time to test tsh after starting back my correct dose t3/t4

[stef2011]

i take t3 12.5mcg and t4 50mcg daily to keep tsh 1.1miu/ml (subclinical hypo non autoimmune, tsh without t3-t4 pills 6-8), lately i ve experienced hyper symptoms so stopped for about 1 week, my tsh is now about 9 no hypo symptoms

how long to get tsh down and retest using my dose of 12.5/50mcg?i need tsh normal as soon as possible because i need to test cystatin C which requires normal tsh

thanks

[stef2011]

i have hepatitis B, iron feeds virus too and lowering iron is also a tool our immune system uses to starve some viruses/bacteria that uses it, antivirals block hbv completely from making any damage but the virus lives intracellular and by cccdna template and antiviral can clear infection definitively over 1-2 decades.if i add iron i can feed the virus and slow down clearance

since i dont have thyroid symptoms i prefer not to take iron

[gimel]

Ferritin is so important it is certainly worth trying to find some way to increase.  Not knowing your problem with taking iron would iron infusion be a possibility?

[stef2011]

thank you very much for your feedback, i ll test in 10 days since the test is expensive and drink a lot of water to dissipate iodine faster

i d probably be better without drugs because i feel good anyway, but i am too scared for my hair.hair loss was 100% peginterferon effect but it could have been thyroid too

vit d always high end norm,i m working on folate and b12 lately to maybe correct ferritin too
i cant take iron because of other diseases, always been ultralow ferritin all my life.do you have strategies to increase ferritin without iron supplements?

[gimel]

If your TSH went from 1.1 to 9 after a week without your thyroid med, then logic says it should return within the same time frame.  And it might even be sooner due to the effect of taking a significant dose of T4 med once a day.  The only question then would be how long for the effect of the iodine on TSH (that you mentioned)  to dissipate.  

Just for information, if interested, our experience with many members here over the years, have indicated that for symptom relief most hypo patients require Free T4 at the middle of the range, at minimum, and Free T3 high enough above the middle of the range to relieve symptoms.  Along with that it is important for Vitamin D, B12 and ferritin to be optimal, with D at 55 min., B12 in the upper end of the range, and ferritin at 70 minimum.  These thyroid hormone levels frequently result in TSH being suppressed below its range, which is not an indication of being hyperthyroid, unless there are hyper symptoms, due to excessive levels of FT4 and FT3.  

[stef2011]

during therapy last year ft3 2.91 (range 1.8-4.8) ft4 1.19 (0.8-1.8), tsh 2.91

i just test once a year because therapy is ok and values stable, except for these last few weeks when i happened to take iodine in that supplement, and now i can t test cystatin C until tsh gets to normal.

thanks

[stef2011]

iodine gives me the hyper effect despite making higher tsh, this happened already in the past using lugol which i stopped as hyper symptoms happened

[stef2011]

i know all of that and already had doctors check everything 1 or 2 years ago.now i just urgently need tsh normal for the cystatin C test

never had abnormal ft3,ft4 and don t know if i would have any hypo symptoms because thyroid damage was due to peginterferon treatment which has same sides as hypothyroid but i will not stop treatment and not interested in stopping it

i think hyper symptoms are due to 2000mcg of iodine in a vit d3 supplement i took.iodine gives me the hyper effect despite making higher tsh i just didn t notice there was iodine in it

[gimel]

TSH is such a poor indicator of thyroid status that it should no be used for anything other than identifying overt hypothyroidism (TSH >10), or to diagnose central  versus primary hypothyroidism.  It is of even less value as a diagnostic by which to medicate a hypothyroid patient already taking thyroid med.  

A good thyroid doctor will treat a hypothyroid patient clinically by testing and adjusting Free T4 and Free T3 as needed to relieve symptom, without being constrained by resultant TSH levels.  Symptom relief should be all important, not just test results.  

Please post your latest thyroid related test results and reference ranges shown on the lab report.  Also please tell us of the specific symptoms that you mentioned as hyper.