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New Thyroid Results

Here are my labs for 6 plus weeks on 25 of Levoxyl.

TSH 2.07 (2.57-4.43)
T3 free 2.55 (2.57-4.43)
Free T4 1.19 (0.90-1.70)

These labs were taken approximately 3 hours after meds.

Thoughts?

Thanks!
34 Responses
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Avatar universal
Hi Barb.  I have mono.  Dr Gray said she would prefer that I did not add WP due to the mono and my history with T3.  My body needs to heal.
Helpful - 0
649848 tn?1534633700
COMMUNITY LEADER
Many of us find that taking Betaine HCl with meals works wonderfully to add sufficient acid.  I've done everything from drink dill pickle juice to apple cider vinegar in order to add acid... that's what I getting at with the "gall bladder symptoms"...

Often doctors put us on acid reducers and we don't need less acid, we actually need "more"...

I can't see where the T3 in Armour would be any better than regular T3, since you can't adjust the T3 in Armour like you can synthetic T3, especially since you have your FT4 almost at mid range... 1 grain of Armour has 9 mcg of T3 and 36 mcg of T4 and you can't take any of that out.  The best you can do is cut that 1 grain in 1/2, but then you're cutting your T4 too low.  Of course, it's an option and we should always be open to the options; we should also be aware of the drawbacks.
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Avatar universal
Thanks.  My chiro just recently suggested bile salts too.  I am going to pick some up.  Where your symptoms similar?
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Avatar universal
Hi Neeson, just curious, since you had your gallbladder removed are you taking bile acid with your meals?  I had issues with it for years before I found out what it was causing me so much discomfort. Dr. Eric Berg has a good formula, found it very effective.
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Avatar universal
The gall bladder like symptoms include feeling like my throat is closing, pain in my shoulders and middle back, pain in back when I eat.  Pain where my gall bladder used to be, it feels like tightness and cramping.  I do think there is a correlation with my T3 levels. They tested me acid reflux and no signs plus I tried meds for that and it made matters worse. The only thing I do not have are the gall bladder attacks.

I do not see Gray until Jan 5.

Gray said I could  take the adaptogen 30 minutes after my thyroid med.  She prefers I take the adaptogen in the morning.  I do think that it is helping.

I am afraid in T3 as it gave me horrible headaches and vertigo and that was 2.5 in morning and afternoon.  I think I may tolerate armour a little better.  Not sure.
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649848 tn?1534633700
COMMUNITY LEADER
Your FT4 is at 45% of its range, so you're getting close to mid range, but your FT3 is only at 10% of its range... I definitely think you need some T3 and it's time to start adding it.

Your pcp's idea of trying some Armour was not a bad one, except that might leave your FT4 too low... I think, at this point, you should just, gradually, add T3, in the form of cytomel... perhaps, Dr Gray will guide you with this, starting at very low doses...

Please explain to me the gall bladder-like symptoms you're having... My gall bladder was removed, years before I became hypo, and I'm very relieved not to have those attacks anymore... I did have horrible acid reflux for many years, though (both before and after my surgery), and it was related to my thyroid condition.  I can't help think that your issues are also related to being hypo.  I was miserable for years and my doctors just kept giving me scripts for Aciphex, which is a very high potency acid reducer and that's not what I needed  - I actually needed "more" acid, not less.

If you stop all thyroid meds, you will be back to square one... You've just started on the adaptogen from Dr Gray - are you taking it as directed?  You have to give it time to work... but you should probably take it away from your thyroid med in order to make sure it doesn't interfere...  When do you see her again?
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Avatar universal
Hi Barb.

I saw my PCP on Friday and he ran thyroid labs.  Which in his opinion were normal.

TSH 1.94 Range 0.35 - 4.94
Free T3 1.90 range 1.70 - 3.70
Free T4 1.05 Rnage 0.70 - 1.48

He kind of washed his hands off me.  He said to keep in touch.   Told him that I was seeing Dr. Gray and he said to give her some time if not maybe try Armour.  I feel like I am really running out of options.

All of these symptoms started after I got my gall bladder removed.  Now that area is really aching.  All of the symptoms that I had  before gall bladder removal have returned.  I just do not know what to do anymore.  Nothing absorbs the same after my gall bladder removal.  I wish I never had it removed.  Looking back the gall bladder attacks were nothing compared to this hell.  I was stable on 50 of levothyroxine before gall bladder surgery.

Just feeling so lost. Maybe just stop all meds for a while.

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Avatar universal
Hi Barb.

Do you know of people who have come of T4.  I have had enough. I am starting to wake up at 4.00 am with fast heart rate and cannot get back to sleep.  I am so so tired of not being able to get a handle on this.  I think I will give wp thyroid or T3 a go if they do not work.  I am done.  Also in the morning when I take my meds my feet are sweating.  Too much T4?
Helpful - 0
649848 tn?1534633700
COMMUNITY LEADER
Are you asking a question?  Perhaps it would be best if you start your own thread and post other pertinent labs so we can see what else you've been tested for.
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649848 tn?1534633700
COMMUNITY LEADER
Are those the only tests she ordered?  Those are all related to various viruses and really have nothing to do with the adrenals, though I suppose if you have one or more of them, it could stress your adrenals, as can other things...

***EBV = Epstein Barr Virus - "Epstein-Barr virus (EBV), also known as human herpesvirus 4, is a member of the herpes virus family. It is one of the most common human viruses. EBV is found all over the world. Most people get infected with EBV at some point in their lives. EBV spreads most commonly through bodily fluids, primarily saliva. EBV can cause infectious mononucleosis, also called mono, and other illnesses."

***HHVG = Human Herpes Virus - "There are eight currently identified members of the human herpes virus family. They are ubiquitous and extremely well adapted pathogens. The name comes from the Greek 'herpein' - 'to creep', describing the chronic, latent or recurrent nature of infections."

***CMV = Cytomegalovirus - "Cytomegalovirus (CMV) is a common virus that can infect almost anyone. Most people don't know they have CMV because it rarely causes symptoms. However, if you're pregnant or have a weakened immune system, CMV is cause for concern.

Once infected with CMV, your body retains the virus for life. However, CMV usually remains dormant if you're healthy.

CMV spreads from person to person through body fluids, such as blood, saliva, urine, semen and breast milk. CMV spread through breast milk usually doesn't make the baby sick. However, if you are pregnant and develop an active infection, you can pass the virus to your baby.

There's no cure for CMV, but drugs can help treat newborns and people with weak immune systems."

***Myoplasm Abs = "Mycoplasma pneumoniae is an important respiratory tract pathogen"

Research tells me that Phosphorylated Serine is an adaptogen that's said to help regulate cortisol, but I'd think she'd want to, actually, test cortisol to make sure that's the problem.   At least, she's doing "something"...  
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Avatar universal
Yes, I need to go to the lab.  I am going to stop in on Monday.

She gave me Phosphorylated Serine, start to take magnesium and L-Theanine.

Here are the tests: EBV, HHVG, CMV, and Myoplasm Abs.

Are there things you think she should be testing?

Thanks.
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649848 tn?1534633700
COMMUNITY LEADER
So these tests are in the process of being done over the next month?  

Do you know any of the tests she ordered?

What is she planning to do to "support" the adrenals?

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Avatar universal
Yes, she ordered quite a few tests.  Not any of the standard thyroid ones.  I really hope supporting the adrenal helps and my body will accept more meds.

Thanks.
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649848 tn?1534633700
COMMUNITY LEADER
It's normal for the adrenals to kick in to take up the slack when there isn't enough thyroid hormones and they often settle back down once thyroid hormones are adequate again...

Since you've had such a hard time increasing meds, I think that's a good idea, though, but why is she waiting a whole month?  Are there any tests being done during that time or are you just sitting in limbo?  
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Avatar universal
Hi.  I had my appointment with Dr Gray and she is in agreement that I need T3.  But wants to run some more tests and support my adrenal glands.  She wants to treat my adrenal glands first before upping my thyroid meds. I go back to see her in one month.  She said that she wants to understand what is happening before more thyroid meds.  What do you think?
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649848 tn?1534633700
COMMUNITY LEADER
I agree that taking Abilify will mask your thyroid problems, even if it does help the anxiety... The thing is, you need to treat the thyroid, which will probably take care of the anxiety, as well.

You really should keep trying to find a different doctor, whether it be an endo or not... remember, not all endos are good thyroid doctors, which you're certainly seeing.   That said, even doctors in the same office can have differing views on how to treat thyroid conditions...
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Avatar universal
I just feel that my taking the Abilify I am masking my thyroid problems.  Maybe it will help with anxiety.

I do not have the resources to go out of state.  So if do not get anywhere tomorrow, I am not sure what to do.

I am not sure if I should try to find another endo but they are all located in the same hospital and the 2 I saw are not worried about T3.
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649848 tn?1534633700
COMMUNITY LEADER
It's very possible that you have a conversion issue... It seems that we might have determined that in previous threads, based on other labs, but I don't necessarily recall them all.

We, typically, advise getting FT4 to the top of the range before adding a T3 med, but your FT3 is so low that I wouldn't hesitate to add one, at this point.

Good luck with Dr Gray... be sure to let us know how it turns out... your certainly shouldn't be left in the condition you're in.
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Avatar universal
My PCP is in agreement stay the course and do a trial of Abilfy.

I got cancellation with Dr. Gray for tomorrow before I commit to trying Abilfy.

My PCP said no to trying WP thyroid again.
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Avatar universal
One more thing do you think I have a conversion issue?
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649848 tn?1534633700
COMMUNITY LEADER
You can send me the website via PM... many doctors don't like to have their names published online in forums like this...

Since 37.5 mcg was too much, it sounds like you need to increase much more slowly... have you tried splitting pills or alternating dosages to get a much smaller increase?
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Avatar universal
I am not sure how this works.  Can I give you Dr. Grays website?
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Avatar universal
Plus the doctors say my other problem is that I am too sensitive to meds.
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Avatar universal
I tried to go to 37.5 of Levoxyl.  I understand that T4 is long acting but for me I can tell difference.  I lasted a week at 37.5 but could not take the insomnia, irregular heart stuff and just feeling off.  I just do not think I could have last 4-6 weeks at 37.5.  I would lay in bed and could not fall asleep with my heart pounding.  Back on 25 I can sleep at night.

Dr Gray was a doctor that was suggested to me.  She is more open to T3.  I think I need more medicine, not exactly sure how to get my body to accept it.  As gimel suggested maybe my adrenals need to be looked at more.  But to find a doctor who can help me and not look at me as if I am a quack is near impossible.

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