So sorry for late update,it is still hard for me to write after hand surgery.Sooo hear are the thyroid blood results (no waonder i was feelingso ill)! Levo now reduced from 100mcg to 50mcg......T4 (FREE) 24.5pmol/L (12.0-22.0) HIGH
TSH 0.01 mIU/L (0.40-4.00) LOW
T3(FREE) 6.3 pmol/L (2.5-6.0 HIGH).
I had all the other some of you requested but sore hand re surgery so will put the up later...All advise welcome and I still feel like I've been hit by a bulldozer 🌻🤞✨️
Too much of a reduction!! Never change by more than 25mcg unless having a flare up... Initially I'd want to drop by 12.5mcg a day or alternate 75/100 for 6-8 weeks and then retest
Oh really...I've just been following instructions..My specialist discharged me so I just did what the doctor said in his txt..He had sent the script to my provider.Thanks for that IL talk to him about it.🌻🌻🌻
I'm thinking you have only been on Levo for a couple of months so things are still settling in, I would recommend only ever make small changes and leave plenty of time to settle again and find your sweet spot.... Dr's will have you yoyoing with changes that are far to big 😬
was test early morning and last dose levothyroxine 24 hours before test?
Reduce dose only in small steps …..suggest you ask for 75mcg and 100mcg on alternate days
Retest in 8-10 weeks
And ask that GP test vitamin D, folate ferritin and B12
What vitamin supplements are you taking
No it wasn't....I have just had those other tests on the same day...When I can I will post...Iron was low despite being on B12 injections tests to check for internal bleeding arranged 🌻
B12 is to maintain good B12
With serum B12 result below 500, (Or active B12 below 70) recommended to be taking a separate B12 supplement as well as a separate vitamin B Complex to keep all B vitamins in balance
Then once your serum B12 is over 500 (or Active B12 level has reached 70), you may be able to reduce then stop the B12 and just carry on with the B Complex.
B vitamins best taken after breakfast
Igennus B complex popular option. Nice small tablets. Most people only find they need one per day. But a few people find it’s not high enough dose and may need 2 per day and/or may need separate methyl folate couple times a week
Post discussing different B complex
healthunlocked.com/thyroidu...
IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before ALL BLOOD TESTS , as biotin can falsely affect test results
endocrinenews.endocrine.org...
In week before blood test, when you stop vitamin B complex, you might want to consider taking a separate folate supplement (eg Jarrow methyl folate 400mcg) and continue separate B12 if last test result serum B12 was below 500 or active B12 (private test) under 70
When was vitamin D last tested
How much vitamin D are you taking
If your iron is low you need FULL iron panel test including ferritin
You may need iron supplement
Test early morning, only water to drink between waking and test. Avoid high iron rich dinner night before test
If taking any iron supplements stop 3-5 days before testing
Good heavens 😳 I was told not to take supplements except the magnesium for severe cramps in a lot of my muscles !!!
Get your GP to test folate, vitamin D and full iron panel including ferritin
For levothyroxine to work well and convert from inactive Ft4 to active hormone Ft3 it’s important to maintain GOOD vitamin levels
No other medications or vitamin supplements within 2 hours of Levo
B vitamins best taken in morning after breakfast
Magnesium best taken afternoon or evening at least 4 hours away from Levo
Vitamin D tablets at least 4 hours away from levothyroxine
Iron at least 4 hours away from levothyroxine and two hours away from other supplements
Always get TSH, Ft4 and Ft3 tested together
A List of my Meds...
LANSOPRAZOLE 30MG 2X DAILY
ASPRIN 100MG EC TABLETS 1X DAILY
CITALOPRAM 20MG 1 1/2 1×DAY
DIAZAPAM ARROW 2MG 2X MORNING
ATORVASTATIN 20MG 1X DAILY
DONEPEZIL HCI 5MG 1X DAILY
ENALAPRIL MALEATE 10MG 1 1/2 1× DAILY
ELTROXIN 50MG 7AM IN MORNING
VITAMIN D3 1.25MG CAPSUAL MONTHLY..
PLUS THE MAGNESIUN.
There you go...Would Vitamins impact any of these ? 🌻🧘♀️
It’s the other way around
Lansoprazole is a PPI (proton pump inhibitor)
All PPI lower stomach acid and result in lower vitamin levels, especially B12 and magnesium
You have to take PPI because you are taking aspirin
PPI protects stomach lining from aspirin
gov.uk/drug-safety-update/p...
pmc.ncbi.nlm.nih.gov/articl...
pharmacytimes.com/publicati...
PPI and increased risk T2 diabetes
gut.bmj.com/content/early/2...
Iron Deficiency and PPI
medpagetoday.com/resource-c...
futurity.org/anemia-proton-...
All medications need to be at least 2 hours away from levothyroxine
other medications
Statin may not be needed when thyroid levels are well managed
Citalopram same applies
Thanks...All my meds are 11 am and 10pm...Levo is 7am..I'm grateful you cleared that up as I wasn't told any of this 🙄
Folate etc is all done..I havnt posted yet as it's heaps of writing on a phone with bad hand...Will do as soon as I can..All this info is great! I was told not to take over the counter vitamins due to not being good with all my other meds..except the magnesium ??? IL have to put a list up for you to ponder over..Back when pain pills kick into han🌻
Not so subclinical hypothyroidism
Quick update on bloods - happy with analysis but posting for interest/comparison - also CRP info?
Help me – desperate for advice. Feel so uncared for by endo :( 
Dosage Advice For Levo & Lio
So, thank you for suggesting I do more blood tests and here are my Blue Horizons test results
