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Very Low Blood Pressure

Hi! I have gotten some great advice on here and really appreciate it!

I have hypothyroidism and anemia (ferritin of 45). I am on meds for both but am having no relief from the lightheadedness and brain fog. My BP is consistently low - was 70/52 at yesterdays doctor's appt. Could either of my "conditions" be causing this?? I wouldn't worry about it, except that it is really affecting my day to day life........ not great to be weak and lightheaded all the time and the "brain fog" is making me look incompetent at work.
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Avatar universal
You're still so out of it, but your test results are finally "good", per your doctor.  That is an unfortunate, but familiar story on the Forum.

It would be helpful to know the lab's reference ranges for the T4 and T3 tests.  From the numbers, I also take it that the tests were for free T4 and free T3, not total T4 and total T3.  Assuming that to be the case and also assuming that the ranges are close to those I am used to seeing, I would say that your FT3 level is too low, because you are not converting T4 to T3 adequately.  This lack of conversion can also be associated with low iron and low selenium.  

FT3 is the most important thyroid hormone because it largely regulates metabolism and many other body functions.  Studies have also shown that FT3 correlated best with hypo symptoms, while FT4 and TSH did not correlate.  

A good thyroid doctor will treat a patient 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 can get a good idea of this by reading this letter written by a good thyroid doctor, for patients that he is consulting with from a distance.  The letter is sent to the PCP of the patient, to help guide treatment.

http://hormonerestoration.com/files/ThyroidPMD.pdf

I think you need to discuss with your doctor the fact that you still have symptoms, and that your FT3 is too low in the range and request to be put on meds with T3 in them, such as Armour, or Nature-Throid, in order to increase your FT3 level and relieve symptoms.  If your doctor has a problem with this then you are going to have to find a good thyroid doctor that will do so.
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Avatar universal
sure ~ I am 36 years old and my latest labs were:

TSH 1.22
T4 1.2
T3 2.7

My endo says the numbers are finally "good", but I am still so out of it! I don't know what to do about it.
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Avatar universal
It could readily be due to inadequate medication, or a need for a different med.  If you will post your thyroid test results and reference ranges shown on the lab report, then members will be glad to help interpret and advise further.
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