Is my TSH too low

[Rachel2033]

Had my labs drawn yesterday. My doctor called telling me nothing's changed.
Here are my labs from yesterday:
10/8/14 (Levo .88mcg)
TSH .010 (.36-3.74)
FT3 3.6 (2.18-3.98)
FT4 1.2 (.76-1.46)

8/2014 (these were taken 6 weeks after starting Levothyroxine .88mcg)
TSH .020 (.36-3.74)
FT3 3.6 (2.18-3.98)
FT4 1.2 (.76-1.46)

I do have days where I'm tired and freezing and get palpitations but my doctor told me it's due to the Hashi, so I will have up and down days. My resting pulse can fluctuate from 64 & 72 bpm
I guess I'm just worried about my TSH...I know, we're not supposed to look at TSH (nor does my doctor) but I figured only Armour suppressed the TSH. I figured that after switching to Levo from Armour my TSH would've risen to 1.0 or close to it not go lower. While on Armour my TSH was .55
Considering on asking my doctor to lower my dose to 75 mcg to see if I'll still be okay and my FT3 & FT4 will come down a tad too.

[Red_Star]

NAC stands for N-Acetyl Cysteine.  Dr Sandra Cabot (liver specialist) mentions on milk thistle on her Gilbert's Syndrome article.

[Rachel2033]

What is NAC? Is milk thistle bad if you have Gilbert's syndrome? Read on a forum where a couple gilbert syndrone people said they became jaundice after starting it.

[Red_Star]

Try milk thistle and NAC for the liver. I can attest to both being excellent supplements for liver detoxification!  

Depends what is causing the issues at a cellular level. Mine is pointing at inflammatory cytokines. I have a lot of viseral fat which is producing it too but I am getting rid of that fat slowly but it sure is stubborn!

I only realised what my problem was a few years ago Graves antibodies showed up (had Hashi's by then) and one month into seriously bad hyperthyroid episode I woke up to no burning feet (13 + year symptom) and could stand without severe crippling pain (pain on standing 25 year + symptom which worsened with Hashi's) then both symptoms returned a month later once the hyperthyroid episode was over. But for one month my feet were in heaven! :)

[Rachel2033]

Thank you, Flyingfool!
I've never been on 75 mcg before. I was overdosed (felt awful) on the 90mg so was switched to Levo and lowered to 88mcg of Levothyroxine.
Curious how looking at Reverse T3 would change anything? Would the results mean a change in dose or med?

[Rachel2033]

There was only one liver test that showed that it was higher (2 points out of range) which my doctor dx'd as Gilbert's Syndrome. My eyes are red and alittle yellow, which I wonder if this could be all connected...if it's a liver issue. Dumb thing is I don't remember when this started. I wondered if it was due to Levothyroxine. Don't know. Was thinking of doing a colonic because they think it's due to liver toxins.
Can you treat at the cellular level?

[Red_Star]

There are differences between blood thyroid levels and cellular thyroid levels as I have found out since I've had cellular resistance issues for decades and Hashi's for about 5 years.

With optimal thyroid hormone in the blood there are symptoms that won't show up and those are liver related issues such as elevated liver enzymes, rising cholesterol, weight gain and feeling cold (the liver controls the metabolism). My heart rate and body temp was never low with optimal blood thyroid levels.

My cellular symptoms I've had for decades are numerous but off the top of my head include one eyelid drooping, burning feet, pain on standing, excessive ear wax, fluid retention, carpal tunnel, TMJ worsening, dry skin, right left dyslexia, issues with hand writing.

[flyingfool]

If your Dr is retireing. You better ask him to SPECIFICALLY put into your records that the low TSH is expected.  Otherwise you are almost certainly going to get a replacement Dr who will see your TSH and immdiately go into a convulsive fit and panic and cut your medication dosage "sure" that you are hyper.

I would have to ask if the last increase from the  75 mcg to the 88 mcg you are currently on did that make you feel better or worse?

If it made you feel better, I would also say to stay the same dosage or even possibly a small increase as it appears you still have hypo symptoms.

I also agree with gimel that with a FT3 of 79% and possible still lingering Hypo symptoms that looking at reverse T3 may make sense.

You FT4 is 63% of the range.

Many have found as you've probably read for the FT4 to be about 50% and the FT3 about 67% of the range. YOu are at or above those levels for both.  As everyone is different maybe you need more thyroid.  But as gimel p ointed out. It is worth getting tested in other areas as well to make sure vitamin deficiency may be causing the mimicking symptoms of Hypo.

[Rachel2033]

Thank you! I'll ask to get those tested ASAP. My doctor is retiring at the end of the month so I'd rather do it before he leaves.