New labs - Might be overmedicated?

[Tiredme]

Hi - My last labs on .37mcg Levo were:

8-3-12

I did not take my meds before this draw.

Free T4 - 1.09 (0.75-1.76) 34%
Free T3 - 2.9 (2.3-4.2) 32%
TSH - 0.46

10-12-12 (took meds before this draw but not as much as I usually take because I was lazy and did not fill my rx so for a couple of days I was splitting my .37 mcg)

Free T4 - 1.43 (same values) 67%
Free T3 - 3.9 (same values) 84%

I think I have been feeling ok.  I got bronchitis so it is hard to judge right now.  Last nights sleep was awful but I was coughing so I don't think that counts.

Any thoughts on these labs?

[Tiredme]

Androgenic alopecia (spiro).

[gimel]

Your Vitamin D is still too low.  Keep working on it.  The recommended level for ferritin, for women, is reviewed in the following.

"FERRITIN test: Measures your levels of storage iron, which can be chronically low in hypothyroid patients. If your Ferritin result is less than 50, your levels are too low and can be causing problems…as well as leading you into anemia as you fall lower, which will give you symptoms similar to hypo, such as depression, achiness, fatigue. If you are in the 50′s, you are scooting by. Optimally, females shoot for 70-90 at the minimum; men tend to be above 100."  

Ferritin is essential for its numerous effects.  To assure getting a representative test result, you should skip your iron supplement for at least 12 hours before the blood draw.  Since ferritin results can be affected by several things, I also suggest that you should also get a full iron test panel.  These tests are serum iron, TIBC, and % saturation.

I know nothing about Spironolactone, other than some reading material I found on the net.   Why were you given Spironolactone?

[Tiredme]

Vitamin D is 55 (7-100 I think) and ferritin is 40 but I have been working on it. In between draws I was put on spironolactone and I wonder if this might have made the medication more concentrated (Spiro is a potassium sparing diuretic often given for androgenic alopecia)

[gimel]

Your 10/12 labs are in the areas that usually work well for hypo patients.  I am a bit surprised that both Free T3 and Free T4 increased from the 8/3 results.  Since you had taken your meds before the blood draw, that might account for a higher Free T3, but the higher Free T4 puzzzles me.  Regardless, as long as you are feeling good, that matters most, not lab results.  

I do suggest that if you haven't been tested for Vitamin D, B12 and ferritin, you should have those done.

[Tiredme]

Hi - .37 mg - whoops.  I went up from .25mg.  Tiny I know.  I have had thyroid problems for a long time - up and down up and down, nodules etc.  So we tried this.  No dx of hashi's as antibodies were normal.  Everyone in my family has some thyroid thing.

[gimel]

You posted your dose as .37 mcg.  Please check and confirm as either .37 mg or 37 mcg.  

Please give us a little background as to why you were started on thyroid meds.  Were you diagnosed with Hashimoto's Thyroiditis?