Im Tired: Hi All im a aman 64 yrs old i have... - Thyroid UK

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Im Tired

nickstraw profile image
18 Replies

Hi All im a aman 64 yrs old i have been diagnosed with a Underactive Thyroid for about 15 years , in the past 8 months or so i have become tired , i have had my medication put up by my dctr by another 25mg a day so i am now on 150mg a day of Levothyroxine

WHY am i still tired no energy i can get up and withing 4/5 hours i need to go to bed again :( and ideas , or is it just a old age thing

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18 Replies
Decant profile image
Decant

I'm 57 and a man too. Just here to offer moral support as thyroid issues impact women in about 10:1 ratio women to men.

Please provide more details on your history. The admins will come along and ask for blood test results, any supplements, etc.

You're in the right place to get help!

RedApple profile image
RedAppleAdministrator

' or is it just a old age thing'

What, at 64 years old! Absolutely not!😊

Before anyone can help, you need to tell us about your last set of thyroid test numbers, ideally TSH, FT4, FT3 although your GP may not have tested all of these. Contact your surgery for a printout of this info if you've not got it yet.

Any other medications?

What time of day do you take your thyroxine?

nickstraw profile image
nickstraw in reply toRedApple

is this it ? all i cvan see on my patient record after bood test

Serum TSH level (XaELV) 4.5 miu/L [0.35 - 4.9

i take mutivits capsle everyday,high dose 1500mg omega Fish oil capsle 2 x a day, garlic capsle a day

RedApple profile image
RedAppleAdministrator in reply tonickstraw

Yes :)

TSH 4.5 is too high for someone on thyroid medication, so that will be why your GP has increased your dose to 150mcg.

What brand (name on box) of levothyroxine do you get? Is it the same brand evry time?

What time of day do you take your levothyxone?

How long since your dose was increased to 150mcg?

nickstraw profile image
nickstraw in reply toRedApple

same brand everytime yes(Accord ) been on 150mg aboiut 10 weeks i take in morning or when i get up everyday

RedApple profile image
RedAppleAdministrator in reply tonickstraw

At least 30mins before breakfast, and not with coffee, tea etc?

10 weeks is long enough to be stable on this dose, so GP should be running another test now to see what effect the increase has had, especially as you still have symptoms. Get in touch to request retest if not already booked.

nickstraw profile image
nickstraw in reply toRedApple

yes im going back to the dctrs thank you

RedApple profile image
RedAppleAdministrator in reply tonickstraw

Good, keep us updated when you get next test results

DippyDame profile image
DippyDame

Well for a start you are not old....just unwell!!

Do you have any lab results you can share with us?

Some thoughts without knowing labs!

Thyroid fatigue is most often caused by slow metabolism....so what might be causing this?

Since you are established as hypothyroid my first thought is about your T3 level which is involved in the regulation of metabolism/ the rate at which calories are burned and produce energy.

If T3 level is low, metabolism is slow ...and energy is low.

However the FT3 level in the serum is only part of the story because the hormone doesn't become active until it reaches the nuclei of the cells where it attaches to T3 receptors and eventually becomes active.

Although in most cases FT3 level is a fair indication of cellular T3 level, it can occasionally happen that absorption into the cells is poor, resulting in the latter.

In most cases raising levo dose works. I'm one of a rare group with thyroid hormone resistance who needs very) high dose T3-only to raise my cellular level.

How long have you been on 150mcg daily, as you know it will take time to settle and depending on symptoms and labs you may even need a further increase. So long as FT3 remains within range you are unlikely to be overmedicated....but avoid high over range FT4 which can cause other problems

Just a few thoughts meantime

nickstraw profile image
nickstraw in reply toDippyDame

I use to be so active, always doing somthing , i have had this thyroid condtion since about 2012 and its got worse over time even though the dctr etc blood test say its ok and normal, its got me down, i have also been diagnosed with asthma in the past 4 years it feels like i need some sort of a boost to my system , im going to go back to the dctrs, i can sleep for england not me at all, i do work for myself thankfully , In front of a computer 10 hours a day

RedApple profile image
RedAppleAdministrator in reply tonickstraw

'also been diagnosed with asthma in the past 4 years'

This might (not defintely) be a mis-diagnosis. Asthma type symptoms can be due to thyroid hormone deficiency, which you clearly have.

nickstraw profile image
nickstraw in reply toRedApple

oh rearlly ? im been so breathless i have to have a pink inhaler thank you will see what the dctr says

RedApple profile image
RedAppleAdministrator in reply tonickstraw

GP will likely disagree as it's not something they recognise as thyroid related. Might improve once your TSH is nearer to 1 and definitely below 2 max.

Ideally, GP should be testing TSH, FT4 and FT3. Without all the numbers, it's not the full picture. Unfortunately, NHS often not interested in the full picture so if this doesn't happen, it's definitely worth getting a private test done. Then we can help you better.

nickstraw profile image
nickstraw in reply toRedApple

thank you i will likley have to do what you say

DippyDame profile image
DippyDame in reply tonickstraw

Ah....asthma!

I was diagnosed with asthma and prescribed inhalers a number of years ago while I was trying to get to the bottom of my ill health. It cleared up once I increased my dose and hasn't returned!

Having more insights into your condition ther is no doubt that you are undermedicated!

Did you have any upsets, traumas, other illnesses that might have affected your thyroid function about 4 years ago.

...ondtion since about 2012 and its got worse over time even though the dctr etc blood test say its ok and normal,

One thing is certain your health or labs are not normal.....this GP is clueless which is not unusual!

Serum TSH level (XaELV) 4.5 miu/L [0.35 - 4.9

TSH is far too high, when correctly medicated TSH should be 1 or under

i take mutivits capsle everyday,high dose 1500mg omega Fish oil capsle 2 x a day, garlic capsle a day

We don't advise multi vits....not enough of some and too much of others

Test vit D, vit B12 folate and ferritin to support thyroid function and address any deficiencies

At the same time test TSH, FT4 and FT3

Many of us test privately to obtain the full thyroid results.9

thyroiduk.org/testing/our-v...

thyroiduk.org/testing/priva...

Post all labs with their reference ranges for help.

Meantime, you are due another NHS thyroid test.....see what your GP is prepared to test....and/or use a private company

Also...it might help to get away from screens for regular breaks....a walk in the fresh air won't cure but it can help

nickstraw profile image
nickstraw in reply toDippyDame

can anyone recomend a good company for testing ?

DippyDame profile image
DippyDame in reply tonickstraw

The companies on the list I gave you above are all reliable

nickstraw profile image
nickstraw

thank you

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