anyone get diagnosed thyroid issues with no symptoms at the same time as peri menopause? I had no real thyroid symptoms other than tiredness . Just picked up in a blood test Still tired even tho on levothyroxine. And levels normal !?
my sister works as a dispenser and is concerned as they see this a lot. Women if a certain age and peri M.
Hi Youinabun, welcome to the forum. 
Given how difficult it is to get a hypo diagnosis in the UK, I very much doubt you would have been put on levo if you didn't need it. Your blood test results must have been very bad. Do you have the actual numbers: results and ranges? If not, you should ask at reception for a print-out, it is your legal right to have one. Then post them on here and let's have a look.
It was 18.4. And now about 2.4
I presume that is the TSH reading? 18.4 means you were very hypo. You may not have thought you had symptoms but it was possibly things you didn't even associate with thyroid. Thyroid hormone is needed by every single cell in the body to function correctly. So, if it's in short supply, symptoms can occur anywhere and everywhere in the body. Maybe just little things, like hard skin on the heels or bags under the eyes. Or big things like weight-gain, hair-loss or depression, anxiety and a whole host of other 'brain' symptoms.
2.4 is still too high and means your thyroid hormone levels are still too low. TSH should come down to 1 or under when on thyroid hormone replacement (levo). How much are you taking?
As grey goose has mentioned above, 25mcg is just a starter dose; if you do not have any other underlying conditions, GPs should really start you on 50mcg.
You need to get a blood test (fasted, early morning around 9am and only water until you had your blood draw) every 6 weeks to check your levels and have a dose increase until you are on a full replacement dose. This is around 1.6mcg levothyroxine per kg of weight, so if you weigh 63 kg, your replacement dose should be 100mcg. So you will still have a way to go. This is documented in the NICE guidance and you can cite to the GP if necessary
cks.nice.org.uk/topics/hypo...
Many thyroid patients are deficient in key nutrients. It is important to optimise these as well as your thyroid hormones, as they help your body to utilise your thyroid hormones more efficiently. We recommend to test iron, folate, Vitamin B12 and Vitamin D. You can ask your GP to do these tests, but if they refuse, you can test them privately. Private companies also offer Thyroid testing, as many GPs only test for TSH, which is insufficient, as you need to know your free T4 and free T3 as well. Here is a link to recommended labs:
thyroiduk.org/testing/priva...
Once you have the results of your tests, come back here and post them (with the reference range, as different labs have different ranges) and people will advise.
It is a long process at the beginning, but be patient and be persisting in getting tested every 6 weeks so you can more quickly titrate your dose upwards. When you start supplementing as well with the nutrients you are deficient in, you will start to feel much better.
Hi Tina Maria. I have had t3&4 done. Also my B12 and iron are high!
Spoke to docs they said most people have low b12 and iron and they’d rather they were high !
In fact. He just left a voicemail !!! To say that. 🤣🤦🏻♀️
I also had a chest infection at the time which is why he said they probably raised !!
An infection will raise your inflammation and in turn increase ferritin (iron) levels to a false high. And yes even though they are high, it is most likely a false result and not reflect your actual level, and you may still be low on both B12 and iron.😢
My symptoms began during the perimenopause (tiredness, cold, shallow breathing, facial swelling, tinnitus, daily migraine, burning hands and feet). Was tested for thyroid but results were negative. Given Hrt which didn't resolve symptoms. Pushed for a trial of levo then a trial of lio. Symptoms very slowly improved (tinnitus and burning extremities remain). I think that the big change of menopause does trigger thyroid conditions.
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