help with results

[J2506]

Above are my results,sorry but I’m unsure as to what this means and what Ishould do? Usual high cholesterol came up even tho I eat fairly healthily, yes I take my Levo (I was on 120mg Levo but have increased it to 150)everyday & 20mg of Liothyrine ; bloods were taken early morning only water drank before, I’m so fed up of feeling rubbish my hair is coming out, hands constantly cold ,acid stomach, tired, brain fog and awful weight gain 😳😥I don’t feel at all supported by GP nor endorse I think she rights all females above 50 off & we just have to put up with it, Thanks for reading my rant 🙏🤔🙃

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[SlowDragon Administrator]

was test done early morning, ideally just before 9am and last dose levothyroxine 24 hours before test

Which brand of levothyroxine are you currently taking

Do you always get same brand at each prescription

Do you normally split T3 as 2 or 3 smaller doses spread through the day?

On day before test ALWAYS split T3…..ideally 3 doses ….10mcg waking, 5mcg 2pm Approx and 5mcg at 9pm

What vitamin supplements are you currently taking

ESSENTIAL to test vitamin D, folate, ferritin and B12 at least once a year

[J2506 in reply to SlowDragon]

yes bloods taken @08.30am, last dose taken 24 hours before, I get same brand Teva, I take Vitamin D (spray), woman multi vitamins.

My T3 are capsules I usually take 2 together, however I didn’t take 24 hours before bloods.

Do you think I need an increase on meds? My hands are like ice Whilst typing this is normal for me now 😞I get bloated, headaches, itchy scalp to add to the mix and bouts of constipation.

My Endo hasn’t yet contacted me but when I previously said at start of taking t3 I felt well and now a year down my symptoms are back to struggling again, I asked if I should increase T 3 to which she replied you felt well at start some people don’t get on with it she wouldn’t consider an increase 😳

[SlowDragon Administrator in reply to J2506]

So if last dose T3 was 24 hours before test Ft3 result is false low

Day before test you should always take last dose T3 between 8-12 hours before test

Teva brand levothyroxine upsets many many people

Are you lactose intolerant that you are on Teva ?

Multivitamins never recommended on here

healthunlocked.com/thyroidu...

Recommend you stop multivitamins now and test vitamin D, folate, ferritin and B12

If not already on strictly gluten free diet get coeliac blood test done BEFORE cutting gluten out completely

Come back with new post once you get vitamin test results

Suggest you try taking T3 as 2 separate doses too

2nd dose 10-12 hours after morning dose

[J2506 in reply to SlowDragon]

Thank you so much for your helpful advice, very much appreciated.🙂

[Jaydee1507 Administrator]

I cannot stress highly enough how important OPTIMAL vitamin levels are to get our thyroid hormone working properly. You had a response here that you haven't replied to. healthunlocked.com/thyroidu...

Suggest you test ferritin, folate, B12 & D3. Endo can do this or GP, find a helpful one to ask or private tests are available also. thyroiduk.org/help-and-supp...

Free T4 (fT4) 14.6 pmol/L (12 - 22) 26.0%

Free T3 (fT3) 4.6 pmol/L (3.1 - 6.8) 40.5%

On combination treatment to feel well many people report needing both FT3 & FT4 at around 60-70% of their ranges so your levels are not high enough yet.

Hair falling out is often down to low ferritin which is extremely common in hypo people.

[J2506 in reply to Jaydee1507]

thanks, what do you suggest I do? I just feel as always I’m banging my head against a wall…

[Jaydee1507 Administrator in reply to J2506]

I've already made a suggestion about vitamins. Also your FT4 is particularly low so increasing that would help.

[SlowDragon Administrator]

post two years ago showed Ferritin extremely low

Request FULL iron panel test for anaemia via GP or test privately

Similarly request vitamin D, folate and B12 test