I was diagnosed with Hashi's in April. It has been a difficult 3 months for me. I am not an expert but have learned a great deal from the wonderful people on this forum and the Thyroid Disorders forum. I started my hypothyroid journey on .75 mcg of Levoxyl. It was not the right medication for me. I experienced awful side effects. I was able to be switched to Armour Thyroid (the new formulation which isn't as good as the former so I've read) and feel much better - I believe it is the T3 that has helped - and I also have good lab numbers, which include the "Frees".
With regards to the Free T3 and Free T4 tests - here is a quote from the "American Association of Clinical Endocrinologists and European Thyroid Association Medical Guidelines for Clinical Practice for the Diagnosis and Management of Thyroid Nodules 2010 - Section 10.4 Laboratory Standards - 10.4.2 Plasma Total Throxine and Total Triiodothyronine - Increase or decrease in serum thryoid hormone-binding-proteins will result in changes in total thyroxine or triiodothyronine values or both. Therefore, measurement of total thyroid hormones in serum is of limited clinical value." SO! This makes me wonder why doctors STILL order the Total T's and TSH when the FREE T's provide the information needed for proper dosing!
You are right.
The Frees are the proper way, but try telling the hundreds off endocrinologists, that.
Most dont even test the Frees.
Most still go off the TSH, which in my eyes is ludicrous.
You being a sufferer know your own body, and you are the best judge, so go off your own instincts, and dont be fobbed off,
Being a thyroid sufferer myself for over 12 years, i know when there is something wrong, and laugh when endos, say your levels are ok, especially when the endo , only checks the TSH.
The Frees are the best way for dosing, and finding out what is going on.
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