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
Written by
nickstraw
To view profiles and participate in discussions please or .
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.
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.
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
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
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.
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
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.