pmol/l (12- 22)
Thyroglobulin Antibodies 18 iu/ml (<115)
Thyroid Peroxidase Antibodies 32 iu/ml (<34)
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DownAndDesperate
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They’re about 10 months old - I didn’t realise it was so long ago but I’ve just checked.
I went up to 2 tablets of T3 but came off T3 completely at the end of January as I was told that this caused my heart attack. Bloods were taken a couple of hours before the heart attack and ones were taken in the following days in hospital. These are the results I’ve been trying to obtain with no luck. Other than that I haven’t changed what I’ve been taking.
Many people find Levothyroxine brands are not interchangeable.
Most easily available (and often most easily tolerated) are Mercury Pharma or Accord
Mercury Pharma make 25mcg, 50mcg and 100mcg tablets
Mercury Pharma also boxed as Eltroxin. Both often listed by company name on pharmacy database - Advanz
Accord only make 50mcg and 100mcg tablets. Accord is also boxed as Almus via Boots,
Wockhardt is very well tolerated, but only available in 25mcg tablets. Some people remain on Wockhardt, taking their daily dose as a number of tablets
Lactose free brands - currently Teva or Vencamil only
Teva makes 25mcg, 50mcg, 75mcg and 100mcg
Many patients do NOT get on well with Teva brand of Levothyroxine.
Teva is lactose free.But Teva contains mannitol as a filler instead of lactose, which seems to be possible cause of problems. Mannitol seems to upset many people, it changes gut biome
Teva is the only brand that makes 75mcg tablet.
So if avoiding Teva for 75mcg dose ask for 25mcg to add to 50mcg or just extra 50mcg tablets to cut in half
But for some people (usually if lactose intolerant, Teva is by far the best option)
Vencamil (currently 100mcg only) is lactose free and mannitol free. 25mcg and 50mcg tablets hopefully available from summer 2024
If a patient reports persistent symptoms when switching between different levothyroxine tablet formulations, consider consistently prescribing a specific product known to be well tolerated by the patient.
If symptoms or poor control of thyroid function persist (despite adhering to a specific product), consider prescribing levothyroxine in an oral solution formulation.
Physicians should: 1) alert patients that preparations may be switched at the pharmacy; 2) encourage patients to ask to remain on the same preparation at every pharmacy refill; and 3) make sure patients understand the need to have their TSH retested and the potential for dosing readjusted every time their LT4 preparation is switched (18).
I’ve checked and it’s usually Teva or Accord. I’m not sure how to tell which ones agree with me well though because I’ve never felt any different on Levo. When I started Levo I felt no difference and if I forget to take one or two I feel no difference.
Do I go to the doctor about the brand or the pharmacy?
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