Question for my mother

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Dear all, last year I suggested to my mother that she try increasing her levo as she is still suffering lots of hypo symptoms on 150mcg. Being a very cautious person, and because her GP has put the fear of God into her saying too much would give her a heart attack, basically, she decided to take an extra half a tablet every other day. The next time she had a blood test her GP got very serious and said she had had a result that meant she might need to cut down her thyroxine as the T4 was high. She had not had any extra for several days at this point, thinking it best to cut down the extra before her test.Recently I was reading on here I think that T4 can build up if it is not being utilised. Could this blood test result possibly indicate that my mother is not properly utilising the thyroxine she is taking? I

can't recall the post it was in but it gave me a kind of "ah-ha!" moment. Also I am afraid I could not tell you exactly which T4 test this was - the standard one used by conventional GPs when monitoring thyroxine doseage I would guess. I also don't know about the TSH level - my mother does not really understand all these things. On another note, a new member of the practice has just told my mother that she has osteo-arthritis in her hands, when it is plainly rheumatoid arthritis, totally classic, hot joints, bend knuckles, came on very quickly last year, both sides, where osteo generally is wear and tear in larger joints and can be one-sided if someone has abused one knee more than the other, for example. I thought this was particularly worrying as there are potential treatments for one that would be no good with the other, and all they have given her so far is ibuprofen cream to rub in as she already suffers from gastric reflux. I couldn't

believe it!Many thanks (in advance),