blood tests: I've been on thyroxin for about 2... - Thyroid UK

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philvaughan profile image
8 Replies

I've been on thyroxin for about 28 years on 250 mg about two years ago after blood tests doctor reduced to 200 each test since has been reduced I'm now on 100 mg over the 2 years I've pun on 2 stone in weight tired cold and have muscle weakness.

Recently have had my medical records and on the blood tests is says I'm NOT on thyroxine would it make a difference to the results

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8 Replies
RedApple profile image
RedAppleAdministrator

philvaughan, can you post the numbers from your most recent thyroid test? That will help us to answer your question more appropriately😊.

philvaughan profile image
philvaughan in reply toRedApple

free t4 30.9 tsh 0.02

RedApple profile image
RedAppleAdministrator in reply tophilvaughan

FT4 30.9 is extremely high!

This is whilst taking 100mcg levothyroxine a day? If yes, how long before the blood draw did you take your last thyroxine dose? And what time of day was the blood draw?

philvaughan profile image
philvaughan in reply toRedApple

no 150 mg blood taken am about 12 hours i think

philvaughan profile image
philvaughan in reply toRedApple

it says on report only relevant if NOT on thyroxine

RedApple profile image
RedAppleAdministrator in reply tophilvaughan

So, if you took 150mcg levo around twelve hours before the test, and the test shows FT4 30.9, then your levothyroxine dose is far too high.

If you were not on thyroxine, those test results would imply you are hypERthyroid.

But you are on levothyroxine, which means you are taking too much.

This certainly could explain your symptoms. Yes, you can put on weight, feel cold, tired and weak when over medicated with levothyroxine.

philvaughan profile image
philvaughan in reply toRedApple

thank you

SlowDragon profile image
SlowDragonAdministrator

Having had dose levothyroxine reduced over recent years……it’s likely you may have low vitamin levels

On Levo it’s ESSENTIAL to test and maintain GOOD vitamin levels

What vitamin supplements are you taking

When were vitamin D, folate, ferritin and B12 last tested

Please add most recent results

Testing thyroid levels it’s ESSENTIAL to test TSH, Ft4 and Ft3 together

Approx how much do you weigh in kilo

Guidelines suggest approximately 1.6mcg Levo per kilo of your weight per day

Do you always get same brand levothyroxine at each prescription

Do you always take Levo on empty stomach then nothing but water for at least hour after …..no other medication or supplements within 2 hours.

Is your hypothyroidism autoimmune?

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...

If you normally take levothyroxine at bedtime/in night ...adjust timings as follows prior to blood test

If testing Monday morning, delay Saturday evening dose levothyroxine until Sunday morning. Delay Sunday evening dose levothyroxine until after blood test on Monday morning. Take Monday evening dose levothyroxine as per normal

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...

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