Hi, need some advice about my Levo dose ... I started Levo in 4/2024 due to my TSH almost 8 and many weird symptoms ... I been on 50mcg and after first 4 weeks I checked my keys vitamin levels and seen my TSH went down to 3,45 in short time ... after another 4 weeks my GP retested and my TSH was 3,31, I increase my dose to 62,5mcg as I wanted to have my TSH in lower half of the range due to high positive antibodies but my GP was against any increment as my TSH was in normal range but i still increased ... now i retested after another 8 weeks and my TSH is 5,13 ... see results attached. I already increased to 75mcg and will let know about it my new GP, also my endo is due in 12/2024 as I also got low testosterone level, still feeling bad my worst symptoms are bad heart function, irregular heartbeats - my heart skipping beats or adding extra beats, huge anxiety etc. but i may need to change my life style too ... my folate, B12 and ferritin increase a but vitamin D not, already changed vitamin D and dose too, I checked my cortisol multiple times always been ok
SlowDragon
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Clementik
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Levothyroxine doesn’t “top up” your own thyroid….it replaces it
Likely to need further increases in dose over coming months
Retest 6-10 weeks after being on 75mcg Levo
Which brand of levothyroxine are you taking
Do you always get same brand
Guidelines of dose Levo by weight
approx how much do you weigh in kilo
Even if we frequently start on only 50mcg, most people need to increase levothyroxine dose slowly upwards in 25mcg steps (retesting 6-8 weeks after each increase) until eventually on, or somewhere near full replacement dose (typically 1.6mcg levothyroxine per kilo of your weight per day)
If symptoms of hypothyroidism persist despite normalisation of TSH, the dose of levothyroxine can be titrated further to place the TSH in the lower part of the reference range or even slightly below (i.e., TSH: 0.1–2.0 mU/L), but avoiding TSH < 0.1 mU/L. Use of alternate day dosing of different levothyroxine strengths may be needed to achieve this (e.g., 100 mcg for 4 days; 125 mcg for 3 days weekly).
low vitamin levels directly linked to still being hypo because of being on inadequate dose levothyroxine
Will retest in 8 weeks then and I'm already on 75mcg for almost week, I taking Accord levo only as i don't want to mixed but i'm tired of cutting this meds it's crumble a lot i got 25mcg tablets from MercuryPharma but never mixed them, I'm currently 106kg but it's rollercoaster with my weight so what you saying is I have to increase slowly to 170mcg ?
2000ui vitamin D at the moment and yes i do take magnesium too, GP do not prescribed anything she just told me to buy over the counter Vitamin D and take daily dose as my level is not bellow 25, I got those better you sprays
Then once your serum B12 is over 500 (or Active B12 level has reached 70), you may be able to reduce then stop the B12 and just carry on with the B Complex.
If Vegetarian or vegan likely to need ongoing separate B12 few times a week
Thorne Basic B recommended vitamin B complex that contains folate, but they are large capsules. (You can tip powder out if can’t swallow capsule) Thorne can be difficult to find at reasonable price, should be around £20-£25. iherb.com often have in stock. Or try ebay
IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 5-7 days before ALL BLOOD TESTS , as biotin can falsely affect test results
In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg) and continue separate B12 until over 500
Post discussing how biotin can affect test results
thanx for all that, when I get back home end of the month will try to get good b-complex and start taking it now i got cheap one at home from H&B and there is folic acid in that one, for now i taking separate B12, Foloc acid, Iron, D3+K2, Magnesium, Zinc
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Help with results please!!
Results help please
Can you help me get back on track please ? 
Help with understanding recent blood tests please!
follow up to previous post. Help please.
