test results

[Angie10116]

hi all, I hope you’re doing well.

Please can I have some help with my test results?

In addition to above:

serum calcium - 2.45mnol

Calcium adjusted level - 2.47 mnol (2.20 - 2.60)

serum sodium - 141 mnol (133 - 146)

Serum potassium - 4.2 (3.5 - 5.3)

Serum creatine - 67 umol (46 - 92)

Symptoms: extreme fatigue, headaches, extremely bad brain fog/ feels like I’m walking through fog/can’t see clearly, fast heart rate, weakness, twitching, internal tremors.

I feel over medicated!

Please bear in mind, my levels haven’t been in range for 3 years. I regulated my dose 7 weeks ago, taking 150mg alternating 175mg.

[SlowDragon Administrator]

was test done early morning, ideally before 9am, only drinking water between waking and test and last dose levothyroxine 24 hours before test

Was last dose 150mcg or 175mcg

There’s no Ft3 result

You will need to retest, privately if GP can’t/won’t test Ft3

Just TSH, Ft4 and Ft3 test - £32

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10% off code here

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Which brand levothyroxine are you taking

Do you always get same brand

[Angie10116 in reply to SlowDragon]

Hello! The test was done at around 9:.20 am fasted

The last dose of Levo was probably around 8:.39 the previous morning. I believe it was 150mg

I’m taking accord for 100 and 50 and wockhardt for the 25. Always the same brand

[SlowDragon Administrator in reply to Angie10116]

Suggest you cut Wockhardt in half and take 162.5mcg daily

Use a weekly pill dispenser to save cut half in for next day

Cut with sharp craft scalpel or pill cutter

Some people find it important to take same dose everyday

I wouldn’t reduce dose at moment

Retest again including Ft3 after 6 weeks taking same dose daily

[Angie10116 in reply to SlowDragon]

Thank you! I will try that! Do you think the symptoms could be thyroid related still?

[SlowDragon Administrator in reply to Angie10116]

Yes pretty likely

See where Ft3 is in relation to Ft4 at next test

Have you tried gluten free and/or dairy free diet

What vitamins are you taking

Perhaps looking at getting Cortisol and DHEA testing in 3-4 months …especially if you feel worse in morning than evening

regeneruslabs.com/products/...

portal-app.inspira-regeneru...

looking at previous posts

Did you try adding SMALL doses of T3 alongside levothyroxine

[Angie10116 in reply to SlowDragon]

I will defo test privately in the next month or so. I’ll stay on this dose as you suggested.

I have tried gluten free for a month, I’m on a no sugar diet and very low card for around 6 weeks and I feel absolutely the same

Currently not taking any vitamins. I do have vitamin d3, b complex etc at home. When I take the b complex, even one tablet, my urine goes bright green so that’s telling me that my b levels are probably okay.

I had a cortisol test a few months ago and came back ok. But I want a duch test - although they’re expensive!

I don’t have access to t3 at the moment so I haven’t tried it.

[SlowDragon Administrator in reply to Angie10116]

When I take the b complex, even one tablet, my urine goes bright green

That happens to everyone

Difficult to tell if your folate is ok or good …range might be 3-20 …..but could be 3-60

[Angie10116 in reply to SlowDragon]

Ah thats good to know. Would be good to test all b vitamins but not sure where does tests for all b vitamins

[SlowDragon Administrator in reply to Angie10116]

You can’t ……as far as I know

[Angie10116 in reply to SlowDragon]

Thanks for all of your help. Have a lovely weekend

[McPammy]

Sounds like you may be going over medicated. However, your TSH doesn’t show this but it’s close to being over medicated. Your T4 is high and if you left a number of hours without taking your levothyroxine prior to the blood draw it would certainly go higher maybe over range. Can you reduce your levo dose to 150 mcg a day? I split my levo dose so I don’t get spikes. Spikes give me over medicated symptoms that pass after a couple of hours so I know it was a spike. Do you get your symptoms a couple of hours after taking your levo?? Just a thought that splitting your dose may help you.

[Angie10116 in reply to McPammy]

Hello!

Unfortunately I feel the same always throughout the day, so I’m not sure if it’s spikes. I could do 150mg but my test results are great now, so wouldn’t that make me under medicated? This is all so confusing! Tests are fab but feeling crappy

[McPammy in reply to Angie10116]

But are the test results fab for you as an individual? Maybe lower the T4 for a week and see how you’re feeling by the end of the week. You can always revert back.

Remember that if you left 24hrs of no levo prior to test the result of T4 level will be lower than if you’d taken the levo. Your TSH is on the cusp of being going medicated. Maybe it’s a bit too high for you. Ranges are just NHS guidelines , you might feel better with a TSH around 1.5 for example and a bit lower T4. We have to find our own sweet spots. For myself a TSH around 1.00 ish is best for me and low T4 but high T3. That’s normally where I feel best.

[Angie10116 in reply to McPammy]

Thank you for your message! Do you think it could be that fact that my body ain’t used to this level yet? I have been under medicated with tsh of 15ish for 3 years now, only now am I on a stable dose. So I was thinking that maybe I feel over medicated because my body is getting used to the dose

[McPammy in reply to Angie10116]

Maybe. But your body is telling you by the symptoms you have something it not right. You could leave lowering for a while longer and see if symptoms go away. Or try one week of the lower dose 150mcg per day for one week and see if they go away or subside. You could start by splitting your dose even. Anything really to relive the symptoms

[Angie10116 in reply to McPammy]

Yeah that’s true… it’s so hard to know what to do! Thank you for your help 😄