Gp reduced levo from 125 to 75 as tsh was 0.02. How long will it take to get normal tsh?
Subclinical hyperthyroid: Gp reduced levo from... - Thyroid UK
Subclinical hyperthyroid
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jeansween
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PurpleNailsAdministrator
what were FT4 & FT3.?
Did you feel over replaced?
Low TSH occurs for many reason. Sub clinical means FT4 & FT3 are in range. So your GP is lowering levels unnecessarily so the TSH (the unreliable TSH) looks in range.
the TSH is a pituitary hormone, signalling the thyroid. It’s important FT4 & FT3 are taken into account too. (More so in most cases)
Adjustments should be by 25mcg. Greater alterations can provoke greater symptoms and strain to system.
Adjustments usually take 6 - 8 weeks to settle.
Thanks. T4 was 20. Gp reduced because hospital has refused to do my hip replacement operation until thyroid levels are correct
Do you have lab range? Ranges vary between labs.
Was FT3 not tested? Unfortunately this is often the case. There no way to tell if your conversion is good. This can be affected by low nutrients.
You can have low FT3 even if FT4 high in range.
Well somebody needs to tell them that TSH is a pituitary hormone not a thyroid hormone and that after medication TSH is not a reliable marker
They should be looking at thyroid levels FT4 and FT3....
The ignorance re matters thyroid is astonishing
Has the anaesthetist been consulted?
Ft 3 not tested. No symptoms either
SlowDragonAdministrator
That’s a massive dose reduction
Possibly entirely unnecessary
You’re only over medicated if Ft4 significantly over range and/or over range Ft3
TSH is not a thyroid hormone it’s a message from pituitary
even reducing to 100mcg is large dose reduction
was last test early morning
What’s the range on Ft4
Was last dose levothyroxine 24 hours before test
Do you always get same brand levothyroxine at each prescription
ALWAYS test 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)
When were vitamin D, folate, B12 and ferritin levels last tested
Exactly what vitamin supplements are you taking
Suggest you get FULL thyroid and vitamin testing done ASAP
Request GP test these now
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
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
Levo reduced because hospital wont do hip replacement operation until tsh is normal
I think you will need to discuss with anaesthetist
Lots of thyroid patients have very low TSH on replacement thyroid hormone
It doesn’t necessarily mean they are over medicated
You will need to demonstrate Ft4 and Ft3 are not over range
Lots of anaesthetist are fine about operating with low or suppressed TSH provided Ft4 and Ft3 are not high
But this will need proving by blood tests and discussing
If TSH has been low a long time it can take months to rise or may never rise
Why TSH is sluggish - mechanism called 'Hysteresis'.
healthunlocked.com/thyroidu....
starts at the end of the first reply from Tattybogle : " To understand why TSH stays suppressed for a long time after an episode of hyperthyroidism/ overmedication, (or ANY T3 use) has finished... "
and is continued in detail much further down in another reply from me : " CONTINUED HYSTERESIS ~ Why TSH remains lower for quite along while following episodes of hyperthyroidism / overmedication .... (or any T3 use) , it is due (at least partly) to a mechanism called 'Hysteresis'.
Thanks
Levo reduced because hospital wont do hip replacement operation until tsh is normal
When was your TSH last “normal” as far as your concerned (or within the lab ranges)? If it was a long time ago you should be prepared for a long wait because the longer it’s been suppressed the longer it takes to come up- if it ever does, mine has not!
I’d find another surgeon!
