End of the line for now...: Well, my GP... - Thyroid UK

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End of the line for now...

TrainWreck59 profile image
26 Replies

Well, my GP appointment following the endo appt was equally as fruitless. They absolutely will not budge nor consider levothyroxine until my TSH reaches the magic NHS number, at yearly blood test checks. Was told taking levo could cause me more damage. So that's me well and truly fooked (NHS-wise, at least). Although they did verbally confirm my diagnosis of Hashimoto's, so at least I have that! Am a bit put-off pursuing the whole thing really. I feel like no-one believes me, and am a bit reluctant to search for a private endo who might just mirror what the NHS ones have said. I'm feeling somewhat depressed, ill and vulnerable, and in addition to all this, I lost my lovely mum a few days ago 😭. On a bit of a downward spiral, I think...

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TrainWreck59
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26 Replies
Buddy195 profile image
Buddy195Administrator

Really feel for you TrainWreck59, but as you say, at least the Hashi diagnosis is confirmed.

When is your next thyroid blood check scheduled for? Just ensure it’s early morning (before 9am) and drink only water before the blood draw, as TSH highest first thing.

TrainWreck59 profile image
TrainWreck59 in reply toBuddy195

Not for another 6 months...and then annually 😞

Buddy195 profile image
Buddy195Administrator in reply toTrainWreck59

I thought I’d share this link for The Wren Project with you. Many members have found it useful:

wrenproject.org/

TrainWreck59 profile image
TrainWreck59 in reply toBuddy195

Oh wow, that looks like an interesting read, thank you. I'll be sure to delve into that 🙂

Cazlook profile image
Cazlook in reply toTrainWreck59

you can buy over the counter thyroid checks for around £40 at Boots, no need to go to a consultant, cx

Tina_Maria profile image
Tina_Maria

It is so frustrating when you know that you have a thyroid problem, and the medical profession just ignores you.

However, even if the TSH does not reach the magic number, the guidelines actually stipulate that if your TSH is above the normal range but below 10 and you are symptomatic, you can ask for a trial of levothyroxine, especially if you had a diagnosis of Hashimoto's.

cks.nice.org.uk/topics/hypo...

Consider offering a 6-month trial of LT4 monotherapy in adults less than 65 years of age if:

The TSH level is above the reference range but lower than 10 mU/L, and FT4 is within the reference range on 2 separate occasions 3 months apart, and

There are symptoms of hypothyroidism.

So if you are symptomatic, you could insist that they give you a 6 months trial to see if your symptoms improve. Could you perhaps see another GP at your practice that might be more sympathetic?

I am very sorry for your loss 😢, it must be really hard struggling with your health and losing a loved one as well. My thoughts are with you.

TrainWreck59 profile image
TrainWreck59

Thank you so much for your kind words.

I literally tried every trick in the book, but to no avail. The GP I saw was the Senior Partner there, and I've pretty much exhausted the others too! I figure I've suffered with symptoms for close to 5 years now, may as well continue! At least until I can pull myself together a bit. X

TheMudRunner profile image
TheMudRunner in reply toTrainWreck59

Is going down the private route feasible for you TrainWreck59 ? I was diagnosed and treated via a private GP when my TSH was 4.69, hence the question. My NHS GP was equally unwilling to budge until TSH exceeded 5, describing me as sub-clinical” despite a raft of symptoms being present.

My private GP is on the Thyroid UK list, and I’m happy to share details. It only cost me £75 to see him (I did have to go 3 times before being referred back to the NHS but over a 4-5 month period). Drop a message over if you want to know more.

Fruitandnutcase profile image
Fruitandnutcase

Oh TrainWreck59, (((big hugs))) I really feel for you, you are having a difficult enough time with your doctors without having just lost your lovely mum. I can’t believe your doctors admit that you have Hashimoto’s and yet are making you wait until you reach their ‘magic number’. That is just cruel.

I’m not surprised you feel as you do so hang on in - you will get there in the end. It might be worth contacting TUK for their list of thyroid friendly endos - or maybe that should be thyroid patient friendly endos.

Helvella posted a very interesting article recently about how people with autoimmune conditions feel that they are not believed theconversation.com/all-in-...

I totally agree with the findings in the paper because years ago I had Graves disease and was made to feel like a total hypochondriac.

TrainWreck59 profile image
TrainWreck59

Thank you so much for your kind comments x

Yes, I have the list of endos already...I'm just not doing very well going through it at the moment 🙁

And what an interesting article; food for thought indeed!

SlowDragon profile image
SlowDragonAmbassador

So sorry for the loss of your Mum

Private test results a month ago

Inflammation

CRP HS - 1.53 mg/L (range less than 3)

Iron Status

Ferritin - 51 ug/L (range 30-264)

Vitamins

Folate Serum - 20.5 (range more than 7)

Vitamin B12 - Active - 90.5 pmol/L (range more than 37.5)

Vitamin D - 49 nmol/L (range 50-200)

Thyroid Hormones

TSH - 2.97 mIU/L (range 0.27-4.2)

Free T3 - 5.3 pmol/L (range 3.1-6.8)

Free Thyroxine 9.8 pmol/L (range 12-22)

Autoimmunity

Thyroglobulin Antibodies - 102 kIU/L (range 0-115)

Thyroid Peroxidase Antibodies - 306 kIU/L (range 0-34)

Ultrasound scan confirms Hashimoto’s

Are you now working on improving very low vitamin D

And increase iron rich foods in your diet

Retest full thyroid and vitamins privately in another 2-3 months

Your TSH is not responding to low Ft4

TrainWreck59 profile image
TrainWreck59 in reply toSlowDragon

Thank you for your kind words x

Agitator23 profile image
Agitator23 in reply toTrainWreck59

Sorry for your loss. It must be a very hard time for you 😔 I really feel for you as I was misdiagnosed and labelled for years before I proved I had central hypothyroidism - where your FT4 is low or below range but TSH does not rise at all or there is a weak rise (like you).

Could you have central hypothyroidism and Hashimoto's? Yes, it's possible. They never look for central hypothyroidism and many people remain undiagnosed. Please take a look in my biog. It details how I proved I was hypothyroid and finally got treatment. It's been a game changer.

Feel free to message me if you want.

SlowDragon profile image
SlowDragonAmbassador

see what results show after next test

Roughly where in uk are you

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

thyroiduk.org/contact-us/ge...

Smartypants1 profile image
Smartypants1

I’m so sorry for your loss. I lost my mum whilst in the midst of getting diagnosed so I can totally relate. It’s devastating but I promise that it gets easier to manage. You just have to go through the process. Sending lots of love. Don’t underestimate the importance of increasing your iron and D levels. If I’m honest, I’ve felt more of a benefit from doing this than I have from the increased doses of levo. xx

TrainWreck59 profile image
TrainWreck59

Thank you for your kind comments, and I'm so sorry you also had to go through such a tough time whilst getting diagnosed x

Yes, I'm taking care of myself vitamin-wise, and I do feel somewhat a sense of relief that at least they've recognised that I have Hashi's, even if there's nothing they'll do about it right now.

Watamu profile image
Watamu

Aw, so sorry to hear of your bad news, take care, lots of hugs.

Confused01 profile image
Confused01

I feel for you. NHS required treatment hormone s levels are wider than many countries, often leaving us in a mess which effects our everyday lives. I've had contradictions (quite severe ones) gp to Consultants and vice versa. When push comes to shove no help even when the consultant started by saying I fit the criteria and bloods do not always show to nhs required levels. That make Dr's puppets lol. If you go private do be aware they are 99% nhs Consultants and generally give exactly the same opinions but with better listening appointment times. I wish you luck.xxx

FoggyThinker profile image
FoggyThinker

So sorry for your loss and sorry you're going through all this.

This is a quick post as I'm short of time but I wanted to let you know I was in a similar place when I joined the forum although I never managed to see an NHS endo so well done for that! I saw a private GP who prescribed straight away, on the basis of that was able to switch to a private pharmacy. Still trying to get my treatment right but with that alongside working on my vits and mins, feeling a lot better than I did. So don't lose hope!Private endos seem a mixed bag but some GPs at least seem more amenable, I chose one from the thyroid uk list as SD mentioned. Best of luck! In haste, C

Murphysmum profile image
Murphysmum

Apologies as I’m just replying v quickly without reading the rest of your thread, but absolutely go private if you can possibly afford to do so.

I’m confident I would not be here today if I hadn’t had this forum and sought private help.

I spent around 18 months very ill, and had numerous trips to the GP and tests for everything from leukaemia to brain tumours, and all through it they said “your thyroid is fine”.

I went private and after two consultations and a bit of levo investigation in between, I was given T3, told I don’t convert and have made a total recovery. And what’s more I’m here about 8 years later to tell the tale.

Don’t be put off, it’s so hard keeping positive but you deserve to feel well

Huffalump profile image
Huffalump

So sorry to hear about your lovely mum. xxx I lost my mother just before I got my own underactive thyroid diagnosis, so it all just rolled into one big blur. I'm new on this forum, so haven't any advice to give except sympathy for you. I did find that removing inflammatory food triggers improved my symptoms remarkably for nearly a decade (for me it was gluten and soy) but now is not the time for you to try to do anything as stressful as a huge change in diet while you're grieving and in shock. We believe you. Just look after yourself for now and do what you need to do to survive, and that Wren project looks very helpful for emotional support and advice. Love to you. x

Astlebridge profile image
Astlebridge

like a lot of other people you are finding that doctors aren’t bothered about symptoms as long as we are in the ranges

jillyana profile image
jillyana in reply toAstlebridge

They still aren't bothered about symptoms even when we are out of the ranges!

pennyannie profile image
pennyannie

Sending hugs - take some time and just be kind to your ' self ' -

in a while you'll feel better prepared for your next step back to better health and well being.

Anjidav profile image
Anjidav

You have my sincere condolences. It's only just over a year since my Mum passed away. Take it 1 day at a time and the reassess going for a private consultation. I am mentally preparing to go private myself and scared they will act the same as the GP.Be kind to yourself whenever you can

Angie

silverbelle51 profile image
silverbelle51

I am not a huge proponent of Levothyroxine because I was put on it with just an elevated TSH and no symptoms . If you feel strongly about your situation what I would do is view some of Westin Child's podcasts that explain the thyroid gland and it's healthy function and if you still feel strongly put together a presentation and send it with a note to both physicians aka make your case and insist on a response . Sadly here in the U. S. we have far too many physicians who practice by a "Protocol Manuel " no real diagnosing really going on! I ended up reading incessantly and spending a lot on books and materials to learn what Westin Child's really does an excellent job explaining . Yes, he sells supplements , but his free on You Tube presentations are terrific , well done and do a great job of making the thyroid gland and its function and lack of function really understandable and you don't have to buy ZIP !

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