Test results...is the tsh too low?

[Mamamia30]

On March 21st I had a med dosage change. I was on 50mcg of Synthroid then on the 21st the Endo changed it to 125mcg of synthroid.  I have been on the 125mcg for 9 1/2 weeks now. I had my levels checked today.
Here are the results

TSH 0.07    (normal range 0.50-5.00)
TOTAL T3 135    (normal range 60 - 181)
THYROXINE/T4 FREE 1.53   (normal range 0.89 - 1.76)
THYROGLOBULIN ANTIBODY 1596 U/mL    (normal range under 60 U/mL)
THYROID PEROXIDASE ANTIBODY 2882 U/mL,  (normal range under 60 U/mL) I do have Hashimoto's


Is my tsh too low? somedays I feel hyper and have tons of energy but some days like today I am to tired and want to go back to bed.

Are the antibodies way too high?  

Do you think my meds are too high for me?  The dr is suppose to call by friday if she see's any issues with the results. I hope she calls. If not I will be calling her.  I still deal with facial ticks. it used to be just my eyes but now the right side of my mouth twitches a lot.  I wanted to make an appt to talk to the endo but the receptionist said they are booked solid thru September. Its nuts. I will call weekly to see if anything has opened up.

Thanks for any help.

[Barb135]

Yes, your antibodies are way too high and those tests certainly confirm Hashimoto's....... I wouldn't worry so much about the TSH, at this point.  TSH does not cause symptoms; it's the FT3 and FT4, either too much or too little that cause you to feel badly.  

Just because you have days with "tons of energy" doesn't mean you are hyper.  Your FT4 is more than mid range, but without knowing your FT3, it's impossible to say what's going on, but since your TT3 is low in the range, it's reasonable to think your FT3 might be, also.  

An increase from 50 mcg to 125 mcg is a huge jump, all at once. It's generally recommended that you work up slowly.  Some people can go by 25 mcg increments; others have to go slower yet........  While it takes 4-6 weeks before a dosage change takes full effect, with a jump that big, you might feel it sooner...... do make sure you are aware of hyper symptoms, such as sudden weight gain, heart palps, rapid heart rate, etc.  

As to getting in to your endo -- try putting your name on the "cancellation list" -- that way if someone cancels, you might have a chance of getting in before Sept......

[Mamamia30]

No the dr did not do a Free t3. I will call tomorrow and see if they still have blood to do it. I can't switch drs yet, I waited 9 months on a waiting list for this one. Once I am married in Sept I will get n a different insurance with hopefully better dr's.

Thanks.

[FTB4]

Did your MD test for Free T3, Total T3 is kind of an obsolete test, if you have the Free T3, post the level with the reference range, as far as your TSH is concerned, It should be supressed, and yours is, but without knowing the Free T3 which is the actual thyroid hormone your body uses to function, it is (The range your MD is using for TSH is also an out of date range) Most Hashimoto (Hypothyroid) sufferers do well with the TSH supressed, the Free T4 about Mid range and the Free T3 higher than the Free T4 and about 2/3rds up in its range, you could also have a conversion issue, where your body does not convert the hormone med (T4 Synthroid) to Free T3, this would keep you symptomatic, you should insist that your MD do a Free T3, then post your results here for more info. and advice. If your MD refuses to do a Free T3 test, then you should change MD's, It is almost impossible for an MD to give you the right medication and dose without this test. Best Regards FTB4