I am new to this site and this is my first question. In 2008 I was diagnosed with hypothyroidism. The internist prescribed Levothyroxine for me, which I still use. I am female, early 40's and vegetarian for more than 30 years.
I am now using 175mg of Levothyroxine a day. I take this in the morning, on an empty stomach, 30 minutes before breakfast. She also prescribed Kalcipos D (800 vitamin D3 and 500 calcium) which I take daily. However, I do not feel that I am as well as I could be. I'm still often foggy brained (less than before though), feel lethargic and am tired most days. I have 2 children under the age of 5.
My last blood results (February 2013) are as follows:
TSH 0.96 (0.3-4.5)
FT4 16 (12-22)
FT3 4.7 (3.9-6.9)
PTH 4.5 (no range given)
Ferritine 43 (12-250)
Up until early December 2012 I was on 150 Levothyroxine, but I went to see the internist about persistent pain in my hands. She felt there was no connection with the pain in my hands and hypothyroidism, but since I was there anyway I asked if I could increase my dose slightly to see if it might help with weight loss. Although I'm not overweight, I could do with losing some kilo's gained after my last pregnancy 2 years ago. She is an internist that believes that weight issues are not linked to the thyroid condition, but rather to food intake and (lack of) exercise. I eat healthfully and exercise moderately. However, she agreed to an increase (which became 175), with the above blood results in February as outcome.
My blood results in December 2012 (on 150 Levothyroxine):
TSH 1.8 (0.3-4.5)
FT4 17.5 (12-22)
FT3 4.5 (3.9-6.9)
Additional blood results June 2012:
Vitamin B-12 469 pmol/L
Vitamin D 25 84 (25-150)
I noticed that my Ferritine in Feb 2013 had gone down since Dec 2012, so I have started taking Ferrous Fumarate 200 again, every second day, which the internist had also prescribed to me a while back, (which I still had, but last year she said I didn't need to take them anymore). Since about 4 weeks I have also started taking over the counter B-12 (methylcobalamine) 1000mcg, Magnesium Citrate 200mg and Selenium 200 mcg daily. I take these at night after my meal, together with the Kalcipos D. None of this I have discussed with the internist.
Since about 3 weeks I have started making shakes with 'Raw Super Foods': I make a daily smoothie mix using spirulina powder, maca root, barley grass, cacao nibs, Goyi berries, chia seeds and hemp seeds (industrial hemp, not marijuana!) with some oat milk and a banana in the hope that this might give me more energy.
I live in The Netherlands and it is only since I started reading this site that I became aware of taking T3 as a supplement. My internist has never discussed this with me, but possibly also because I never asked her! The internist was pleased with my blood results in February 2013 and only wants to see me in a year's time again.
My question is: Is there anything else that I could be doing, should be doing to get the va va boom back in my life? Perhaps increasing the Levothyroxine (perhaps take 175 and 187.5 on alternate days). Should I consider taking the Levothyroxine at night? Is there something that I may have missed, or is this as good as it gets?
Thank you to every one who has taken the time to read my long question and possibly mull over any suggestions!