Stress and Anxiety

[Macp17]

Hello

I have been feeling very anxious and stressed last 3 months; I started a new job 6 months ago so lots to learn and very busy, but don’t think it is causing me the heart racing anxiety I have been feeling (which I have never experienced before).

I take 75 mg Levothyroxine and was due to do test; results below.

My question is, all my figures have increased slightly since last test even though I was actually taking slightly less Levothyroxine (had been advised to alternate 50/75mg by my GP as previous test my TSH was too low and out of range). Just wonder if my work related stress is affecting the absorption of medication? Is that a thing that can happen?

TSH and FT4 both creeping up?

Any advice appreciated as really struggling at the moment

Thanks

Test 22/07/24 on 75mg daily dose Levothyroxine

TRIODOTHYRONINE

22/07/2024

4.4 pmol/L

FT3 levels normal (normal range 3.1 - 6.8 pmol/L)

THYROXINE

22/07/2024

20.7 pmol/L

FT4 levels normal (normal range 12 - 22 pmol/L)

THYROID STIMULATING HORMONE

22/07/2024

1.76 mu/L

TSH levels normal (normal range 0.27 - 4.2 mU/L)

Previous test 26/02/24 (on 50/75mg alternating daily dose Levothyroxine)

TRIODOTHYRONINE

26/02/2024

4.5 pmol/L

FT3 levels normal (normal range 3.1 - 6.8 pmol/L)

THYROXINE

26/02/2024

19.3 pmol/L

FT4 levels normal (normal range 12 - 22 pmol/L)

THYROID STIMULATING HORMONE

26/02/2024

1.59 mu/L

TSH levels normal (normal range 0.27 - 4.2 mU/L)

[SlowDragon Administrator]

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)

is this how you do your tests

Free T4 (fT4) 20.7 pmol/L (12 - 22) 87.0%

Free T3 (fT3) 4.4 pmol/L (3.1 - 6.8) 35.1%

Shows poor conversion rate of Ft4 (levothyroxine) to Ft3 (active hormone )

When were vitamin D, folate, ferritin and B12 last tested

What vitamin supplements are you taking

For good conversion of Ft4 (levothyroxine) to Ft3 (active hormone) we must maintain GOOD vitamin levels

[SlowDragon Administrator]

previous post 5 months ago with vitamin results

healthunlocked.com/thyroidu...

showing low B12 and folate

Presumably you are now taking vitamin B complex daily

What was vitamin D test result

Ferritin should be retested by GP after iron supplements prescribed

[Buddy195 Administrator]

Increased anxiety has been the worst symptom of having a thyroid condition for me and it is always worse if thyroid medication or key vitamins (ferritin, folate, vitamins B12 and D) are not optimal.

I would focus your efforts on first testing, then improving (if necessary) key thyroid vitamins. Do share these results with us. Following this, you may need to explore combination treatment if poor conversion continues. However, if you optimise key thyroid vitamins this step may not be necessary.