Holy *kitten*--that's high! What about Free T3 and Free T4? Does your doc run a full thyroid panel? Your body should convert T4 to T3, but some of us don't do a good job of that. Mine doesn't--I also supplement T3.

What kind of deficit were you at? What kind of diet--anything in particular? Maybe the deficit was too steep. If you went low carb, you could ahve had "keto flu." Make sure your logging is tight--weigh all solid foods (including pre-packaged foods like frozen dinners, eggs, slices of bread and cheese, etc) and use a measuring cups for all liquids. Be sure you're using the correct entry in the database. products change labeling from time to time and even the "verified" entries (green check mark) can be incorrect. Compare to the packaging. Or the USDA databse. https://ndb.nal.usda.gov/ndb/search/list I also like this one for nutrition info: nutritiondata.self.com/

Have you had vitamin D and iron checked? They're not connected to thyroid function, but can cause some of the crash and burn you described. Also simple blood tests your doc could order.

My endo showed me some recent research and suggested I try eating one Brazil nut a day for the selenium. My diet was not rich in it (he went through my MFP diary) and it is not usually contained in a multi-vitamin. This is not something where more is better, selenium is a heavy metal and too much can be dangerous. My levels were stable, though, talk to your doctor before introducing anything new like that. You want to make sure you have the right level of meds first and foremost. It takes time and patience.

Hang in there!

I believe the OP is living in the UK as EN seems to indicate, English, you must be joking testing t3 is not permitted here! NICE the advisory body telling the NHS where best to spend it decreasing money, says there are no reason to test t3 of any kind in any circumstances. I know they are deaf, dumb and blind but this is the system we have to live with.

I think everyone, except new people, who uses this group knows the tests we should be having, we want to loose our personal selection of the 300 odd symptoms of thyroid problems and their potentially dire consequences for a person who is incorrectly diagnosed and treated. These things are not trivial in my view but NICE has decided differently, mental health issues, respiratory, reproductive- cell and species, cardiac, digestive issues and many more but in the UK none of it holds any value!

This lady has not been around since the 4th of October. I hope she is ok.

Also UK.

So good to hear from you again. Its good your tsh is lowered, that you have t4 of 4, is interesting, wish we knew how the t3's are doing, Your walk sounds wonderful, sorry you are in pain now. So sorry its so difficult for you. its not uncommon for someone to initially do well on t4, it is well documented on thyroid support sites here (UK) that after a few months the beneficial effects of t4 can just drop away and do not respond to higher levels.

You can get full panels done ordered through thyroid UK, who offer a discount, It comes down to personal finance. I'm so sorry. You'll need to get to one of the private hospitals for the blood to be drawn, I don't think the gp's are permitted to be helpful any longer!! The advantage of doing this is you will have your antibody levels reviewed, these indicate Hashimoto's which is so very common, more so than inadequate iodine etc levels. Knowing if you have antibodies gives you the option to see what is causing any antibodies, food intolerances or more.

Your pescetarian diet should be good for iodine and selenium if you include salmon. Moving to add meat might also help. I use glucosamine hci for joints along side everything else. (its not protected me this October though. I fear its the temperature drop which has made the difference. I do well, better when its summer temps 20 c round the clock, giggle). So I added in msm to my regular regime.

There is also information on the UK support sites, some people have issues converting, need heavy vitamin and mineral loading, some unfortunate soles are at a genetic disadvantage! There are genetic tests available. It is also noted many hypothyroid people are b12 deficient. I use some with the microbes/enzymes to aid its being taken up. I've not been tested on the NHS, it should be available like so many things which are known to impact our endocrine systems.

Its very much finding what works for you. Please refer to our thyroid support sites, follow your symptoms, for some, this is far from the simple one pill treatment the NHS is permitted to offer. I gave up work early because I could not achieve a diagnosis.

Sorry I'm so down about it all. I've been symptomatic since childhood (soon to be 68). It took finding the Bant, nutritionist two and a half years ago to get any improvement for me. We needed to track down answers to my food, chemical, histamine, salicylate intolerances which it is difficult to get recognised in the UK. Region does but the local call it woo!

It is certainly an adjustment period. I was diagnosed in 2010 with a TSH of 52. I was literally falling asleep in my chair at work, when not home sleeping away the other 16 hours of my day.

Years into the diagnosis, my levels are still high normal but in Canada the struggle to find a doctor who knows how to properly treat is difficult.

As for the weight loss, the only thing that has worked for me is a Ketogenic diet. Tried CICO and at one point still gaining weight on 1000 calories a day. Eating lower carb was the key for me.
I wish you much luck on your journey.

You have mentioned that your Vit D levels were checked - were they within recommended range? Taking Vit D regularly ( 1000 - 2000 iU depending on the season ) helped me with persistent colds.

I'm relieved you have had such good support from your doctors. When we go down hill with this thing we do go so very low. Its surprising the difference b12 and vit d can make too. Its so good you feel like yourself again, ear infection over come too. All the very best with the high protein/low carb. I hope you see some excellent results.

As you requested I did look to see your logging for the last week, your diary is closed. Out of curiosity, how many eggs are you having in the morning? Best wishes for your travels, I know its been grim most places. Thankfully we have not been as impacted as most down here and are coming out of it too. Hope the rest of the country follows suit.