New blood work see what you think

[Fuel1212]

Hi all, happy Friday! Hashimotos/Partial Thyroidectomy

I had blood work done yesterday. Numbers look pretty good. I am currently on 100mcg Levo and about 5mcg Cytomel a day. The numbers look pretty good, and I have felt decent for a few days. My concern is that my antibodies are higher now than before treatment? What gives? See below please

TSH - .36
Total T4 - 8.6
Ft4- 1.1
FT3- 363
T3 Total - 125
Thyroid Peroxidase - 883  before surgery and treatment 580

Thanks!

[Fuel1212]

Goolarra you have helped me immensely, no worries, just was confused. That was definitely a new thread topic

[goolarra]

FT4 is a bit on the high side.  FT3, however, is just barely into the middle third of the range.  With your heart issues, I really don't know what to tell you.  It still looks like some T3 meds would make you feel better, but that's very tricky with the heart.  You obviously don't need to just keep dumping more T4 meds into your body with your FT4 above range.  You need to start seeing somone who really knows what he's doing and can manage both your major health issues together.

No, I just have a congenital heart arrhythmia...annoying, but benign.

Sorry to hijack your thread, Fuel...

[Fuel1212]

Who is this addressed to? Maybe start a new post. I think the question/comment is for goolarra and smilerdeb. We went from thyroid antibodies to angioplasties... :) wow

Hope you can get some answers

Fuel

[oldie]

after months of 125 levo my FT3 is 2.84 (range 2.0-4.43), FT4 1.91 (O.71-1.85).
TSH 0.14. (0.49--4.56). 'You're OK' says the doc. Which is what he has said throughout the wild ups and downs of my tests over a year. I'd appreciate your comment. AND... are you the poster who has both thyroid and heart   problems and has gone the medication-lifestyle route and held off angioplasty. If so, I dearly need to talk to you
oldie

[goolarra]

Yes, the rule of thumb is to decrease T4 meds by 25 mcg for every 5 mcg T3 you add.  That is, of course, IF (the big IF) you want to keep the overall dose the same.

Okay, I can't keep up!  Back to a very slight increase in T4 (maybe 12.5 mcg) if you still have symptoms, looks good, if not.  That is, IF (not again) your dose was 100 for four to five weeks prior to these new labs.

[Fuel1212]

I have been on 100mcg for a few months now no changes. I had some 75mcg left over that I was alternating with when I started the Cytomel. I did this because I have read that most people lower their T4 a tad when implementing T3?

[goolarra]

We're dancing on each other's toes!

If you just went to 100mcg from 75/100, I'd hold off on any increases for a while.  It's not unusual for people on T3 to have TSH suppressed to lower range or even below range.  It's the Cytomel doing that.

[goolarra]

Yes, antibodies will keep attacking until they completely destroy thyroid function.  Not a lot can be done about it...nothing according to some, some unproven alleviative measures according to others.

I agree with Sally...a slight (very slight) increase in T4 if you are still having symptoms.  If no symptoms, the labs look great.  FT3 has really improved.

[Fuel1212]

I was alternating 75mcg and 100mcg levo while trying to bring Cytomel into the equation, That could be the slight decrease, but my tsh went down still>? Weird
Chuck --- funny thx

[Super_sally888]

Antibodies are independent of the others. So yes, the antibodies could still be attacking your thyroid. This will nean thst you would probably need progressively more meds til they've finished their damage and things would stabilise.

A slight increase in t4 med maybe.

Yes, results look reasonable.

[chuckpiv]

Did the doc reduce your levo?  I noticed your FT4 dropped..

[Fuel1212]

Wow, your fast... does that mean there is still major conflicts and my bodie is attacking thyroid?

TSH - .36        .4 - 4.5 ...  ..       previously .42
Total T4 - 8.6    4.5 - 12.5
Ft4- 1.1            .8 - 1.8  .....       previously 1.5
FT3- 363            230 - 420......   previously 320 before Cytomel
T3 Total - 125      76 - 181

Thanks

[chuckpiv]

You should know better than to post labs without ranges Fuel!  ; )

Glad you are feeling better.

[goolarra]

Ranges, please!  Just on the frees.  What were your FT3 and FT4 before adding the Cytomel?

Thyroid replacement hormones do not affect the antibodies.  Once you have them, you have them for life, unless your thyroid is completely removed or "dies", at which point they go into remission.  They can vary wildly, even intraday.  Don't worry about the actual numbers...positive is positive, and that's all that's important.  In fact, if you want to save yourself some money, TPOab is a bit superfluous after testing positive.

Glad to hear you've been feeling well.