FINALLY! Hashimotos Treatment & Prescription - Thyroid UK

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FINALLY! Hashimotos Treatment & Prescription

KateJS profile image
12 Replies

Hi all,

I hope you’re well.

I just wanted to give an update as I’ve been a lurker on this forum for a while. Good news is that I’ve finally had a consultation with a Private Thyroid specialist and have paid for more blood tests and a full report and treatment plan and prescription for meds (that my GP refused to even acknowledge were necessary).

As I have Hashimotos with pretty severe hypothyroidism symptoms I have been prescribed Armor NDT, FT3 and suggested to have a thyroid scan.

I have also been recommended to start the AIP diet and eliminate gluten and dairy.

I’m low in Vit D, have high ferritin due to NAFLD and Type 2 diabetes and oddly have high B12 too even though I don’t supplement. I’ve been recommended to take loads of other supplements too and work on my gut and liver health.

i feel vindicated that I have finally found someone who can help treat me after years of being dismissed by the NHS.

I’m sure I will have more questions regarding my prescription and dosage etc but I just wanted to say to those of you who are struggling, keep going! You will find the help you need eventually!

I’m so relieved and ready to tackle this!

All the best! Xx

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KateJS profile image
KateJS
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KateJS profile image
KateJS

For those who are interested this is a summary of blood test results.

Oddly my TSH was 3.85 in February and it has now dropped to 0.78!?

My TPO has also reduced from 324 in October 23.

I stopped taking all supplements about a month before having blood tests Platium Thyroid package through Blue Horizon and I’ve not taken anything since. My fatigue has got worse and my gut health is all over the place.

Anyway, at least I have a starting point now and I’m going to monitor my symptoms once I’ve ordered my meds and switched up my diet. Wish me luck!

Blood results
SlowDragon profile image
SlowDragonAdministrator

Can you type out results including ranges on

Ft4 and Ft3

Rather than cutting gluten and dairy all at once …..might be easier to first cut gluten

Best to get coeliac blood test BEFORE cutting gluten

While still eating high gluten diet ask GP for coeliac blood test first as per NICE Guidelines

nice.org.uk/guidance/ng20/c...

Or buy a test online, about £20

Assuming test is negative you can immediately go on strictly gluten free diet 

(If test is positive you will need to remain on high gluten diet until endoscopy, maximum 6 weeks wait officially) 

Trying gluten free diet for 3-6 months. If no noticeable improvement then reintroduce gluten and see if symptoms get worse

chriskresser.com/the-gluten...

amymyersmd.com/2018/04/3-re...

thyroidpharmacist.com/artic...

drknews.com/changing-your-d...

Non Coeliac Gluten sensitivity (NCGS) and autoimmune disease

pubmed.ncbi.nlm.nih.gov/296...

The predominance of Hashimoto thyroiditis represents an interesting finding, since it has been indirectly confirmed by an Italian study, showing that autoimmune thyroid disease is a risk factor for the evolution towards NCGS in a group of patients with minimal duodenal inflammation. On these bases, an autoimmune stigma in NCGS is strongly supported

nuclmed.gr/wp/wp-content/up...

In summary, whereas it is not yet clear whether a gluten free diet can prevent autoimmune diseases, it is worth mentioning that HT patients with or without CD benefit from a diet low in gluten as far as the progression and the potential disease complications are concerned

restartmed.com/hashimotos-g...

Despite the fact that 5-10% of patients have Celiac disease, in my experience and in the experience of many other physicians, at least 80% + of patients with Hashimoto's who go gluten-free notice a reduction in their symptoms almost immediately.

Similarly few months later consider trying dairy free too.

Approx 50-60% of hashimoto’s patients find dairy free beneficial

With loads of vegan dairy alternatives these days it’s not as difficult as in the past

Post discussing gluten

healthunlocked.com/thyroidu...

KateJS profile image
KateJS in reply toSlowDragon

Thanks Slow Dragon. I’m not coeliac. Had blood tests for that via the GP last year so all clear thankfully.

Here’s the results of my recent blood test in June with ranges. I’ve been advised to have an ultrasound scan of my thyroid as my TGA is high.

I’ve been prescribed NDT 30mg to be split twice a day morning and then before 3pm.

Any advice on what to expect? Im hoping my symptoms will improve. I will book more bloods in 6 weeks and keep you posted.

Thank you.

Blood test ranges
SlowDragon profile image
SlowDragonAdministrator in reply toKateJS

Majority of Hashimoto’s patients test negative for coeliac…..but approx 80% of those who test negative actually find when they trial strictly gluten free diet they see symptoms reduce, often significantly.

KateJS profile image
KateJS in reply toSlowDragon

Hi Slow Dragon,

Sorry for late reply. I don’t come on much. So to answer your questions; I’m not Coeliac, my B12 is very high as I my ferritin so I don’t take B vits. Although my private Thyroid Dr has recommended B1 Thiamine. The book I’m reading by Dr Isabella Wentz recommends B6 too so I will try that

SlowDragon profile image
SlowDragonAdministrator in reply toKateJS

High B12 can be deceiving

Paradoxical B12 deficiency

b12oils.com/paradoxical.htm...

Suggest you consider a daily vitamin B complex, one with folate in (not folic acid)

This can help keep all B vitamins in balance including B1 and B6

Difference between folate and folic acid

healthline.com/nutrition/fo...

B vitamins best taken after breakfast

Igennus B complex popular option. Nice small tablets. Most people only find they need one per day. But a few people find it’s not high enough dose and may need separate methyl folate couple times a week

Post discussing different B complex

healthunlocked.com/thyroidu...

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 5-7 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

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)

Post discussing how biotin can affect test results

healthunlocked.com/thyroidu...

helvella.blogspot.com/p/hel...

KateJS profile image
KateJS in reply toSlowDragon

Thanks SlowDragon, ah that’s really interesting! I never knew that. So if I started taking a good multi B vitamin supplement do you think my B12 would actually reduce and my folate levels improve? I’ll check out the links.

SlowDragon profile image
SlowDragonAdministrator in reply toKateJS

Yes quite likely

Try it and see

SlowDragon profile image
SlowDragonAdministrator in reply toKateJS

Just to clarify

So these tests are when not on any Levo?

Or any other thyroid hormones

Vitamin D is too low

How much vitamin D have you been taking

Aiming to improve to at least 80nmol

Folate on low side

Are you taking daily vitamin B complex

supplementing a good quality daily vitamin B complex, one with folate in (not folic acid)

This can help keep all B vitamins in balance

Difference between folate and folic acid

healthline.com/nutrition/fo...

Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid supplements

thyroidpharmacist.com/artic...

B vitamins best taken after breakfast

Igennus B complex popular option. Nice small tablets. Most people only find they need one per day. But a few people find it’s not high enough dose

Post discussing different B complex

healthunlocked.com/thyroidu...

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 5-7 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

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)

Post discussing how biotin can affect test results

healthunlocked.com/thyroidu...

helvella.blogspot.com/p/hel...

I have also been recommended to start the AIP diet and eliminate gluten and dairy.

Personally I would start on just gluten before cutting dairy out too

Otherwise it can seem totally daunting and difficult to assess which is most helpful

About 50% of Hashimoto’s patients find dairy free is beneficial

KateJS profile image
KateJS in reply toSlowDragon

Thanks for your reply. I wasn’t taking any meds with these blood results.

My Vit D is always low. Even when taking 4000ius per day it still never gets about 93.

As per my reply above, I stopped taking all my supplements before getting my bloods done so my private Thyroid Dr had a baseline. I’ve yet to reintroduce any.

t’s a journey! Lol I’m now currently on 30mg of NDT and about to have my follow up bloods after 8 weeks. I feel I have more energy but still lots of symptoms and not 100% so not sure if that’s due to not following the diet properly, lack of correct supplements, no exercise, Type 2 Diabetes symptoms or Peri-Menopause 😬🤦🏽‍♀️ I will send an updated post once I get my next bloods back. Thank you!

SlowDragon profile image
SlowDragonAdministrator

Exactly what vitamin supplements were you taking before stopping?

Have you had CRP tested (inflammation test)

KateJS profile image
KateJS in reply toSlowDragon

I was taking so much before I had my recent blood tests! I had no idea what made a difference and what didn’t, was also wondering if I was damaging my liver and even absorbing properly due to the Hashimotos low stomach acid?

Here’s the protocol I was following. It was too much. Am re-evaluating and taking advice my the private GP thyroid specialist I’m seeing now…

ALA - 1 capsule 250mg

Berberine 2 x capsules 750g

Chromium 1 tablet 1000mcg

Selenium 200ug 1 tablet

Ashwagandha - 1200mg 1 tablet

Zinc - 25g x 1 tablets

Magnesium Glycinate - 1500mg 2 capsules

Cinnamon - 4000mg - 2 tablets

NAC 600mg - 1 tablet

Vitamin D 4000iu - 1 tablet

Zendocrine - 27g 1 tablet

Bilberry - 1900mg 1 tablet

Day:

Thiamine B1 - 1 capsule

Taurine- 3 tablets - 1500mg

Dandelion Root 1 capsule 500g

Turmeric & Curcumin & Ginger - 1380mg 2 capsules

Chlorella - 500mg - 5 tablets

Slippery Elm Bark - 2000mg - 1 tablet

Multi Collagen- 2 x capsules - 925g Collagen, 80mg vIt c, 50mg hyaluaronic acid, biotin 50mg

Choline Bitartrate - 2 capsules 714mg

Hawthorn Tincture - 40 drops

I don’t take anything atm. Only things that have got worse is fatigue and constipation.

I’ve been recommended to do the following protocol:

Co Q10 30mg

Wobenzym?

Selenium 200mcg

Berberine 500mg

ALA 250mg

Chromium 500mcg

MSM - not sure how much

Krill Oil 2000mg

Turmeric / Curcumin

Biotin 500mcg-10,000mcg (5-10mg)per day! (Stop taking 7 days before blood test)

Zinc 30mg per day

Saccharomyces Cerevisiae Boulardii 300mg

Myo-Inositol 200g powder

I am wanting to heal my liver from NAFLD and lower my blood sugar and blood pressure (which is only borderline)

If anyone has any comments or suggestions it would be appreciated.

Thank you!

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