Aa
DR says I'm fine - not true.
i went to the DR's this morning with my latest blood test results, and he said I was fine!! I am most certainly not, but would he listen to me? no!! I'm falling asleep every afternoon for two hours, then in bed again latest 7pm.
He has me on 75mg of Levo (I have Hashi's) and if anyone could please shed some light on these results I would be ever so grateful. I was in all honesty expecting him to up me to 100mg, but no he wants me to have a sleep study instead. *head in hands*.
OK here we go:-
TSH 1,01 (0,27-4.20)
FT3 4,2 (3.1-6.8)
FT4 14,6 (12-22)
The Dr was really annoyed with me this morning, and he shouted me down when i said that i was so tired. He said your fine....get over it. is he correct or what?...I mean like feeling like this is just crazy, and to be shouted down by the DR (it's all in your head type of thing) = a new DR.
However in the meantime, if anyone can help me with reading these test results, I would very grateful. Thank you.
He has me on 75mg of Levo (I have Hashi's) and if anyone could please shed some light on these results I would be ever so grateful. I was in all honesty expecting him to up me to 100mg, but no he wants me to have a sleep study instead. *head in hands*.
OK here we go:-
TSH 1,01 (0,27-4.20)
FT3 4,2 (3.1-6.8)
FT4 14,6 (12-22)
The Dr was really annoyed with me this morning, and he shouted me down when i said that i was so tired. He said your fine....get over it. is he correct or what?...I mean like feeling like this is just crazy, and to be shouted down by the DR (it's all in your head type of thing) = a new DR.
However in the meantime, if anyone can help me with reading these test results, I would very grateful. Thank you.
If he ups your Levo you will become hyperthyroid with the lab results you have. Your thyroid is not causing your fatigue!
1 Comments
cmac66... I, respectfully, disagree... As was noted above, we've found that most people feel best with FT4 at about the mid range point and FT3 in the upper half to upper third of the ranges... shermay's levels, both, fall considerably short of those goals and it's quite easy to see how she might have hypo symptoms.
Healthcare professionals who think that having levels anywhere within the ranges is good, tend to keep patients very ill, even though they've taken an oath to "do no harm".
shermay has a long way to go before she will become hyper.
Healthcare professionals who think that having levels anywhere within the ranges is good, tend to keep patients very ill, even though they've taken an oath to "do no harm".
shermay has a long way to go before she will become hyper.
Specifically for the ranges you have.
FT3 50% of the range = 4.95 result
67% of the range = 5.58 result
With most saying they tend to need to be closer to the 67% than the 50% of the FT3 range.
FT4 50% of the range would be 17 as a test result.
As gimel pointed out you are WELL below those ranges.
That being said. Gimel also raises the significant point about the need for Vitamin D3, B-12, Iron & Ferrtin
If you have NOT had these tested for please to ASAP. As all of these if any or all are deficient they will result is being fatigued and could very well be a contributing factor.
What other symptoms do you have other than being tired? Do you have any other low thyroid symptoms?
I would recommend that you find another Dr who is willing to listen to you. It sounds like your Dr is close minded and as gimel stated, most likely will not serve you well and make you feel well.
FT3 50% of the range = 4.95 result
67% of the range = 5.58 result
With most saying they tend to need to be closer to the 67% than the 50% of the FT3 range.
FT4 50% of the range would be 17 as a test result.
As gimel pointed out you are WELL below those ranges.
That being said. Gimel also raises the significant point about the need for Vitamin D3, B-12, Iron & Ferrtin
If you have NOT had these tested for please to ASAP. As all of these if any or all are deficient they will result is being fatigued and could very well be a contributing factor.
What other symptoms do you have other than being tired? Do you have any other low thyroid symptoms?
I would recommend that you find another Dr who is willing to listen to you. It sounds like your Dr is close minded and as gimel stated, most likely will not serve you well and make you feel well.
The levels I mentioned above are good targets: Free T4 at the middle of the range, at minimum, Free T3 in the upper third of its range, or as needed to relieve hypo symptoms, Vitamin D at 55 min., B12 in the very upper end of its range, and ferritin at 70 minimum. It is also important that you have adequate cortisol levels. The best test for cortisol is the diurnal saliva cortisol tests taken at 4 times during the day. Doctors know little about that testing and usually only run a morning serum cortisol test, which is not very accurate, but at least an indication of cortisol levels. I am sending you a PM with some further info. To access, just click on your name and then from your personal page click on messages.
Sorry for the delay in replying....I've been asleep.!!
What should my ranges be? the Lab techs were horrified at my results, and a sleep specialist? give me break. The bloke must have rocks in his head.
Oh yes, I'm a women on a mission tomorrow (if I'm awake) and speak to the Pharmacy, and seek out another DR, but if you could give me a guide line I would appreciate it. I have stock here so I'm going to up my levo to 100mg tomorrow. I know that many people self medicate, so your input on my ranges and what they *should* be would be really welcome. Many thanks.
What should my ranges be? the Lab techs were horrified at my results, and a sleep specialist? give me break. The bloke must have rocks in his head.
Oh yes, I'm a women on a mission tomorrow (if I'm awake) and speak to the Pharmacy, and seek out another DR, but if you could give me a guide line I would appreciate it. I have stock here so I'm going to up my levo to 100mg tomorrow. I know that many people self medicate, so your input on my ranges and what they *should* be would be really welcome. Many thanks.
It is too bad that your doctor uses "Reference Range Endocrinology", by which they try to convince patients that a test result that falls anywhere within the range is adequate. Wrong. The ranges are far too broad due to the erroneous assumptions used to establish the ranges. Further, each person has different thyroid hormone levels at which they feel best. A good thyroid doctor will treat a hypothyroid patient clinically by testing and adjusting Free T4 and Free T3 as needed to relieve hypo symptoms, without being constrained by resultant TSH levels. Symptom relief should be all important, not just test results. You can get some good insight from this link written by a good thyroid doctor.
http://www.hormonerestoration.com/Thyroid.html
Your Free T4 is only at 26% of the range. For best effect it should be at the middle of its range, at minimum. Your Free T3 is only at 32% of its range. It typically needs to be high enough in the upper half of its range to relieve symptoms. So there is lots of room for improvement there.
In addition, hypo patients are frequently too low in the ranges for Vitamin D, B12 and ferritin. D should be 55 min., B12 in the upper end of its range, and ferritin should be about 70 minimum. All three are important. If you can get those tested then you can supplement as needed to optimize.
From the doctor's reaction this morning it is unlikely that he would ever consider being wrong and reconsider treatment for you, no matter how much scientific evidence is given him. So, what options do you have to see another doctor?
http://www.hormonerestoration.com/Thyroid.html
Your Free T4 is only at 26% of the range. For best effect it should be at the middle of its range, at minimum. Your Free T3 is only at 32% of its range. It typically needs to be high enough in the upper half of its range to relieve symptoms. So there is lots of room for improvement there.
In addition, hypo patients are frequently too low in the ranges for Vitamin D, B12 and ferritin. D should be 55 min., B12 in the upper end of its range, and ferritin should be about 70 minimum. All three are important. If you can get those tested then you can supplement as needed to optimize.
From the doctor's reaction this morning it is unlikely that he would ever consider being wrong and reconsider treatment for you, no matter how much scientific evidence is given him. So, what options do you have to see another doctor?
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