I’ve now had my TPG result and it was 47 (<34) range . They also did my T3 which was 4.27 (3.1 - 6.8) range. T4 was 22.5 (11-23) range. My T4 has never been this high. They also re did my TSH which was only done 2 days earlier. This time it was 2.9, yet only 2 days earlier it was 4.4.
GP said not to increase the dose as this could make my rash and heat flushing worse. When I asked about distance in range of TSH, he said sometimes it does this. I’ve asked the pharmacy for Accord instead of Teva as GP cannot state not TEVA on prescription unless it a private prescription. I’ve had more bloods done mainly for different antibodies I think. Also for Coeliac. No results back yet from them.
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Ozzy77
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was test done early morning and last dose Levo 24 hours before test?
Have you now started a daily vitamin B complex
And retested vitamin D
Your TPO antibodies are high this is Hashimoto's, (also known by medics here in UK more commonly as autoimmune thyroid disease).
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances.
Most common by far is gluten.
Dairy is second most common.
A trial of strictly gluten free diet is always worth doing
Only 5% of Hashimoto’s patients test positive for coeliac but a further 81% of Hashimoto’s patients who try gluten free diet find noticeable or significant improvement or find it’s essential
A strictly gluten free diet helps or is essential due to gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and may slowly lower TPO antibodies
Assuming coeliac 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
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
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
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% find dairy free beneficial
With loads of vegan dairy alternatives these days it’s not as difficult as in the past
Ozzy77, I think your GP is making excuses about not being able to write your preferred thyroid meds name on your scrip. Accord is usually available at Boots and GP should write Accord on scrip. @helvella can explain how the scrip should be written. When collecting your meds open the paper bag at the counter to check the brand and hand it back if it’s Teva.
My scrips name Vencamil Levothyroxine and Sigma Pharma Liothyronine.
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