Good evening everyone. I am here again this time with my thyroid ultrasound results. Did anyone had anything similar, I am not sure how to interpret this. My gp doctor said today, that there is darkening on my thyroid and its likely due to infection, or recent pregnancy. (i had my second baby almost 4 years ago). I requested again referal to endocrinologist. It's extremely difficult to get anywhere, as I always see different doctor at the gp, so some even don't read my history. Please see results attached.
Blood results done in September:
TSH 1.72 (0.27- 4.2)
Free T3 5.4 (3.1-6.8)
Free T4 17.6 (12-22)
Antibodies:
Thyroglobulin Antibodies 179 (0-115)
Thyroid Peroxidase Antibodies 27.7 (0-34)
Bloods done on fasting, no supliments or medication for 24 hours.
I been told by few kind people on here that most likely I have Hashimotos.
Does anyone with Hashimotos here had same or similar scan results? Any advice welcome.
Thank you for taking time to read this.
Written by
ErikaGJ
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Hi SlowDragon. My gp didn't want to increase the dose. That time i saw another doctor and she said 'we will do scan, and then referral to endocrinologist, endo will see if dose needs to be increased'. But I am here after 5 months, no endo appointment yet,and not sure will get one. But i am getting my bloods done this Thursday, so will be back with these results.
Many people when adequately treated on just levothyroxine will need Ft4 (Levo) at least 60-70% through range
Good vitamin levels needed for good conversion of Ft4 to Ft3
Guidelines of dose Levo by weight
approx how much do you weigh in kilo
Even if we frequently start on only 50mcg, most people need to increase levothyroxine dose slowly upwards in 25mcg steps (retesting 6-8 weeks after each increase) until eventually on, or somewhere near full replacement dose (typically 1.6mcg levothyroxine per kilo of your weight per day)
Adults usually start with a dose between 50 micrograms and 100 micrograms taken once a day. This may be increased gradually over a few weeks to between 100 micrograms and 200 micrograms taken once a day.
Some people need a bit less than guidelines, some a bit more
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).
If GP still reluctant to increase, worth asking for “trial“ increase if results show you need one
NHS endocrinologist referrals typically are 12-18 months and referral often refused if TSH and Ft4 are within range
you may need to consider private consultation
Here’s link for how to request Thyroid U.K.list of private Doctors emailed to you, but within the email a link to download list of recommended thyroid specialist endocrinologists
Ideally choose an endocrinologist to see privately initially and who also does NHS consultations so that might eventually transfer to NHS
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