GP has just called to say that urine tests have just come back showing urine infection, that I need antibiotics and that's what's been causing my tiredness. Had a scan this week where that doctor said had clear signs of thyroiditis - nodules, thyroid burnt out is what she said. But GP blood tests show TSH within range 1.2 (0.34-5.5), no FT4 this time, last time was 9.5 (7.5-19.0). Waiting for anti-body test results. Am on 25mg Levo based on set of tests with different doc in Nov TSH 4.21 (0.27-4.2) FT4 11.1 (12-22) Have a lot of signs of hypothyroid - excessive tiredness, weight gain, feeling cold, dry skin and still feeling dreadful. GP appt next week - what should I ask her to do now? Was thinking of asking her to test for FT3, B12, Irons, Vit D - anything else? will she think I'm a hypochondriac? How do I convince her that thyroid is at root of problem?
How do I convince doctor to do something about ... - Thyroid UK
How do I convince doctor to do something about my thyroid problem? What should I be asking her to do?
![Woodhouse profile image](https://images.hu-production.be/avatars/1b0ca09331efe7a76d48baba7bebc151_small@2x_100x100.jpg)
![Woodhouse profile image](https://images.hu-production.be/avatars/1b0ca09331efe7a76d48baba7bebc151_small@2x_100x100.jpg)
![shaws profile image](https://images.hu-production.be/avatars/315f6af7d7ebd52a995c0f9bec6552df_small@2x_100x100.jpg)
Dr Toft ex of the British Thyroid Association said in an article on Pulse online:-
The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range – 0.2-0.5mU/l.
In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l. Most patients will feel well in that circumstance.
But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.
****
I would wait until your anti-body tests come through but we have to get well informed otherwise we may not get back to a reasonable good health. 25mcg is a very small dose so hopefully it will be increased shortly.
Hi Always good advice from shaws.Also make sure you also have a Free T3 test, even if you have to pay for it. Ask for a copy of the scan ( GP or hospital) and say that you are unhappy and what about seeing an endo? If you do this, check them out before asking for a referral. T3 on a script also normally reduces TSH., you could be low in the range, I need mine almost at the top of range. To see a bad doc is worse than none in my experience!
Jackie
You will find urinary infections in the hypothyroid symptoms along with many others you will recognise at: