GP should not be meddling with your dose, as you are under care of endocrinologist
When taking any dose of T3 it’s almost inevitable that TSH will be below range or suppressed
The most important results are always Ft4 and Ft3
Plus vitamin D, folate, ferritin and B12
There’s no Ft3 result or vitamin levels
What vitamin supplements are you taking
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 did your test
Free T4 (fT4) 14 pmol/L (9 - 19) 50.0%
Ft4 possibly too low
No Ft3
Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins
If serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement
A week later add a separate vitamin B Complex
Then once your serum B12 is over 500 (or Active B12 level has reached 70), you may be able to reduce then stop the B12 and just carry on with the B Complex.
If Vegetarian or vegan likely to need ongoing separate B12 few times a week
Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule) Thorne can be difficult to find at reasonable price, should be around £20-£25. iherb.com often have in stock. Or try ebay
IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg) and continue separate B12
Post discussing how biotin can affect test results
3. Cytoplan Magnesium Threonate ( Will discontinue after the current stock finishes)
Why? If you're still taking vit D, you need to continue to take magnesium. The two work together. And you are probably deficient in magnesium, anyway. Most people are.
It only contains 60 mg magnesium. That's not enough. You need more like 350 mg.
Another thing about that supplement, it contains zinc and copper. Whilst zinc and copper need to be kept balanced, hypos usually have one high and therefore the other one low. And it's not a good idea to take more of the one that is high. So, you should really have these tested before taking any.
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