Hi can anyone tell me if these latest results are OK please. Tsh 3.93 (0.27-4.2 )Down from last result of 4.95.
FT3 4 (3.1-6.8) Down from 4.7 last results
Ft4 16.4 (12-22) Down from 17 last results
TGA 237 (0-115. Down from 369 last results
TPO 600 ( 0-34) No change from last results.
Have been struggling with thyroid for a while but have made diet changes and supplement b vits . So I'm hoping I'm heading in the right direction. 🤔
How much levothyroxine are you taking
How long on this dose
Which brand is it
How do you feel
What vitamins are you taking
Your results show you are ready for next dose increase in levothyroxine
Hi Slow Dragon, Thankyou for your response.I could not get on with levothyroxine felt sped up on it so decided not to carry on with it . None taken for past 6 months . I only take thorne b complex vitamins . Have also cut out supermarket bread and seed oils from my diet . Would you say my levels are OK. Thankyou.
I would say your high thyroid antibodies confirms autoimmune thyroid disease also called Hashimoto’s
Your thyroid is slowly failing
You need to be restarted on Levo
You were started on too high a dose previously
See GP
Request starting again on lower dose
Initially ideally at 50mcg ……but if you want to start lower at 25mcg initially you could
Then retest after 6-8 weeks
There’s 3 brands in U.K. that make 25mcg tablets
Wockhardt, Mercury Pharma or Teva
Avoid Teva unless you know you are lactose intolerant. Teva upsets many people
You will need to SLOWLY increasing dose Levo up over coming year or so
retest 6-8 weeks after each increase
Typically dose is increased upwards in 25mcg steps, but some people have to increase more slowly at 12.5mcg
ESSENTIAL to regularly retest vitamin levels
Remember to stop B complex 5-7 days before any blood tests as contains biotin
Instead take a daily folate that week…..and daily B12 if Serum B12 below 500 or active B12 below 70
High TPO antibodies
Gluten Free Diet does need to be absolutely strictly gluten free to be effective
TG antibodies tend to reduce as Levo dose increases and TSH reduces
Your antibodies are high showing thyroid autoimmune disease/Hashomoto's. Hormone levels can flare up....though clearly not at the time of that lab test.
Hashi's is a common cause of hypothyroidism
Most benefit from a gluten free diet
Your Frees are far too low....and falling
FT3 4 (3.1-6.8) Down from 4.7 last results
Ft4 16.4 (12-22) Down from 17 last results
If you are hypothyroid you need replacement hormone for life, dropping it will make you ill I'm afraid
Diet and supplements won't resolve this....thyroid hormone will
Levothyroxine is a bioidentical hormone treatment to replace T4 which is essential to the body
What levo dose did you start on?
I could not get on with levothyroxine.....
with levels as low as yours you need to start on a very low dose ( say even just 10mcg) for a week or more to allow the system to adapt to it, and then you slowly increase the dose.
Normal adult starting dose is 50mcg....25mcg for elderly
The dose you were taking was likely too high causing you to over react.
So, no, your results are neither OK nor heading in the right direction because you have stopped your essential mediction
You can learn more about your thyroid condition here
thyroiduk.org/if-you-are-hy...
Suggest you go back and speak to your GP who hopefully is clued up and will re-start your medication
Later!!
PS....just checked back and see you were started on 75mcg levo....no wonder you felt "sped up". That's like putting high octane racing fuel in an old Mini!! You should have been given a further test/ review after 6 weeks of starting levo.
Your doctor was treating you wrongly....but you must see someone else who will do a better job
So sorry you've had to put up with this.
Go and educate them!!!!
....and earlier
Doctor stated it is a normal reaction when starting levo due to T3 pooling and cortisol reactions.
Well that is nonsense....she was clearly asleep during thyroid lectures at med school
It's not the levo that's the problem....it's that doctor!
Hi Everyone, Thankyou for your input. I am disappointed that I'm not improving. Hated the way levo made me feel so very reluctant to go back . The doctor was one I found on thyroid uk site . Not sure where to turn now . My gp states my thyroid is fine . Fed up with it all tbh.
Start on a very low dose of levo as we've advised....it was the size of the dose that was the problem rather than the levo per se.
Ignore the GP, he's clueless. If he had thyroid disease I bet he would know more!!
We have also cautioned that progress will have to be slow.....
Anything else guarantees failure
Not what any of us have wanted to hear....but that's the bottom line.
So, as the lyrics of an old song goes.... " pick yourself up, dust yourself down, and start all over again"
I hit rock bottom several years ago.....and that was my only option. It worked!!
We're all here to help....just ask!!
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
March 2023 - Aristo now called Vencamil
healthunlocked.com/thyroidu...
healthunlocked.com/thyroidu...
Helpful post about different brands
healthunlocked.com/thyroidu...
List of different brands available in U.K.
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