Hi, I was diagnosed with hypothyroidism almost three years ago. For the past five years though I have been having trouble with my memory, I am only 23 years old so it's not related to my age. According to all my blood work I am healthy with the exception of my thyroid. The levels aren't terrible but they aren't perfect either. I have tried exercise, diet, omega fatty acid supplements, vitamins (for long periods of time) but none of it has helped my memory. It only helped improve my lab results. Generally it is just very foggy and I can't remember detail, or I completely can't remember an event or someone saying something. It's really annoying and I'm tired of living with this problem. It is interfering with almost every aspect of my life on a daily basis. I really need some advice from someone about this. I decided not to take the medication from my endocrinologist last time I went because I wasn't going to have insurance to follow up. But I have saved the money and plan to get my results read and am hoping that the medication he gives me will improve my memory. To be perfectly honest I'm not exactly sure what all these results mean, but here are my most up to date labs I have older test results available if it'll help):
12/09:
Free T4 0.9
Tsh Third Generation 3.7
T3 Uptake 36
6/10:
Free T4 1
Tsh Third Generation 2.01
7/10:
Tsh Third Generation 2.35
I also have eight nodules which were checked with an ultrasound and seem to be fine.
Thanks for any help.
Your FT4 is very low; it's almost on the floor of the range. It should be much closer to midrange. I'm sure that you'd feel much better on meds once they're adjusted properly and your FT3 and FT4 levels are higher in their ranges.
It takes a while to get levels adjusted properly. We're usually put on a starting dose. Then we have to wait 4-5 weeks before we can re-test and re-evaluate symptoms. It takes that long for the meds to build up in your body. After that, this process has to keep being repeated until we are symptom-free. Some of us find our optimal dose realatively quickly, some struggle with it.
Seriously, you might consider changing doctors. It was not at all nice of him to laugh at you, and he should be answering your questions. Also, it sounds like your levels were never adjusted propery (to the point where your symptoms went away). However, since your appointment with your current endo is relatively soon, you can probably at least get a starting dose from him since he's already said he wantted you to stay on meds.
Once you get that, you might try to find a doctor you can work with better. Hashi's is for life, so it's worthwhile to find a good doctor to help you manage it.
Although it's best to have FT3 tested every time, your FT4 is so low currently that it's going to be a bit of a non-issue anyway. If he'll order it, fine, otherwise I think it can wait until your next blood test, which should be 4-5 weeks after re-starting meds.