Levothyroxine and iron

Common Questions and Answers about Levothyroxine and iron


Just got my labs back and I'm trying to figure out what is going on and if it has something to do w/my Hoshimotos. I'm currently on 50mcg of Levothyroxene. Have been on this for a couple of years now. My TSH was never above 4. Here's what my labs were Ferritin 6; % saturation 13; monocytes 166 and RDW 16.6. I'm ready to become a vegan. I've gained 20 lbs since Novebmer, i've lost about 6. I'm also 50 w/regular cycle.
In general take the vitamin in the evening and thyroid med in the am -- iron and calcium can decrease thyroxine absorption. the dose range is 25mcg to 300mcg (12 different strengths) A nuclear scan won't tell you much, esp if you are on thyroxine. An ultrasound is the place to start to measure thyroid and if thyroid is significantly enlarged a CT can give info on pressure on the trachea. Pressure on esophagus can also be seen but a barium swallow may be helpul as well.
I have Hasimoto's disease and was given 50 mcg of Levothyroxine. My numbers did not improve and the dr increased the dosage to 75 mcg. Within a week and for 4 months I was an emotional, depressed, raging lunatic. I BEGGED to get a lower dosage and threatened to stop all together. Dr reluctantly lowered the dosage and I feel normal but tired, tired ALL the time. My next appt is coming up and know the dr will want to increase my dosage. Is there anything else I can take or do?
Also, it is recommended you separate taking iron-containing multivitamins and/or calcium supplements and levothyroxine by at least 4 hours. Thank you, Dr.
I'd add Vit B-12 and also Vit D3 and iron & ferritin. in addition to FT3, FT4 and RT3. fight for all of them but especially for the FT3 and FT4. Do not take no for an answer and as gimel stated make sure it is FREE hormones and not total. Total is an outdated test of little value. your body ONLY uses the free hormones so that is why you want to be sure to get the "free" tests. Free means that the hormone is free from being attached to a protein.
So reading that people with thyroid issues are more likely to have an absorption issue due to low stomach acid, I decided to check my vitamin/mineral levels along with my hormone levels and although I'm 'in range' for Hypo, I'm still very hypo. My B12, D3 and Ferritin/Iron levels are low, especially B12. I've been taking my temperature as shown in STTM for 14 days, and it has been low the whole time - as low as 35.6 but I haven't felt cold at all.
Since then I have developed tremors, headached low urine output and a partially empty sella and now iron deposition (could this be related to the thryoid mishap). Thanks for your help.
I had been taking the meds with bottled water until yesterday. I took it with radio water yesterday and today...our water is very hard with calcium and iron. I'm wondering if this might be causing my body to not absorb the medication (since it says not you take with calcium or iron supplements)? I would think it wouldn't be enough of either to makr a difference, but maybe it does? Anybody else have this experience?
I've just started on 50mcg Levothyroxine for my hypothyrodism.........and my TSH is only 3.821 but enough to give me miserable symptoms such as: weight gain of 10 lbs, dizziness, nausea, fatigue, headaches, brittle fingernails, yellow-ish eyes, loosing some hair, and black marks in my finger beds... Has anyone experienced improvements with treatments with Levothyroxine? If so, what has improved and how long did it take? I'm anxious to start feeling better!
I was used to taking 100-112mcgs of Levothyroxine daily and seemed ok at that dose. Should I be taking 60 mg instead of 30mgs? I am starting to feel the symptoms of being hypo-t in the last three days and I don't want to regress. What would you sugges as a starter dose when switching between the two? thank you.
1 but the symptoms of a significant weight gain and fatigue led my physician to start me on levothyroxine 50 mcg. I have taken the medication for five days, and starting today, I have had a side effect of nervousness, funny chest feeling, and a slight elevation in my pulse. Is this a side effect of the drug? Will it subside?
I was diagnosed with hypothyroidism and anemia a little over a month ago. I'm taking iron for the anemia and 50 mcg levothyroxine. After about a week I began feeling some improvement in my energy levels, and hair loss was lessened a little, although still not optimal. This could be due to iron supplements or thyroid (most likely a combination.
I have had severe cramping, gas pains in my lower right abdomen area/mid right side for the past 4 months that last 4-5 days per month. My doctor put me on Levothyroxine in January, and also Iron pills(borderline enemic), so I am taking them together each morning. I have been to 2 doctors, had a sonogram and no one has determined why I am still in pain. I am going to try the magnesium citrate. Should I stop taking my iron pills altogether?
Had my thyroid checked about three months ago my TSH was 7. Was put on 50mg levothyroxine and was fine for around 5 weeks and then it seemed to build up in my system and i got these horendous headaches. Had to stop taking the medication as I couldn't stand the headaches. Started again a couple of weeks later at 25mg and after three weeks the same happened again. I need to take the medication but cannot cope with these headaches, whats the answer, anyone else experienced this.
Hi, I was wondering if any of you could give me advice, these were my TSH blood results, my GP prescribed me levothyroxine because I was displaying all of the typical signs and symptoms of hypothyroidism which also runs in my family. I was constantly cold, heavy periods, severe constipation (I couldn't go to the bathroom for 48 hours sometimes), dry skin and depression. Since novemeber my dose has gone from 50mcg-150mcg.
I was in a very bad state for 5 weeks after I started thyroxine. I had to deal with the worsening of symptoms of very bad untreated adrenal insufficiency but also had a week of hyperthyroidism followed by another 4 weeks of worsening hypothyroid symptoms. I then improved without any change in dosage. Excerpt from the book Running On Empty by Robyn Koumourou... "It is not uncommon to start thyroid hormone therapy and find that your symptoms become worse before they get better.
They asked if i've been taking my Synthroid (which I said it's Levo for me and yes I take it regularly, never have missed). She said my iron was a little low and she reviewed the sonogram and indeed a 4mm mass on each side, wants another in 6 months. They said she wants to proceed with original dose of Armour she prescribed. They will notify me when they get all of the results. I didn't get the #'s at this point, but I made sure to ask for a copy of it when they get it all.
the anxiety takes over sometimes and i cant stand myself at all. i see all these people in my life enjoying their lives and being happy and entergetic and all i can do is be jealous and sit and cry.... WHY IS THIS HAPPENING TO ME???? what have i done to deserve all this? im seeing my family dr monday and i will discuss this with him first. then in april i will see my endo... he promised me a better life by saying i would feel better after starting synthroid, HE LIED!!!!!!
Then calculate your ratio with the results and measurements. Thyroid Antibodies (anti-TPO and TgAb. YOU NEED BOTH.) Four iron labs, which include Ferritin, % Saturation, TIBC and serum iron Adrenal Cortisol levels (but we strongly recommend saliva tests, not the one time blood test your doctor will do. One result does not tell the whole story.
Now I am feeling the effects of the Levothyroxine and hyperthyroidism. I may also add that I do not have my large intestine, as it was removed due to ulcerlative colitis in 1991, so I may not absorb medications as most people do. My diet is limited to certain foods and almost all vitamins and hard coated time release pills pass through me intact. I know it's gross, but it's true. Anyway, I will try to keep taking the 100mcg of levo a day and have blood tests in 4-6 weeks time.
Vitamin D (10,000 IU per day plus K, my doctor's orders) keeps me from getting depressed. Correcting my iron deficiency and adding a B-complex were also hugely helpful. Going gluten-free fixed my brain, and all the above steps help with my energy and sleep. When D is taken in the morning or during the day, it helps you sleep better at night. Magnesium is also extremely important. If you can possibly find a functional medicine doctor in your area, they will know how to help you.
Almost all the oddities began AFTER I started taking levothyroxine, and yet overall, it has seemed to me that I was deteriorating rapidly into unwellness anyway, and levothyroxine has been a good thing...but oh, the ups and downs have been something else again. AppleJacs, I am glad that you have a physician you trust, and I am glad that she has referred you to an endocrinologist.
Iron 121 normal Transferrin 23 normal Total Iron Binding Capacity 524 abnormal High Unsaturated Total Iron Binding Capacity 403 abnormal High I don't understand these levels what does it mean. The Dr. says don't worry. I have been telling them I am tired all the time and have certain pains that can't be explained. Except having 4 kids and being depressed. Which I don't think I am. Sometimes I think that is an easy cop out for the Dr.'s.
I do wait 4 hours between the iron and thyroid The complete meds that I'm on daily is. 1. Levothyroxine 75mcg 2. One-a-Day Women's with 18mg iron 3. Iron Supplement 27mg Sorry that's all I know.
My husband, both his parents, and a paternal uncle are all on medication for hypothyroid (levothyroxine). Went to see pediatrician who did other labs, then consulted with an endocrinologist and it was determined that she had subclinical hypothyroidism, no Hashimoto's. They said not to treat and watch for 6 months. I asked for endocrine consult and finally got in this July, and she was started on 25 mcg levothyroxine for 6 weeks, then raised to 37.5 on Aug 30.
As for your second post, you may be right, but it may be a little soon, depending on what your iron and calcium and all your other levels are. I'm taking Toprol XL and if I just stopped taking it I'd be in big trouble. I have to wean off it. You should talk to your doctor. Don't worry about seeing him every week. I did for a year. He didn't mind. Dropping a heart med without talking to your doctor is not such a good idea.
Hi. I'm new here and have many questions and concerns. I was diagnosed with hypothyroidism and anemia almost 1 month ago & have been taking rx iron 150 2x per day and levothyroxine 50 mcg (not at the same time of course.) Thyroid labs were: TSH - 6.88 Free T4 - 1.3 Free T3 - 2.7 My TSH is obviously above normal, my free T4 is mid-range and my free T3 is low-normal. I think I've been hypo or at least borderline hypo for years.
The tests you should request are Free T3, Free T4 (not the same as Total T3 and T4), TSH, Vitamin D, B12, ferritin, and a full iron test panel. If the doctor resists, just insist on these and don't take no for an answer. They are all important. One last thing here, if the cause for your being hypo was never determined, then you should ask to be tested for the thyroid antibodies associated with Hashimoto's Thyroiditis, which is the most common cause for diagnosed hypothyroidism.
I was shocked when she called and said what I was to take and then said she would watch it, get blood work in 2 months and when my TSH came up would lower my dose. When I questioned lower? her comment was yes because my blood work....my TSH....showed I was hyper. I'm so confused now because we had a conversation about not medicating by my TSH. Do any of my labs indicate hyper?
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