Hypothyroidism explained and its treatment.


Hello everybody I’m dr. Renée. I’m back
for my weekly look – thank you for joining me.
So today I’m going to talk about hypothyroidism, which is an underactive
thyroid. It’s a big problem. Lots of people suffer. And I need to declare at
the very start of this video that I have a vested interest in this particular
topic, because I lost my thyroid to a very nasty lump about 17 years ago. And across that time I have built up lots of experience, done lots of research and been
through the mill. So some of this video is going to be geared towards what I’ve
experienced and some of that is controversial. So if you don’t like controversial, turn
away now. If you do, keep watching! So what is the thyroid? The thyroid is a
gland that produces hormones. It sits here at the front of the neck, in front
of the windpipe. It’s butterfly-shaped shaped , so it has two lobes either side of the
windpipe. And it’s a really important gland and I’ll explain why just now. It
produces hormones; two of them in the main, there are some others but the main
ones are thyroxine or T4 and this is the less active of the two main hormones it
produces. And then T3, which is triiodothyronine, and that’s the more
active. So what do the hormones do? Well essentially, once you get down to every
single cell level in your body, thyroxine, in its active form T3, controls the
metabolism of all cells. So that means it controls how fast your nails grow, your
hair grows, your heart beats, your brain functions and your ability to think, your
skin grows your bowels work. Basically everything! So you can consider your
thyroid gland to be the engine or motor of your body; that’s why it’s so
important. Because when it goes wrong, when it acts too quickly or too slowly,
the symptoms can be awful. And at points life-threatening! So as I said, I’m going to
talk today about an underactive thyroid. And the thyroid can go wrong in two ways
it can work too quickly and this is called hyperthyroidism and it can work
too slowly and this is called hypothyroidism or underactive thyroid.
The majority of patients we see as GP’s have an underactive thyroid that’s the
most common scenario, and it happens for many many reasons. So who gets thyroid issues? So it’s definitely a woman’s problem, I’m one of them! 1 in 50 women
have a thyroid problem, so it’s big. And 1 in a 1000 men, not so big. And it
increases with age whether you’re a man or a woman. So what are the causes of an
underactive thyroid? Well they’re vast and lots of them are actually a vlog in
their own right so I won’t go into the whys and wherefores but I will tell you
what they are. So sometimes in an autoimmune condition called Hashimoto’s
the thyroid actually gets attacked within the body and starts to be
destroyed and therefore stops working or gradually gradually stops working.
Sometimes it’s genetic so you can be born without a thyroid. And that’s a
medical emergency and that’s why babies have the heel prick test when they’re
born, to test their thyroid. It can be as a result of pituitary failure. Now
Pituitary failure is a gland in the brain that sends out a hormone called thyroid
stimulating hormone to the thyroid to tell it how quickly or slowly to work,
how much thyroid hormone to make. If that doesn’t work properly then the thyroid
won’t work properly. Sometimes when people’s thyroid becomes overactive
we have to treat it to try and get it back to normal and we do that through
surgery, through medications, and through radioactive iodine. The aim is to get it to
normal, but quite often it’s a difficult science,
you can’t get it exactly right and lots of people end up hypothyroid after that
treatment. And now, more controversially, and I did warn you! Sometimes people just
don’t respond very well to T4 (levothyroxine), they have a resistance to it, so that means it
doesn’t matter how much medication we give them they just don’t seem to absorb
it very well, or use it as they would their own thyroxine. And it happens at
cellular level, in every cell in the body and if people stop doing that and that’s
what happened to me and I’ll talk about it later then they’ve become quite sick.
It’s controversial, because it’s not recognised universally within the
medical arena that this actually happens! So what are the symptoms of
hypothyroidism? Well they are absolutely vast and before I list some of them, and
I couldn’t possibly list all of them, it’s important to recognise that lots of
these symptoms can be caused by lots of other conditions. So just because it is a
sign of hypothyroidism doesn’t mean that’s what the cause is and that’s why
it sometimes takes a GP time to unpick what’s really going on. But to give you
just a few, or quite a few! So if your thyroid isn’t working so well, you’ll be
putting on weight but actually have no appetite and not be eating much, you
could be cold all the time when other people are hot, you’ll be sleeping (over
sleeping) but still not feeling refreshed, your periods could become different to
how they normally are so they’ll become heavier and closer together and that was
always the first sign for me that my thyroid medication wasn’t quite right. It
can cause infertility, so a massive issue. It can cause dizziness and
breathlessness. It can actually cause loss of libido or sex drive, muscle and
joint pain, hoarseness, dry or gritty eyes. Hair loss, particularly to the eyebrows
and outer parts of the eyebrow; that’s quite a classic sign of
hypothyroidism. Difficulty swallowing. Constipation. Changes in how you’re
feeling mood wise… so depression is quite a common sign
of hypothyroidism but is sometimes misdiagnosed and lots of women are put
on antidepressants when actually it’s their thyroid which is actually the
problem. So as you can see there are lots and lots of symptoms and you may get
some of these, all of them, one or two, and everybody as always is unique. And as I
said before, lots of these symptoms can be caused by other things so it’s really
important to have proper investigations. So what are those investigations and how
will your GP diagnose hypothyroidism? Well it’s a blood test and that blood
test in the UK, following UK guidelines, generally looks at thyroid stimulating
hormone (TSH) which is the one I mentioned from the pituitary gland in the brain.
And T4 which is the main but less active thyroid hormone. And the reason we look
at thyroid stimulating hormone is because if your thyroid stops working so
well your pituitary gland picks that up on a negative feedback pathway and it
starts to produce more TSH to try and stimulate the thyroid to produce more
hormone. So the theory goes that if the TSH is raised it means that your thyroid
isn’t working so well, so that’s an indicator that things are not quite
right. If you get your blood test back and your TSH is raised but your T4 is
within the normal blood ranges that’s called subclinical
hypothyroidism. And you won’t necessarily be treated at
that point, you’ll be asked to have another blood test in about six months.
Now in the UK, if you don’t have any symptoms and that’s what your blood show
we will allow the TSH to go as high as 10 before we treat. Now for some people,
lots of people I would imagine actually, a TSH of 10 could make them feel
absolutely awful! A TSH of 4 makes me feel awful so I think that’s a really
important thing to know. Just because you’re within the range for
‘watch and wait’ doesn’t necessarily mean that’s right! And if you’ve got symptoms, any of those symptoms, you need to go back and have a discussion. If your T4 is
low and your TSH is high that’s hypothyroidism and you should be
treated. And your GP will manage these results quite well that’s what we do, you
know, that’s what we’re trained to do but we are trained within these guidelines. A
lot of people don’t sit within those guidelines, but I’ll come on to that. Your GP will manage you or refer you to an endocrinologist. And generally they’ll
refer you to an endocrinologist if you had a scan of your
thyroid, an ultrasound scan, which shows any lumps or masses, because they’ll need
to be investigated. If you’ve just had a child or if you’re pregnant. If you’re
taking any medications that can affect the thyroid or if you’re a child you
should get referred to an endocrinologist. But otherwise your GP is
perfectly placed to treat you. So, what is the treatment for hypothyroidism
in the UK? Around the world? So you’ll be given a synthetic hormone, of T4, it’s
called levothyroxine. And you take it in the morning on an empty stomach with a
glass of water and you shouldn’t have any iron or calcium containing
supplements with it and you shouldn’t have any caffeine or food for an hour
after taking it. Now I don’t know about you, but I need a cup of tea as soon as I
step out of bed in the morning! So I have a decaffeinated tea. You could have a
decaffeinated tea or coffee, and that doesn’t affect my thyroid levels at
all, so that’s how I convince my brain that it’s getting it’s cup of tea in the
morning! Now, your GP will start slowly, probably starting on 25 micrograms of T4,
and then retest your Bloods every four to six weeks. And it’s important to start
slowly because it can affect your heart and it can cause palpitations or
arrhythmias. So that’s why we go nice and slowly and it takes about four to six
weeks for your blood levels to change. So that’s why we
wait for those blood tests. And for the majority of people T4 works very very
well indeed. BUT, and this is where I’m going to become really controversial, so
you might want to switch away you might want to listen! Some patients never feel
well on T4 alone. They just never get back to their normal selves. And alongside
this, the bloods that their GP are doing for them appear in range the TSH is in
range and the T4 is in range and they’ll be told by their GP that that’s fine but
they still don’t feel well. Some people, and this is the really controversial bit,
don’t convert T4 to T3 .The UK guidelines tell doctors, and we get taught
this at medical school, to only look at the TSH and T4 and not to use anything
else. Not to make a judgement. But I think we need to make a judgement, and I have
lots of experience as to why. There’s no routine measurement of T3 in the blood
in the UK. Some labs won’t even do it! Sometimes my bloods get sent off with a
T3 and the lab don’t do it, they ignore it. But it is important and I’m going to
take you through why. The reason for these guidelines is that the evidence is
equivocal. So they’re studies to say that patients are much better on a
combination of T4 and T3, there are studies that say it makes no difference
and there are studies that say patients are worse. So because there isn’t enough
evidence from the studies, the guidelines we have at the moment are as they are. So,
T3 is this the answer for the minority of patients that don’t get on with T4
alone? Well let me tell you my story. I got on fine with T4 for about six years.
I was absolutely fine, I didn’t have any problems, my bloods were in range, my TSH was always very low, always, from the very start; that’s how I reacted to synthetic T4. However, I went through a stressful time. I was taking my medical final exams
actually, and they started to feel rubbish.
I was sleeping all day, which wasn’t good for studying! I was swelling up and
bloating, I couldn’t think, my mood was poor. Things were not right. I started to
see my endocrinologist and she kept increasing my T4 Nothing
was changing, just my T4 was going up. So she then did some T3 bloods and my T3
was below range. So even with my increasing T4 for my T3 wasn’t changing.
So fortunately for me I had an endocrinologist who was quite happy to
step outside of the guidelines. And she said to me “you have stopped converting
T4 to T3. You need some T3”. So she added in some T3, and it’s always a much
lower dose than T4, because it’s much more powerful (about five times more
powerful). And I take it twice a day, whereas the T4 I take once a day,
because it has a much shorter half-life. From that moment I began to feel well
and within a month I was back to my normal self. Now the results of this in my blood tests was that my T4 and T3 were within the normal range. My TSH
however, was below the normal range. It was what we call suppressed. And lots of
GP’s and other doctors get nervous about that but my endocrinologist is happy
that that’s my response. He examines me all of the time and says that I am you
euthyroid. That means normal thyroid. I don’t have any signs of being hyperthyroid. And we’ve now been on that dose, or I’ve been on that dose, of T3 and T4
for 11 years and it works beautifully for me. My mood is good, I can think, I’m
not swollen (I hope) as you can see. I’m not sleeping all day and i’m back
to my normal self. And there are lots and lots of patients anecdotally who feel the same;
that they never felt right until they had T3. And so it sounds easy doesn’t it
just give the patient T3, but it’s not that easy. But what I would say is if
you’re on T4, you’re not feeling well, you think you’ve got symptoms; in the first
instance see your GP. Ask for a T3 blood test. See if they can do it.If more
thyroxine is added and you still don’t feel well ask to see an endocrinologist
and discuss this T3/T4. There’s a lot of information about this on Thyroid
UK’s website which is www.ThyroidUK.org.uk. But I will put this up after the video. But there’s a there’s vast amounts of information and message
boards so it’s a really great place for you to actually get more information
than I can give in this VLOG. So there’s a bit of a T3 scandal going on at the
moment because five years ago T3 in the UK was 19 pounds a month. And that’s
how much it still is in Europe but unfortunately in the UK it’s now about
£260-£280 a month and as a result lots of CCGs,
they’re the governing bodies that run local GP’s, don’t want to pay for it. And
they’re putting on black lists so in some areas of the country now you can’t
get T3! I’m fortunate that I’m in an area where I still can but I am terrified
that that will change at any point and I can’t buy it over the counter
and where will I get it? Well that’s the dilemma that many many
people are facing and they’re scared, I’m scared, because I know what happens when I don’t have it. And it’s already happening in
some areas of the country. Now also, NHS England is running a
consultation soon looking at over-the-counter medicines that either don’t work
very well are very cheap. and they added T3 to the list of 10 drugs that they’re looking at, which is odd because it’s not available over-the-counter and you have
to have a prescription for it. They say that it is clinically effective but
there are cheaper alternatives. Well the cheaper alternative is T4 and we know
that that doesn’t work for a lot of people. So we need to tackle this, we need
to speak to NHS England, we need to take part in the consultation, and we need to
campaign with the various campaign groups that there are currently looking
at this very thing on behalf of their patients. Bear in mind that one in 50
women are affected by this. Many cannot function without T3. I certainly am one of
them! So 260-280 pounds a month is expensive, but it would be much more
expensive if I wasn’t functioning in society…. if I couldn’t work. I’m a GP,
surely I’m more valuable than 260 pounds a month as on most women who are working, looking after children, looking after relatives. You know, it’s ridiculous that
women are being affected in this way and it is mainly women. So what to do? Well if
it affects you, if it affects a member of your family, someone you love, make an
appointment to see your MP, that’s what I’m going to do, and talk to them about
it. Ask them to raise it for you. You can write to NHS England to Simon Stevens
he’s the Chief Executive .You can take part in the consultation. You can sign
the petition that’s currently underway and I’ll put that on here after this as
well so you can look it up and I’ll put the information for the thyroid UK and
some of the information I’ve mentioned in the video, because it’s a lot obviously to take in. But it’s really important, it’s really important to me. I
won’t be able to make these videos if I don’t have T3, because I won’t be able to think. I certainly won’t be able to write them. So please, if you have a
thyroid that you think isn’t working very well just go and be tested.
It may be that you just need T4 which works brilliantly for lots of people. If
you’re already on T4 and you’re still not feeling well
go back to your GP and speak to them. And if you’re not getting anywhere and you
really feel strongly about it ask to see an endocrinologist and discuss T4/T3 with
them. And hopefully this has been really really helpful, it’s not been too much
about me, I’m sorry if you think it has, but I think I represent lots of people
out there who are suffering like I did. And thank you for watching and again
post any questions afterwards and suggest any videos for the future. I’ve
got lots of good suggestions but I’m quite happy to take more. Thank you for
your support!

33 Replies to “Hypothyroidism explained and its treatment.

  1. Thank you so much for this Dr! It takes guts to speak the truth when all around you are burying their heads. I have a petition in the Scottish Parliament, been going almost five years now. If any disgruntled thyroid patients wish to make their feelings known, they can email the petitions committee there in support at [email protected] http://www.parliament.scot/GettingInvolved/Petitions/PE01463

  2. So interesting … I've tried to see what Canadian standards are in relation to T3 … I think it IS available but possibly not easily … prescription drugs are not covered by our universal healthcare here but it looks to be available OTC …..some ppl opt to try 'desiccated thyroid' meds – an animal byproduct I think?

  3. I am crying as I hear you T4 started to not work for me for the past 5 years I had symptoms and I never got anywhere with my doctors. It is all stress,depression, over eating ,keep away from the sweets and carbs which surprisingly as I read before a way my body telling me I need energy I am not getting any! I discussed T3 with my doctor but she put me on a slightly lower T4 on alternative days still I do not feel good. I wish you were my doctor

  4. This is fabulous. My GP has pretty much refused to test anything other than TSH and T4 because they are "within range". So I've paid to have a complete thyroid panel (plus a few extras like B12, folate etc) and am waiting for the results. Not that my GP will do anything with them but at least i can use them as leverage to see an endocrinologist (hopefully the one who is T3 friendly will be on duty). Having no thyroid sucks.

  5. This is fascinating! I've been hypo since the age of 14 (now 39) and I think because I was so young I believed what I was told; we replace the missing hormone any everything is hunkydory. So when I fall asleep at 8.30pm I've been telling myself "everyone gets tired, it's not your thyroid". My TSH has been up and down through the years and now I'm on what I believe is a fairly high dose of 225mcg but I'm still symptomatic. I was diagnosed with depression in my early 20's, brain fog is a big problem as is lethargy and weight gain. I'm so desperate to feel normal! My GP believes it's depression, you've inspired me to dig deeper!

  6. I've been on thyroid medication for 20 years now , t4 only wasn't working , many awful symptoms that shaped my life totally 🙁 Finally last year I found a doctor ( abroad) who prescribed a compound medication, 70mcg T4 + 20mcg T3. I feel better, not greatbut better than before, unfortunately now I have a suppressed TSH a low T4 and a high T3 I don't know what to do, it is not easy to find the right dosage , feeling a bit lost 🙁 Thank you so much for the video!

  7. Wow it is sooo wonderful to hear this from a Dr. Thank you so much for being on board with the ITT Campaign.I am one of those desperately ill on T4 meds with absolutely no joy from my GPAfter years of suffering and feeling like I was dying I was given a book from a friend… There started my quest for knowledge.I was horrified with what I discovered my Dr wasn't telling me.I now buy NDT from abroad (not without its own worries as unregulated) but worth the risk as I have a life back.Thank you so much.You have made a lot of people very happy and optimistic!

  8. I was diagnosed 8 years ago.Like you I initially felt much better on levothyroxine.I'd say for about the last 5 years I've struggled massively.Terrible all over joint pain and burning swollen hands.I've recently managed to get my endocrinologist trial me on t3 meds but he suggested stopping levo altogether :'(At first I felt absolutely brilliant ( I think because I still had levothyroxine I my system)I was on 175 levothyroxine and I'm now one 20mg tablets of t3 ( one tablet twice a day)I feel like death.It's only a 6 mth trial that he agreed to and I'm feeling like I've been set up yo fail.I know that sounds stupid but it's how I feel.

  9. Thanks so much for info Dr Renee. I had a TT 6 yrs ago and never felt right with high tsh. Finally I sourced/self medicated with t3 in Feb and told my gp in June who got nervous even tho I felt better and my tsh look much better so she referred me to an endo…he's happy to prescribe t3 although I don't think mp brand is as good as Greek! Can you please add the petition link ?

  10. Hi thanks for the video.I am male with Hashmotos. Witch I had private blootest to find out.Was felling bad for 2 years all like dizzy, headaches, hart paptation, cold , seen 3 Doctor no help so I study a bit about Hashmotos went gluten free lot of Simtons went with in a week and 80% better and that's all it took.I even ask a doctor if I went gluten free would it help he said no.So when I went back to doctor told them I feel 80% better because of been gluten free he said you must have a leaky gut.And when I try to show him my private blood test did not look and I said I have Hashmotos he said well you still take the same medication. And when some people in UK Thyroid web site seen my blood test of doctor and private ones said I need to have my thyroid scanned because of how bad my blood tests was .

  11. A reassuring Vlog. Thank you so much Dr Renee. You are so brave. To know that there are Dr's out there who are understanding and can relate to us, with this condition. So where are the other GP's, Endo;s etc who agree with this. Can they not stand with us to help us effect the changes in the protocols we need. I get so cross when I hear of GP's and Endo's getting angry with patients for daring to suggest T3. Why do they feel the need to react like this? I'm guessing it is 'guilt'. They know they are failing us and know it is wrong. It is very unprofessional of them. Very arrogant!

  12. Ive been told by an endocrinologist (while under her care) that T3 is only prescribed to a cancer patients…. I wanted to get a prescription to start taking it but that's what I was left with….

  13. I cried when I watched this. A doctor actually validating what we have said for so long. And also that thyroxine can stop working, and you need T3 medication, which is what happened to me. So I'm not going mad then!?! Yay!!

  14. Dr Hoenderkamp: BIG THANK YOU for posting this video.

    Anyone who wants to oppose the withdrawal of T3 medication please complete:

    NHS England – Liothyronine Consultation:
    https://www.engage.england.nhs.uk/consultation/items-routinely-prescribed/

    https://www.change.org/p/itt-campaign-group-improve-thyroid-treatment-for-millions-of-people-stop-the-withdrawal-of-t3?source_location=minibar

    Thank you!

  15. I am so pleased to hear someone from the medical profession telling it like it is. My T3 was stopped at the end of 2015 by my CCG, I had been taking T4/T3 combo for 7 years and feeling well. Prior to that I was on T4 only for many years and felt awful. It was really distresssing when my T3 was stopped abruptly by my GP. I wrote to my GP, the CCG and also went to my MP with a file full of information about the benefits of T3 (for some patients), but I got nowhere. They wouldn't accept the DIO2 test that proved I don't convert T4 to T3. I felt completely let down, depressed and frightened. I have since been buying my own T3/NDT and have been managing my own condition for over two years. An NHS Endocrinologist was happy to monitor my health as long as I bought it myself, but having completely lost faith in the NHS I shall continue to go it alone.

  16. I so wish I had a GP like you. I have a conversion problem and GP just wants to give me T4. Do you do private consultations?

  17. Please follow my instagram: thyroidinsync. I will be posting on a regular basis ACTUAL solutions to improve your multi nodular goiter, autoimmune thyroid diseases, and subclinical levels of a thyroid condition that may be causing you symptoms!

  18. Thank you so much for standing up to the mainstream and taking the time to educate and share. My own experience is a catalogue of misdiagnoses. My doctor thought I was mad and I began to question my own sanity. Eventually, like so many others, my thryoid levels fell out of range, and antibodies were sky high but not before I was too ill to function. Research and treatment is woefully inadequate. God bless you.

  19. T3 has pretty much saved my life. My gp won't supply me any. It's good to talk out about it as we all need to raise awareness! So many people especially women are desperate to get it, or keep it!

  20. To cut a long story short – I took a different brand to my usual thyroxine – after two months of strange symptoms which I didn't relate to thyroid (i was taking my pills on time and properly) I seemed to have the symptoms similar to guillain barre. Without the paralysis obviously. Dr said I had no T3. I cannot describe how horrible my muscles in my arms legs and torso felt – ''almost but not quite pins and needles'' constantly for weeks. I think it is easing (back on normal brand for last two months now). Is this normal for no T3 or am I just seen as ''Thyroid'' and nothing more by doc?? I actually wonder if i did have mild Guillain barre?? So unhappy.

  21. Thank you for this vid, great to hear a Brit regarding this topic, it's a real shame we can't get what we need from our NHS, frustrating when you watch all the US info on here, where they can just ask their docs for tests and treatments, and all the info on dietary issues, our docs don't even mention diet at all.  Although the expense is an issue in either country.  I've been ill on and off for years with hypo since having my first child who is now 24.  I'm on Thyroxine and it has been a nightmare, every time a new dr comes to the surgery, they do a new blood test and put my Thyroxine med down because the blood tests 'say so'.  It always puts me into a medical spiral, cold hands and feet, tingling, mouth ulcers, cold sores, acne, psoriasis, dry skin, low mood, palpatations, irritability, etc  why can't they look beyond the bloods, they don't even ask how you are, they just adjust you meds. When you go back to complain the dose isn't working, they just say well your bloods are 'fine' you're on the right dose.  No information at all they treat us like children who can't understand anything least of all medical terminology.  No, I'm not fine I having all the symptoms again.  They can't understand you may need  the dose you've had for 20yrs.  That your body was working fine with it.   I've had this up down yoyo every time.  I'm not even asking for T3 just not to be messed about constantly with every different GP.  Although the option would be great.  I asked about that when I came back from the states 20 years ago and was very quickly put down, "we don't do that here, have you been reading medical books" as though it was unforgivable I should want to inform myself on the condition I had.  Crazy.  I'm glad to say things have changed a little since then.  
    The Scottish parliament has a petition, great, do I need to move to Scotland?
    If this were a male dominated complaint do you think it would receive more attention?
    Also going through the menopause at the mo and that is playing havoc with bells on.  Hormone hell.  Trying diet tips but there's a lot of conflicting advice on here.   Thanks and good luck to everyone out there struggling with this.

  22. What an amazing video! Thank you so much for sharing your story Dr Renee as it validates so many people with this problem. My beautiful daughter is suffering so much atm, she's just turned 25 and has not been able to work for 2 years now and feels utterly hopeless and has little hope of ever getting better. She's on 50mg Levothyroxine and has never felt any better despite 'normal' blood tests. Her gp has now diagnosed her with ME/cfs as well but has offered nothing further to help. I have searched the internet (what else am I to do) and have found Low Dose Naltrexone (LDN) which she is now taking through a private prescription…thank goodness it's quite inexpensive as we have quite a low income. But so far still no improvement. The only change is she appears to be achieving deep sleep (she's a long time insomniac) as she says she 'disappears' for a while, but still has no refreshment from sleep. So, after watching your video I have a new line of enquiry but I'm scared…what if it is T3 that she needs and we can't get it for her. Here we go again, wish us luck!

  23. My sister was clinically diagnosed with having hypothyroidism but was not bad enough to get meds. After losing our insurance, her condition worsened. I tried this hypothyroidism solution “Wοzο†ο nazu” (Google it) to help my sister and she told me how remarkable the solution is. She now has more metabolism and became more energetic.

  24. Thank you for the video, I've spent years researching this topic and I'm still confused. I've been hypo for 3 years after not feeling great for 5 years before that then finally getting diagnosed. I'm on 75mg of Levo but just this year my levels went all over the place. Had scans on thyroid, no lumps but signs of immune system attacking it. Spoke to my GP (who is very nice and been good) but her advice is that T3 doesn't work according to recent studies, but I think it's more she's looking at my results and simply saying I'm in range so she's happy. But I still don't feel right and have felt for a long time now that a simple small dose of T3 to my T4 would help me a lot. I've always put weight on very, very easily despite serious exercise and eating healthy. My question is, where can I buy T3 online? And if I'm on T4 how much do you take of T3? This information always seems to be hard to find anywhere.

  25. Very helpful video. I have had hashimotos for about 4 years and I'm on levothyroxine. I had a large goitre in my neck. I have also been struggling to get pregnant. I did get pregnant but miscarried at 12 weeks. My thyroid was poorly managed while I was pregnant and didn't get to see endocrinologist until my first scan a 12 weeks but at this point it was too late as I'd miscarried 2 days before my scan. I feel I should have seen endocrinologist before 12 weeks as that is the important time.

  26. Crying watching this! I've had to beg and beg for testing beyond t4 but to no avail. I'm 21 and my symptoms are ruining my work my university and my life. I've been begging for a referral to endo to try these extra tests and meds. All I want for Christmas is to feel better but I'm hitting a brick wall! 😭

  27. You're the Doctor on Radio London !…Im taking T4 and still ill nearly , for 3 years now…..Im just Sick Of being Sick for about 50% of my life …Thankyou..Its so good to hear you explain it so I can actually understand it!…I'm having more blood tests next week because of migraines and my thyroid…which they say is 'now normal !…I'll be asking about my T3…

  28. Was just wondering I've been hypothyroid for over twenty years which came on after having my son , I heard it can be common after childbirth and I lost a lot of blood and only the last nine months it has been fluctuating a lot , I was on 175 mcg for years but recently have gone down to 125 now back to 200 , why would it be fluctuating so much could it be because I'm menopausal aswell ?

  29. Hi ,I have high cholesterol since been on thyroxine over twenty years but not on medication I thought I'd be put on statins as my cholesterol went up to 9 .. Also had private blood test showing high level of iron in blood and slightly higher zinc levels why would that be ?

  30. Hi Dr Renee what do you think about natural dissected thyroid (Dr Peat). I'm registering as normal with GP. But I eat little and my mood is often low. Thanks for such great info…

  31. Hello Dr.
    I've been taking levothyroxine for 5 weeks now, started with 50mg but was having sweating and very fast pounding heart rate. Had the meds halved and have been taking 25mg for the last 3 weeks. My question is, I am noticing, much to my alarm that my hair is thinning quite rapidly. It feels like it's the meds and not the hypothyroidism to me as I didn't notice this problem before – what do you think? 🙂

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