my tsh is now 8.8 , hospital have said to alternate doses 50 one day then 75 another day , as I’m feeling unwell on 50 very bad throat , and I’m over active on 75 , is this good advice , still here at hospital , anything I should put to them why I’m still here they said my other reading is normal t4
alternate meds ?: my tsh is now 8.8 , hospital... - Thyroid UK
alternate meds ?
What are your exact results? TSH, FT4, FT3?
Also I just looked back at your past posts. Don’t think I can add much… have you taken any of that advice?
you can add 12.5mcg every day instead, cutting a 25mcg tablet in half
Which brand is your 50mcg tablet
Have you got any 25mcg tablets you can cut in half
If not cut 50mcg in 1/4’s - use sharp craft scalpel
It doesn’t matter if 1/4’s aren’t equal
Use a weekly pill dispenser to store spare 1/4’s for coming days
Retest after 6-8 weeks on constant dose
Had another blood test now at 9.15 am my tsh is now 5.6 ? Was 8.8 night before at 6.30 ish ? My 50 tablet is accord 25 is crescent , so I’ve just took 75 this morning , and I will take 50 tomorrow then so on , just hope this helps as I have been feeling unwell , realy hope is dosnt cause more palpitations
some people are fine with alternate day doses
Others find it better to take same dose everyday
if you notice difference
You can cut the 25mcg and take half each morning
This gives 62.5mcg daily
Retest in 8 weeks
Test early morning and last dose levothyroxine 24 hours before test
Make sure you test TSH, Ft4 and Ft3
Palpitations are often due to being on too LOW a dose levothyroxine
And/or low iron/ferritin
Make sure to test vitamin D, folate, B12 and ferritin at next test
Exactly what vitamin supplements are you taking
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My tsh 5.6
T3 15.5
T4 3.8
My tsh 5.6
T4 15.5
T3 3.8
Ft4 and Ft3 were wrong way around
That’s how doctor wrote them down ? Do they mean anything
TSh is too high , it shows you are hypo and needed a dose increase
fT4 and fT3 , you need the ranges to be accurate , but if ranges are [12-22] and [3.1-6.8] or similar , then these are both fairly low in range .... showing you needed a dose increase.
Thankyou , so shal 75 /50 alternate days help
Initially
Likely to need further increase in 2-3 months time….but increasing SLOWLY
Retesting 8-10 weeks after each increase
And watch out for brand of levothyroxine changes
Teva brand upsets many people
yes .... if those result are from 50mcg , increase to 50/75 alternate for 6 wks then get retested.
wait a full 6 wks before you decide how it feels .. the first few wks after a dose adjustment are often not very nice ,you may notice all sorts of weird changes , that are different again the next week , and so on ...but things often start to settle and improve after wk 5 /6
ESSENTIAL to test vitamin D, folate, B12, ferritin
When were these last tested
Exactly what vitamin supplements are you taking
On levothyroxine we must maintain GOOD vitamin levels
I’m not taking any as I have heart rythym problem, so not sure on what I can take , shall I stick at 50 /75 , would you do 75 3 times a week or 4 ? Or can I do the 62.5 7 days aweek
You can either take 50mcg and 75mcg alternate days (repeats every 14 days)
Or cut 25mcg in half and take 62.5mcg everyday
Some people find they notice alternate day dosing and find it better to take same dose everyday
Which brand is your 50mcg
which brand is 25mcg
Get vitamin levels tested now via GP or privately
Very likely some are low
Vitamin D, folate, B12 and ferritin
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...
Do test early Monday or Tuesday morning, last dose levothyroxine 24 hours before test
Irregular heart beat can be hypothyroid symptom