Sadly I am still not optimal yet.

[Myristica]

In May this year after 9 months of titrating up from 25-125mcg, I thought that I was finally there.

TSH was 0.808 (0.27-4.20) and FT4 was 21.5 (11-22) and agreed to test after 3 months to see if I had stabilised.

Sadly just checked the NHS app as bloods were done Friday and can see that my TSH is now back up to 3.22 and FT4 down to 17.4 (same reference ranges as above and as usual taken after fasting, before 9am and no LT4 taken prior to the appointment.)

I guess that will be 150mcg now and back again in 8 weeks. 😉

[SlowDragon Administrator]

Was test early morning and last dose levothyroxine 24 hours before test

How much approx do you weigh in kilo

Will GP be amenable to dose increase

What brand levothyroxine are you taking

What vitamin supplements are you taking

Get GP to test vitamin levels as per previous post

healthunlocked.com/thyroidu...

[Myristica in reply to SlowDragon]

Thank you for your reply,

As already mentioned in my post, yes it was before 9am, fasting and no LT4 since previous morning.

My weight suggests I ought to be on about 175mcg so I was surprised in May when everything appeared to be optimal then.

I will try to get a message to the GP to tell her I will be increasing it to 150mcg daily, I take Accord.

GP will not test B12 or Folate yet as not been 12m. I have been taking B12 oral spray 1200ug since June and researching about taking a 5-MTHF but am considering waiting until she agrees to retest these anyway.

Ongoing I take D3 5,000 daily as well as Nicotinamide 1000g (500g twice a day.)