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GauravMD
GauravMD, Board Certified Physician
Category: Endocrinology
Satisfied Customers: 9314
Experience:  Special interest in Diabetes, with extensive experience in diabetic emergencies like diabetic keotacidosis
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I am 46 and recently got back a result of a test that was

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Hello, i am 46 and recently got back a result of a test that was 6.56. GP said not high enough for (T4?) prescription. I am 5'3 and under 9 stone, eat very healthily and run 25+ miles per week. My hair is falling out, my legs are swolen, have pain in my legs, constipation and this has all come on recently in the last 6 month. For years (20+), i have have a diagnosis of fibromyalgia and periperal neuropathy for which i have amyltryptilene daily. I have a family history of hypothyroidism and heard disease amd diabetes. Because of these symptoms, i went to see an endocrinologist privately and he has now written back to my GP asking for thyroid ultasound scan, a test for Addisons, a prescription for 50-75 mg of levothyroxine (is this T4?). My question is... all of these, i am told, MAY reduce the symptopms, but is T4 alone enough to cure/ treat the condition and all of these symptopms? I have read that in may other countries in Europe, USA, Australia, that they are also treated with T3 or DTA... Is this combination therapy available anywhere in the UK?
JA: How long have you been in pain? Are you experiencing any vomiting or nausea?
Customer: pain sine i was in my 20s
JA: Thank you so much for your time. Finally, is there anything else in your medical history you think the Doctor should know?
Customer: explained above... i think the fibromyalgia/ neuropathy may be linked to this hoever, how can i find out please?

Hi,
Welcome to Just Answer. Good day to you. I am Dr. Gaurav Gupta, MD, and I am here to help you today. I have more than 20 years of medical experience. I’m sorry you are experiencing this and I hope I can help you get this resolved quickly. I am currently reviewing your question. I will be back in a moment to guide you further.
We can continue chatting here, If you are interested in a phone call, then you may click on the request button (it is optional & costs extra!). I would be glad to continue here either way.
Kind regards,

Your symptoms can be explained on the basis of Hypothyroidism.

Most people with low thyroid levels do well just on T4, and NHS certainly prefers to use this too.

There is limited scientific evidence regarding the use of combination T 3 & T 4 because it may help very few people beyond what T4 does.

I would recommend getting the tests done and starting T 4. We need to check the levels of the thyroid function tests around 1.5 months after the initial dose has been started and you should feel better in a couple of weeks.

If this does not happen, then we may need to discuss the possibility of combination T 3 & T 4 with your endocrinologist (Armour Thyroid)

Thank you again for visiting JustAnswer, please let me know if you need me to clarify anything or if you have any additional questions-I am happy to help!
Warm Regards,
Dr. Gupta, MD
To directly contact me for your next question, please use this link or ask for me directly.
https://www.justanswer.com/medical/expert-dr-gupta/

Customer: replied 6 days ago.
Thanks for the reply Dr Gupta. I will proceed as you suggest but i worry that the so called T4 is just getting me to the normal levels and the symptoms are affecting my daily life so much that they will fluctuate continually on this course of medication. Can you confirm that endocrinologists can then prescribe Armour Thyroid if symptoms persist so that i can not live my healthy active lifestyle to the full?

Hi,

Many endocrinologist do not believe that T 3 + t 4 combination makes a significant difference,

You would need to discuss this with your treating doctor, and see how they feel about this,

Thank you again for visiting JustAnswer, please let me know if you need me to clarify anything or if you have any additional questions-I am happy to help!
Warm Regards,
Dr. Gupta, MD
To directly contact me for your next question, please use this link or ask for me directly.
https://www.justanswer.com/medical/expert-dr-gupta/

Customer: replied 6 days ago.
Thanks for this but is it possible to prescribe it in the UK if all else fails? I just need to know that there are other paths to follow if T4 alone does not work.

Here are some options for you if your doctor feels inclined to give the medicine,

https://www.tpauk.com/main/article/sourcing-natural-thyroid-extract-in-the-uk/

https://www.pharmacy2u.co.uk/armour-thyroid.html

Warm regards

And here is why they may not be keen to do so,

https://www.sheffieldccg.nhs.uk/Downloads/Your%20Health%20docs/armourthyroidforhypothyroidism.pdf

Warm regards

Customer: replied 6 days ago.
Thanks so much for the information indeed :-)

I am glad I was able to help. Have a great day.
Warm Regards,
Dr. Gupta, MD
To directly contact me for your next question, please use this link or ask for me directly.
https://www.justanswer.com/medical/expert-dr-gupta/

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