Blood results update

[Astrido]

Hello,

I'm preparing to request another prescription of levo. I have been taking 100mcg consistently and I feel ok on it (i.e. well enough to not want to mess about with levels).

GP keeps telling me I am overmedicated and has put me down to 25mcg so I have been sourcing privately.

Here are my latest results:

Ferritin 72.60 ug/L (Range: 30 - 207)

Folate - Serum 24.0 nmol/L (Range: > 7)

Vitamin B12 - Active 99.5 pmol/L (Range: > 37.5)

Vitamin D - 65.7 nmol/L (Range: 50 - 250)

TSH 0.055 mIU/L (Range: 0.27 - 4.2)

Free T3 5.0 pmol/L (Range: 3.1 - 6.8)

Free Thyroxine 18.9 pmol/L (Range: 12 - 22)

Autoimmunity Thyroglobulin Antibodies 16.40 kIU/L (Range: 0 - 115)

Thyroid Peroxidase Antibodies <9 kIU/L (Range: 0 - 34)

Would be grateful for any comments - do you think the levels are overmedicated?

I would ideally like to talk to GP about HRT but I think they will be difficult about the thyroid issues before they will talk to me about HRT. Has anyone successfully got an HRT prescription even if your GP thinks you are overmedicated on levo?

Thanks for any advice

[SlowDragon Administrator]

was test done as recommended

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

Do you always get same brand levothyroxine at each prescription

Free T4 (fT4) 18.9 pmol/L (12 - 22) 69.0%

Free T3 (fT3) 5 pmol/L (3.1 - 6.8) 51.4%

If anything you could probably manage small INCREASE in Levo

Perhaps 112.5mcg twice a week and 100mcg 5 days

Retest in a further 6-8 weeks

You may need to tweak dose further after next test

Vitamin D a bit low

How much are you supplementing

[Astrido in reply to SlowDragon]

Test was under recommended protocols from the pinned post, at 9.20am (earliest possible private appointment at my location)Always have Accord

Vitamin D, 2-4 sprays per day. Could make a consistent 4.

[SlowDragon Administrator in reply to Astrido]

Yes I would try at least 4 spays vitamin D per day retest in another 2-3 months

Perhaps try an extra half (25mcg ) tablet Levo per week as 1/4 tablet twice a week

If you start HRT retest thyroid levels 6-8 weeks later. Common to need to increase levothyroxine a little on HRT …..though some people find they may need a bit less

[RuthieRuth]

can you move GP or otherwise put your foot down that you absolutely need more than 25mcg? I see you had a partial thyroidectomy. What on earth are they thinking dropping you from 100 to 25? I would take these results and your symptoms to them and insist you be put back on 100mcg again. Best of luck!