TSH rise: I've just had blood results following... - Thyroid UK

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TSH rise

Squase profile image
5 Replies

I've just had blood results following a small rise in my Levothyroxine dosage prior my reading was 4 ( 0.6- 6) range now its 4.7 same range. I wasn't expecting a massive drop but was surprised that it has risen, is this usual while adapting to dose changes.

Any thoughts on this would be much appreciated

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tattybogle profile image
tattybogle

it can take a while for TSH level to stabilise after a dose change , how long had you been taking the higher dose for before blood test ?

p.s i'm surprised to see any labs are still using that 0.6 -6 range ..is this an NHS GP blood test ? my area used that range... about 20 yrs ago .... most NHS labs have different machines nowadays , which use TSH ranges that are more like 0.4 -4 ish

Squase profile image
Squase in reply totattybogle

yes it was an NHS gp test and those were the ranges given on the app

it's over 6 weeks since the increase and I'm hoping the GP will agree to a further increase so I can eventually get my levels to be optimal

tattybogle profile image
tattybogle in reply toSquase

ok , so yes GP ought to be prepared to give further increase in dose .

i hope these 2 posts will be helpful:

healthunlocked.com/thyroidu... explanation-of-what-*high-tsh-is-telling-us-when-our-ft4-level-is-normal-on-levothyroxine-the-shoe-size-analogy.-*-over-2.5-3-ish

healthunlocked.com/thyroidu.... my-list-of-references-recommending-gps-keep-tsh-lower-in-range

SlowDragon profile image
SlowDragonAdministrator

how much levothyroxine are you currently taking

You need to get FULL thyroid and vitamin testing

TSH over 2 suggests you need further increase in dose of levothyroxine

How much was dose increased by

Retest again 6-8 weeks after next increase

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)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

Post all about what time of day to test

healthunlocked.com/thyroidu...

Testing options and includes money off codes for private testing

thyroiduk.org/testing/

Medichecks Thyroid plus BOTH TPO and TG antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes BOTH TPO and TG antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Only do private testing early Monday or Tuesday morning.

Link about thyroid blood tests

thyroiduk.org/testing/thyro...

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

Symptoms of hypothyroidism

thyroiduk.org/signs-and-sym...

Tips on how to do DIY finger prick test

support.medichecks.com/hc/e...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

Monitor My Health also now offer thyroid and vitamin testing, plus cholesterol and HBA1C for £65

(Doesn’t include thyroid antibodies)

monitormyhealth.org.uk/full...

10% off code here

thyroiduk.org/testing/priva...

Randox

FULL thyroid test including both thyroid antibodies just £29

Test at home or in clinic

randoxhealth.com/en-GB/at-h...

greygoose profile image
greygoose

The rise is so small as to be insignificant. And progress is not linear, it can go up and down. Plus, so many things can affect TSH levels it really is a very bad indicator of thyroid status. So, nothing to be worried about. :)

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