My mood has dropped & I wonder if I might be low in a vitamin. Generally I'm happy. Thinking back, I'm slightly headachy. My GP will be a waste of time. Can anyone recommend a good private blood testing site. Plus, if I do require a supplement will my GP agree to prescribing me? Any help please.
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Longinthetooth
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Do you always get same brand levothyroxine at each prescription
Are you currently taking any vitamin supplements
Get FULL thyroid and vitamin testing before looking at adding anything
What is reason for 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)
Are you currently taking any T3?
T3 ….day before test split T3 as 2 or 3 smaller doses spread through the day, with last dose approximately 8-12 hours before test
Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins
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
I'm on Eltroxin, 100mcg. Yes, always Eltroxin. I recently tried T3 but it didn't agree. I'm not taking any vitamin supplements. I tried Feraglobin last year but it messed up my thyroxine. I have to be so careful as to what I take. I have secondary hypothyroidism. I had a benign, pea-sized tumour on my pituitary some years ago. I have actually made an appointment this afternoon at the docs hoping that they will test a bit further. If not, as I suspect, I will use one of your recommended sites.
so with secondary hypothyroid GP MUST test TSH, Ft4 and Ft3
Important to take iron supplements at least 4 hours away from levothyroxine
Levothyroxine is an extremely fussy hormone and should always be taken on an empty stomach and then nothing apart from water for at least an hour after
Many people take Levothyroxine soon after waking, but it may be more convenient and perhaps more effective taken at bedtime
No other medication or supplements at same as Levothyroxine, leave at least 2 hour gap.
Some like iron, calcium, magnesium, HRT, omeprazole or vitamin D should be four hours away
(Time gap doesn't apply to Vitamin D mouth spray)
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
In answer to part of your question, if you find you are low in a certain vitamin or mineral it is unlikely GP would prescribe, particularly if you can buy the supplement over the counter. But if you are deficient the GP might prescribe.
I don't want a prescription unnecessarily. I'm more than happy to pay over the counter. I just need to know if I'm deficient in anything. But, thanks for replying.
If you have symptoms of deficiency a GP should be able to do some tests e.g d, b12, iron. But if they don’t think you have symptoms of deficiency they generally say they are unable to test, but this probably varies from surgery to surgery. Someone on the forum used the words “worried about toxicity” to get a test when supplementing.
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