Symptoms Back

[JCMartin]

Hi again, my symptoms are back, breathing laboured/gasping, swollen neck, whistling nose and tachycardia. On 125levo and 40mcg T3 split dose.

[SlowDragon Administrator]

was test early morning, ideally just before 9am, only drink water between waking and test and 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

no vitamin D test result?

What vitamin supplements are you taking

B12 extremely low

Ferritin low

Do you always get same brand levothyroxine

Same brand T3

Are you gluten and/or dairy free

You look like you need to REDUCE T3 by 5mcg ….but does depend on when last dose T3 was before test

[JCMartin in reply to SlowDragon]

Yes it was all done with fasting, no meds and at 8am. I am gluton free. I am taking everything, vitamin B, D, Sellenium, iron, magnesium,

[SlowDragon Administrator in reply to JCMartin]

Did you stop vitamin B complex 5-7 days before test

Are you taking a separate B12 as well

If not you need to start doing so

With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement…….Plus a separate vitamin B Complex 

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

Highly effective B12 drops

natureprovides.com/products...

Or

B12 sublingual lozenges

uk.iherb.com/pr/jarrow-form...

cytoplan.co.uk/shop-by-prod...

In-depth article on different forms of B12

perniciousanemia.org/b12/fo...

B12 range in U.K. is too wide

Interesting that in this research B12 below 400 is considered inadequate

healthunlocked.com/thyroidu...

perniciousanemia.org/b12/le...

And why aiming to keep B12 over 500 recommended

perniciousanemia.org/b12/le...

Difference between folate and folic acid

healthline.com/nutrition/fo...

Many Hashimoto’s patients have MTHFR gene variation and can have trouble processing folic acid supplements

thyroidpharmacist.com/artic...

B vitamins best taken after breakfast

Igennus B complex popular option. Nice small tablets. Most people only find they need one per day. But a few people find it’s not high enough dose and may need separate methyl folate couple times a week

Post discussing different B complex

healthunlocked.com/thyroidu...

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

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

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

Post discussing how biotin can affect test results

healthunlocked.com/thyroidu...

helvella.blogspot.com/p/hel...

When was vitamin D last tested

How much vitamin D are you taking

Ferritin

Look at increasing iron rich foods in your diet

[SlowDragon Administrator in reply to JCMartin]

How long exactly was last dose of T3 before test and what dose ?

Last dose levothyroxine 24 hours before test?

Are you taking iron supplements at least 2 hours away from other supplements

Iron, magnesium, vitamin D tablets all at least 4 hours away from Levo

[JCMartin in reply to SlowDragon]

I didn't know vitamin D was an issue?

[SlowDragon Administrator in reply to JCMartin]

Yes, vitamin D tablets or gels at least 4 hours away from levothyroxine

Mouth spray doesn’t need to be, as absorbed in gut

[JCMartin]

Hi, yes stopped Vit B a week before. My B12 was usually high, but will add if you think it's needed. Last Levo was 24hrs before the test, the T3 last dost was 20 about 16hrs before. Also Magnesium and Iron taken in the evening and Levo morning.

[JCMartin in reply to JCMartin]

Cut down to 30 T3 yesterday and feel better already. Fitting a heart monitor today so thought I needed to take action.

[SlowDragon Administrator in reply to JCMartin]

So split new dose as 3 x 10mcg spread across the day

You might feel a bit rough having reduced by 10mcg, or might just feel improved as you were taking too much

Retest after 8 weeks

[Jaydee1507 Administrator in reply to JCMartin]

On the day before thyroid blood test, delay your last dose of T3 to allow 8-12hrs before the test. Any longer and your result will show a false low.

[JCMartin in reply to Jaydee1507]

OK will do next time, but that's a long delay as take it around 1130am.

[Jaydee1507 Administrator in reply to JCMartin]

Are you not splitting your dose?

Take 1/3rd at the 8-12hr before test point. I doubt you’ll notice much difference and it’s just for one day.