Aa
Aa
A
A
A
Close
1378884 tn?1315505845

New Test Results

First my most recent test results as of 6th of Jan.

TSH  = 0.96 uI/mL .35-5.50
FT3 = 2.4 pg/mL 2.3-4.2
FT4 = 0.9 ng/dL 0.8-1.5

I have most if not all of my symptoms back as noted in my journal which is open to anyone to read.
I can barely walk due to the pain in my right knee. (my good knee) and muscle atrophy/stiffness.
Dry mouth/eyes
General body aches stiffness.
Feet cramps/pain

I could go on. Needless to say I will be seeing my Endo next week.

Can I get some feedback as to whether I understand my labs well enough to fight for myself next week.  I’ll be seeing my new General Doc next week too.

My TSH looks ok. (really don’t care)
MY FT3 is low. This is what is actually whats being used
My FT4 is upper mid range, not so bad but because my FT3 is so low I am guessing that I may not be converting well.

How did I do and is it time to give up on my Endo?

Thanks or the help

Cheryl
Best Answer
Avatar universal
Since you are taking both T4 and T3 meds, I expect that to move up both your FT3 and FT4 levels with require tweaking both Synthroid and Cytomel upward, but not so fast that your body has an unwanted reaction to the dosage increase.  Many members increase by anywhere from 10 - 25 mcg of synthroid and 5 mcg of Cytomel, until you hit your "sweet spot" that relieves symptoms.  Slow and sure is best, especially since symptom changes can lag behind changes in blood levels of thyroid hormones.  So it is best to take it slow and be patient.  
5 Responses
Sort by: Helpful Oldest Newest
1378884 tn?1315505845
Thanks,

I will get the other blood tests done. Also My Endo is learnig but is really stuborn too as am I. Would I benifit from Amour or synthroid? Am I having issues with converting as you say. Is it too soon to tell?


Cheryl
Helpful - 0
Avatar universal
Unless the posted result for FT4 is wrong, then you really are in the very low end of the range for FT4 as well as FT3, both of which are consistent with still being hypo.  As I recall you were diagnosed with Hashi's.  Accordingly, it will be helpful to get your FT3 and FT4 levels increased to try and minimize any Hashi's effect.  Along with this, members have reported benefit from being tested for selenium and if low, supplementing to get it to at least midpoint of its range.  

If you haven't been tested for Vitamin D, B12, iron /ferritin and RBC magnesium, that might be worthwhile also, just to be sure of those levels.  

I am encouraged by the fact that thyroid meds have helped you some already.  Also, it is good that your doctor has been willing to prescribe Cytomel.  Most are biased against anything other than T4 meds.  This flexibility gives me hope that your doctor is what I call a good thyroid doctor that will be willing to treat you clinically by testing and adjusting FT3 and FT4 as necessary to relieve symptoms without being constrained by resultant TSH levels.  Symptom relief should be all important, not test results.

I think you may find the info in this link to be of interest.  For patients of this good thyroid doctor, who have consulted from a distance, this form letter is sent to the PCP of the patient, in order to provide guidance for further treatment.

http://hormonerestoration.com/files/ThyroidPMD.pdf
Helpful - 0
1378884 tn?1315505845
Oh yes,

I had the Thyroperoxidase Ab, S  >900  IU/ml     ref;     <9.0

I hope that it :-)
Helpful - 0
1378884 tn?1315505845
I forgot to add that I am currently on

100mcg Levothyroxine
2mcg Cytomel 2 times a day. early morning and Lunch
Helpful - 0
Have an Answer?

You are reading content posted in the Thyroid Disorders Community

Top Thyroid Answerers
649848 tn?1534633700
FL
Avatar universal
MI
1756321 tn?1547095325
Queensland, Australia
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
We tapped the CDC for information on what you need to know about radiation exposure
Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.