Fatique, Liothyronine, dosage and bloodtest results.

[Hoopy83]

Hello, I hope all are well.

Reposting as I've finally managed to secure my bloodtest results as a system issue between hospital pathology and patient access..

I'm still under the local Endocrine consultant, finding the right dose of liothyronine. My last amendment saw my dose decreased from 60 mcg daily to 50.. 20 mcg morning and evening, 10 mcg at midday. Previous dosage was 60mcg daily, 20mcg morning, lunch and late afternoon

In the last 5/6 months, I have regained weight I'd previously dropped, my first weight loss since my Hypothyroid diagnosis, fatigue and general feeling of being run down has starting to creep back in and now most recently I seem to have developed vitiligo!! Google leads me to believe is linked to Hypothyroid?

Last appointment with him a month or so ago, it feels like he's trying to get me off his patient list. He claimed my results are within range and suggests fatigue etc could be something else underlying, this is after telling him that I felt I was under medicated!

The newly arrived Vitiligo has continued to spread, when I mentioned this to Mr Consultant the response was.. yep, that's something that can present in those with underactice thyroid. 😪

Has anyone tried Greenleaf supplements? Claims to be fully adjusted formula for those with thyroid issues...

greenleaf-blends.com/

[ Link edited by admin to remove personal identification/promotional details. ]

[Hoopy83]

T4

Bloodtest results

[Hoopy83 in reply to Hoopy83]

TSH

Bloodtest results

[Hoopy83 in reply to Hoopy83]

Cortisol .. ties in with Vitiligo?

Bloodtest results

[SlowDragon Administrator]

Do you test as recommended all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test

( if /when on Levo - last dose levothyroxine 24 hours before test)

T3 ….day before test split T3 as 2 or 3 smaller doses spread through the day, with last dose approximately 8-12 hours before test

Bloods should be retested 6-8 weeks after each dose change or brand change in levothyroxine or T3

Do you always get same brand of T3

Have you had both TPO and TG thyroid antibodies tested at least once to see if your hypothyroidism is autoimmune and/or ultrasound scan of thyroid

20% of autoimmune thyroid patients never have high thyroid antibodies and ultrasound scan of thyroid can get diagnosis

Very important to test vitamin D, folate, ferritin and B12 at least once year minimum

Low vitamin levels are extremely common when hypothyroid, especially with autoimmune thyroid disease

About 90% of primary hypothyroidism is autoimmune thyroid disease, usually diagnosed by high TPO and/or high TG thyroid antibodies

Autoimmune thyroid disease with goitre is Hashimoto’s

Autoimmune thyroid disease without goitre is Ord’s thyroiditis.

Both are autoimmune and generally called Hashimoto’s.

Significant minority of Hashimoto’s patients only have high TG antibodies (thyroglobulin)

In U.K. medics hardly ever refer to autoimmune thyroid disease as Hashimoto’s (or Ord’s thyroiditis)

Essential to test vitamin D, folate, ferritin and B12

Lower vitamin levels more common as we get older

For good conversion of Ft4 (levothyroxine) to Ft3 (active hormone) we must maintain GOOD vitamin levels

what vitamin supplements are you taking

When were vitamin D, folate, ferritin and B12 last tested

Vitiligo

Presumably your hypothyroidism is autoimmune

Have you had coeliac blood test

Are you on gluten free diet.

or dairy free diet

[greygoose]

That was a huge reduction all in one go! Shouldn't be more than 5 mcg at a time. And it's probably too much and now you are under-medicated.

Vitiligo, as I understand it, is only linked to hypo in that it is another autoimmune disease, like Hashi's. It is not caused by being hypo.