Was initially diagnosed hypothryoid October last year; TSH was 115 (range 0.55-4.78), and T4 <3.9 (range 11.5-22.7). As you can imagine, I felt very rough at that point! Started on 50mg Levothyroxine early October, increased to 100mg late November (due to thyroid inflammation), and have been on that dose ever since. Had more bloods tested last week, and got results from GP today (attached). All results are normal, and in the middle of the ranges, so not even as if they are just in the normal range, but I still feeling symptoms (tiring very easily, muscle weakness, joint and muscle pain, brain fog, puffy face, weight gain, feeling the cold more), and due to these, unable to go back to work currently. GP seems to think my body just needs time to repair; I know this may differ vastly from person to person, but what are your experiences with symptoms after bloods are in the normal range? Do I just need to be patient, or could there be more to this? Really grasping at straws at this point!!
I do take my Levothyroxine at least half hour before caffeine or other meds, supplement with Solgar Vitamin B Complex 100, Taurine, and British Supplements Triple Magnesium complex. I have type 1 diabetes, good control using an insulin pump. Also take 2.5mg Bisoprolol.
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Mrsdeepsleap
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I do take my Levothyroxine at least half hour before caffeine or other meds, supplement with Solgar Vitamin B Complex 100, Taurine, and British Supplements Triple Magnesium complex.
Did you stop B complex 3-5 days before test
Magnesium should be taken afternoon or evening at least 4 hours away from levothyroxine
Vitamin D tablets also 4 hours away
Allow at least an hour between levothyroxine and anything other than water
No vitamin supplements or other medications within 2 hours
All supplements were stopped 5 days before bloods, and last levo dose was slightly over 24 hours before; test was done at 8.20am. I have had a change of levo brand, not sure of the make of the first lot, but last prescription was Tevo since 23rd Jan. Haven't noticed any difference since the change. Most days other meds and caffeine are taken at least 2 hours after levo, and magnesium taken 12 hours after levo, in the evenings. I weigh approx. 88kg. Will get some vit D and see if that helps. Thanks.
88kg suggests that you may eventually need approximately 140mcg Levo per day
Perhaps push for 25mcg dose increase…..but initially increase by 12.5mcg (cutting 25mcg in half)
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).
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Need repeat bloods, high antibodies but GP doesn't have results.
Normal Bloods, but enlarged thyroid. 
Bloods results help please
