dosage

[Prosecco1997]

my recent test tsh 2.5 that’s all they tested, says satisfactory? I’m currently taking 62.5 daily , should I stay on this dose ?

[Jaydee1507 Administrator]

Most people feel well with a TSH at or just under 1 along with having vitamins at optimal levels so our body can use the hormones well.

Only 2 months ago your TSH was over 8, now it is over 2 so you havent said how you feel but you probably need a dose increase of up to 25mcgs.

Have you tested vitamin levels and now supplementing to optimal levels?

[SlowDragon Administrator]

was test done early morning?

TSH over 2 suggests you need next dose increase

Request increase to 75mcg daily

Retest FULL thyroid and vitamin levels 8-10 weeks after increasing

Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

Post all about what time of day to test

healthunlocked.com/thyroidu...

Testing options and includes money off codes for private testing

thyroiduk.org/testing/

Medichecks Thyroid plus BOTH TPO and TG antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes BOTH TPO and TG antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

Only do private testing early Monday or Tuesday morning.

Tips on how to do DIY finger prick test

support.medichecks.com/hc/e...

Monitor My Health (NHS private test service) offer thyroid and vitamin testing, plus cholesterol and HBA1C for £65

(Doesn’t include thyroid antibodies)

monitormyhealth.org.uk/full...

10% off code here

thyroiduk.org/testing/priva...

Just TSH, Ft4 and Ft3 test - £32

monitormyhealth.org.uk/thyr...

10% off code here

thyroiduk.org/testing/priva...

Randox FULL thyroid test including both thyroid antibodies just £29

Test at home or in clinic

randoxhealth.com/en-GB/at-h...

[Prosecco1997 in reply to SlowDragon]

I was on 75 but went over at 5.6 , but dropped to 50 to low , so been doing 62.5 , but been getting more palpitations than normal

[SlowDragon Administrator in reply to Prosecco1997]

I was on 75 but went over at 5.6 ,

What was 5.6 ?

TSH?

[Prosecco1997 in reply to SlowDragon]

Yes tsh

[Prosecco1997 in reply to SlowDragon]

In august tsh was 5.6 and t4 was 14.8

[SlowDragon Administrator in reply to Prosecco1997]

So this showed you needed dose INCREASE in levothyroxine after August test

TSH should be BELOW 2

TSH of 2 is maximum it should be when on levothyroxine

gponline.com/endocrinology-...

Graph showing median TSH in healthy population is 1-1.5

web.archive.org/web/2004060...

Comprehensive list of references for needing LOW TSH on levothyroxine

healthunlocked.com/thyroidu....

onlinelibrary.wiley.com/doi...

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).

what was range on Ft4

all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

Aiming for Ft4 at least 60-70% through range, and (ideally) Ft3 not far behind

[SlowDragon Administrator]

How long have you been on 62.5mcg

Which brand of levothyroxine

Palpitations can be a hypothyroid symptom

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

Suggest you get FULL thyroid test

ideally vitamin testing too

Or put dose back up to 75mcg daily and get FULL thyroid and vitamin testing in 6-8 weeks

[Prosecco1997 in reply to SlowDragon]

About 8 weeks , I’m on 50 mg of accord and cut a 25 of mercury pharma in half ish , I do have teva 12.5 , but read teva is not a good brand ?

[helvella Administrator in reply to Prosecco1997]

Please read my recent post on this very issue of Teva.

The issues reported do NOT mean that Teva is not a good brand. For some, it is excellent.

Teva versus the rest

healthunlocked.com/thyroidu...

And my blog (which repeats that):

helvella - Teva versus the rest

A discussion of the issues surrounding Teva levothyroxine.

Last updated 19/10/2024

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

[Prosecco1997 in reply to helvella]

Thankyou I shall give it a read , it would make it so much easier than having to keep cutting tablets in half , which is quite tricky even with a tablet cutter lol😅

[SlowDragon Administrator in reply to Prosecco1997]

Get bloods retested as been on 62.5mcg for 8 weeks

Get early morning test, ideally before 9am. Only drinking water between waking and test and last dose levothyroxine 24 hours before test

likely to see results show you are ready to increase your dose levothyroxine to 75mcg