Feel like a bus has hit me! Help with labs?

[diazmommy]

Well I posted my labs a month ago and just got some more.  It all started at the end of January and it has horrible since.  I have had hashis for 7 years and actually only been medicated for about 2 and 1/2 of that time.  Went off meds in 2010 for one year because I went hyper.  Actually felt good and tsh was around a 2.5 and frees were not optimal but in normal range.

Well in January I started feeling significant fatigue, eyes got puffy and tired, extremely itchy face and eyes, burning eyes.   Felt hypo and my eyes have sone this once before when beig hypo.  I have never  had allergies but got allergy  medicine and it does not help..  Got labs and they were not that different than usual but tsh was around a 5.  Frees the same...not optimal but in average range.    

I am now in this horrible cycle where I feel good half the month actually feel a little over medicated and then horrible the other half the month and undermedicated.  This all starts around my period....the eye symptoms and fatigue hit a few days before and last until about a week after.  This is not pms but it is somehow related.  This has never happened before.

Here are labs:

3.15 tsh. .27-4.2
1.35. Free thyroxine .80-1.70
3.52 free t4. 1.80-4.20

Help!

[goolarra]

I don't know.  There is room in your labs for an increase, but that's going to put you quite high up in the ranges.  That doesn't bother me as much, though, as your saying you feel a bit overmedicated for part of the month.  That makes me think an increase is playing with fire a bit.

How good is your doctor?  Will he prescribe T3 meds (Cytomel)?  I'm wondering how you'd do if you took a very, very low dose of T3 along with your Tirosint ONLY for the two weeks a month you feel hypo.  

[diazmommy]

Do you think I could bump to 75 mcg?

[diazmommy]

I have had those....the only one that was low was Vitamin D (27 with 30 being the cutoff). Took 3000 for 6 weeks and it is now at 39.  

I am so hoping to figure this all out!

[goolarra]

The whole endocrine system is interdependent, so a disturbance in one part can cause problems in another.  If your reproductive hormones are off, it could affect how your body reacts to your thyroid meds.

Have you had vitamin D, B-12, iron, magnesium, ferritin tested as well?  Deficiencies of those can cause hypo-like symptoms.

[diazmommy]

Hi Goolarra....yes should be T3 sorry:). Have not had my other hormones tested but I am requesting it at my yearly next week.  Could other hormones cause those symptoms with fatigue and eyes?

It usually starts about a week before my period and goes until a week after.  Then I feel good and over medicated the other 2 weeks.  Thanks!

[goolarra]

Your labs look great...perhaps a tad on the high side for both FT3 and FT4, but not significantly so.  (3.52 is FT3, correct?)

Since your symptoms seem tied to your cycle, have you explored what your reproductive hormones are doing?  Which half of the month do you feel overmedicated and which under?  

[diazmommy]

Oh and I am on 63 of tirosint