So got my thyroid bloods done a few days ago doctors phones me to say they want to reduce my levothyroxine from 150 one day and 175 next to 125mcg became my tsh is out of range....these were the results TSH 0.01 ( 0.27 - 4.2 )
T4 18.5 ( 10 - 22 )
T3 5.8 ( 3.1 - 6.8 )
Was I right to refuse and ask to go back to just 150 per day, ?
yes i would agree with your decision... try 150mcg , as your fT4 and fT3 aren't high ,
unless you have any symptoms of overmedication ?
but if not and you feel well enough on current dose , i'd recommend you keep any dose adjustments as small and gradual as possible.
it's possible you won't feel well on lower dose and may have to put it back up .... but it is worth trying lower doses occasionally because it's better to keep TSH over 0.04 if possible to do so and still feel well .
do give it several weeks to settle in before making your mind up about how 150mcg feels .. from my experiences of reducing dose , the first 5 wks can feel very undermedicated , but things can then settle and start to improve.. i've twice ended up realising i feel better than i did on original dose after about 4-6mths , even though the first 5 wks were lousy and at that point i was certain it would need to be put back up.
That's what I thought.... I don't have any symptoms of hyper, they are going to retest in 3 months time
3 months ago post
healthunlocked.com/thyroidu...
your ferritin was deficient
you need vitamin levels including vitamin D retested
Essential to improve Low vitamin levels
Which brand of levothyroxine are 150mcg and 175mcg doses
Approx how much do you weigh in kilo?
I'm taking iron and folate with vit c .... And I got took off my vit d because my doctors only prescribe it for 1 year, I take accord brand for both doses because it's the only one I can tolerate, and I wouldn't know what I weigh in kilo but I'm 12 stone 5...
Well you will almost certainly need ongoing self supplemented vitamin D daily and continuously
NHS easy postal kit vitamin D test £31 via
NHS Guidelines on dose vitamin D required
ouh.nhs.uk/osteoporosis/use...
GP will often only prescribe to bring vitamin D levels to 50nmol.
Some areas will prescribe to bring levels to 75nmol or even 80nmol
leedsformulary.nhs.uk/docs/...
GP should advise on self supplementing if over 50nmol, but under 75nmol (but they rarely do)
mm.wirral.nhs.uk/document_u...
But with Hashimoto’s, improving to around 80nmol or 100nmol by self supplementing may be better
pubmed.ncbi.nlm.nih.gov/218...
vitamindsociety.org/pdf/Vit...
Once you Improve level, very likely you will need on going maintenance dose to keep it there.
Test twice yearly when supplementing
Can test via NHS private testing service
Vitamin D mouth spray by Better You is very effective as it avoids poor gut function.
There’s a version made that also contains vitamin K2 Mk7.
One spray = 1000iu
amazon.co.uk/BetterYou-Dlux...
It’s trial and error what dose we need, with thyroid issues we frequently need higher dose than average
Vitamin D may prevent Autoimmune disease
newscientist.com/article/23...
Web links about taking important cofactors - magnesium and Vit K2-MK7
Magnesium best taken in the afternoon or evening, but must be four hours away from levothyroxine
betterbones.com/bone-nutrit...
medicalnewstoday.com/articl...
livescience.com/61866-magne...
sciencedaily.com/releases/2...
Recipe ideas
bbc.co.uk/food/articles/mag...
Interesting article by Dr Malcolm Kendrick on magnesium
drmalcolmkendrick.org/categ...
Vitamin K2 mk7
Ferritin can take many, many months to improve
12stone 5lb = 78.5 kg
So guidelines suggest likely daily dose 125mcg
As you’re taking more than this….suggests perhaps poor nutrient absorption and/or low stomach acid and/or low vitamin levels
Free T4 (fT4) 18.5 pmol/L (10 - 22) 70.8%
Free T3 (fT3) 5.8 pmol/L (3.1 - 6.8) 73.0%
Was test done as recommended…..early morning, ideally before 9am, and only drinking water between waking and test, with last dose levothyroxine 24 hours before test
Personally I wouldn’t reduce dose at all
I would retest vitamin levels BEFORE considered any changes
Aiming for
Vitamin D at least over 80nmol minimum
Serum B12 over 500
Active B12 over 70
Folate at top of range
Ferritin minimum 70 and nearer 100 likely better
Yes I'm taking 150mcg, and I also think I have low stomach acid which is causing deficiencies but my doctors aren't listening, and won't send for testing, do you know how i can increase the acid naturally ? 🙄 and yes I took meds 26hrs prior to testing at 8.40am and fasting from before midnight night before,
Low stomach acid can be a common hypothyroid issue
Thousands of posts on here about low stomach acid
healthunlocked.com/search/p...
Web links re low stomach acid and reflux and hypothyroidism
nutritionjersey.com/high-or...
stopthethyroidmadness.com/s...
thyroidpharmacist.com/artic...
How to test your stomach acid levels
healthygut.com/articles/3-t...
meraki-nutrition.co.uk/indi...
huffingtonpost.co.uk/laura-...
lispine.com/blog/10-telling...
Useful post and recipe book
healthunlocked.com/thyroidu...
never just assume you have low stomach acid
Yes you were right to refuse, good for you.
Underactive Thyroid and Prolactin Levels
Thyroid levels fluctuating
Thyroid levels haywire 
Normal thyroid levels
Fluctulating Thyroid levels
