Vitamin D should be around 100 - 150. Buy one that includes vit K2 to help it go to your bones. Some are available in oil or you can take it with an oily meal for better absorption. Many members like the ‘Better You’ range of mouth sprays that contain both bit D & K2. Use this calculator to work out how much to take to get your level to 100-150. Most people need a minimum of 3,000iu per day.grassrootshealth.net/projec...
Gp isnt likely to offer a supplement unless completely below range or under 30 for ferritin.
Ferritin should be around 90 - 100 for best use of thyroid hormone. Suggest increasing iron rich foods in diet and eating them often. Chicken livers, pate, red meat etc
why go for an increase in T4 if you feel well where you are, it's more about how you feel on a particular dose rather than where people feel you should be in the range?
I suppose I asked the question regards my results to assist me to have an informed conversation with Gp.Whilst I feel a whole lot better and much more myself after the horrendous symptoms I experienced ,I do feel I am slightly symptomatic due to the reduction..So I need to ascertain what Ievethyroxine levels I need.I don't want to wait until I am potentially more symptomatic and then try and work it out.
If after the next blood test, assuming Gp agrees to an increase now I will know 75mg is an appropriate dose or not.
I have had Hashi since I was 31 and am now 55.Have always taken around 125mg levothyroxine but unfortunately last Sept was increased ,after a blood test, to 150mg .In August this year I went to gp with awful symptoms (which I didnt even related to thyroid rather was thinking menopause) that the over range T4 was discovered.
My Gp only tests yearly.
This episode has frightened me as previously I had many years of doing well on levothyroxine with stable levels, so much so that I didnt ever really think much about it.
So I needed some information to affirm my own suspicions.
So not asking for an increase based on where others feel I should be at all.
If my Gp agrees and I increase I will monitor my symptoms.Believe me I will know if the increase is too much.
Perhaps I should have said I feel much better rather than I feel well ,in my original post.
I don't feel unwell any longer if that makes sense but thats not to say I don't have any symptoms, just feeling a whole load better now than I was a few months ago.
I agree with Jaydee, a reduction of 75mcg is a massive amount and can be a shock to the system. Reductions of 25mcg are usual, some people only tolerate changes of 12.5 mcg at a time. Yes, your free T4 was over range, but still, the reduction should have been more gradual.
How do you feel on this dose? Yes, the results are in the 'normal' range, but with both FT4 and FT3 in the lower third of the range now, I suspect you will become symptomatic over time, if not already. A typical replacement dose for levothyroxine is 1.6mcg per kg of body weight, so if a person weighs 63 kg, they would need around 100mcg levothyroxine. This is documented in the prescribing information of the NICE guidelines
If you are symptomatic or do not feel right on that dose, I would insist on an increase in your dose, so both your T4 and T3 can go at least above 60% of the range.
Thank you very much for your reply.The NICE guidelines are good to know.I will remind Gp of them!
My weight would indicate also that I require an increase .
My symptoms when I was over T4 range were pretty bad. I am feeling better because they have subsided although as I said in above post I am likely symptomatic due to the reduction. I suspect I would feel better on the optimal range, rather than current lower range, so I appreciate both yourself and Jaydee's replies and will have this discussion with the Gp, armed with this information.
Yes, your T4 was very much over-range, and I am glad that you are feeling better now. It begs the question why did the GP increase your dose to that amount in the first place - seems strange? Usually they are very hesitant to increase a dose once the results are somewhere in the lower range and many people have to really fight to get their doses increased...
Those NICE guidelines are quite handy to have, if they throw you attitude that your results are 'normal' and that you would not need an increase.... good to beat them at their own game! It is very important to be at the right dose, so stand firm, otherwise you will go the other way again and start feeling not so good. Good luck!
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