Aa
correct dosage of thyroxne
i was diagonised with hypothyroidism a year ago when my readings were T3 0.99 ng/ml, T4 7.53 ug/dl, and TSH 12.54 ulU/ml. i was then advised to take 25 mg thyroxine once a day. now i have again got myself tested and my readings are T3 0.87 mg/ml, T4 8.49 ug/dl and TSH 7.04 ulU/ml . another related issue is that when i was first diagonised with hypothyroidism i was having stomach pains for more than a month but once the dose was started the pain went away, this year too i was having this stomach pain and while my test was due i started eating 75 mg thyroxine once a day and pain has now gone.
my qoestion is with the present readings what should be my daily dose of thyroxine.
thanking in advance
my qoestion is with the present readings what should be my daily dose of thyroxine.
thanking in advance
thanx, i am reassessing and will try 112.5 mcg for some days and if there is relief then stick to this dose till my next test.
Yes, you can safely take the increased dosage of T4 Thyroxin. It should have some beneficial effect by raising your FT4 level and also your FT3 level; however it is unlikely to change the imbalance of FT4 to FT3 that you continue to have. I am also surprised that you felt such a fast response to a T4 med.
FT3 is the most active thyroid hormone. As previously stated, it largely regulates metabolism and many other body functions. As also previously suggested, I think you need to add a source of T3 in your meds, to raise the FT3 level as necessary to relieve symptoms.
If your T4 med increase continues to give you symptom relief, that is what is most important, but I expect that at some point you will need to increase your FT3 level.
FT3 is the most active thyroid hormone. As previously stated, it largely regulates metabolism and many other body functions. As also previously suggested, I think you need to add a source of T3 in your meds, to raise the FT3 level as necessary to relieve symptoms.
If your T4 med increase continues to give you symptom relief, that is what is most important, but I expect that at some point you will need to increase your FT3 level.
hi i have got my report and it is as follows
TSH 1.99 ulU/ml range - 0.30 - 5.5
FT3 2.38 pg/ml range - 1.7 - 4 .2
FT4 1.23 ng/dl range - 0.7 - 1.8
i have some issues with this report first is that the range differs with every lab so it is difficult to compare , secondly when i got myself tested in january the lab told me not eat my morning dose prior to giving blood however this time i was told eat your medicine and then only give blood. having said this i want to add that my FT3 was 8.9 % above the minimum range in Jan and is 19% above the minimum range now however my thinking is that this change is due to the fact that i had taken my morning dose. FT4 there is no change ,as far as TSH is concerned from 46 % above the minimum it has reached 32.5 % above the minimum.
i ate 125 mcg throxine in the last two days and my constant stomach ache vanished .
my question is simple can i safetly eat 125 mcg throxine or it will have some adverse effect on my body.
my own view is that i should eat 125 mcg for next six weeks, monitor my symptoms and then get tested again.
thanx.
TSH 1.99 ulU/ml range - 0.30 - 5.5
FT3 2.38 pg/ml range - 1.7 - 4 .2
FT4 1.23 ng/dl range - 0.7 - 1.8
i have some issues with this report first is that the range differs with every lab so it is difficult to compare , secondly when i got myself tested in january the lab told me not eat my morning dose prior to giving blood however this time i was told eat your medicine and then only give blood. having said this i want to add that my FT3 was 8.9 % above the minimum range in Jan and is 19% above the minimum range now however my thinking is that this change is due to the fact that i had taken my morning dose. FT4 there is no change ,as far as TSH is concerned from 46 % above the minimum it has reached 32.5 % above the minimum.
i ate 125 mcg throxine in the last two days and my constant stomach ache vanished .
my question is simple can i safetly eat 125 mcg throxine or it will have some adverse effect on my body.
my own view is that i should eat 125 mcg for next six weeks, monitor my symptoms and then get tested again.
thanx.
Please continue to let us know how things are going for you.
thanx , have been tested again waiting for my test results, will try and get T3 specific medicines
thanks for taking the time to post all that information. That makes it much easier to track your test results and meds.
From that data, it is clear that your body has responded to the med changes, as far as FT4 and TSH levels. However, your FT3 is still too low, and those levels are associated with being hypo. Many of our members here report that symptom relief for them required that FT3 was adjusted into the upper part of its range and FT4 adjusted to at least midpoint of its range. Symptom relief should be all important, not test results. The main value of test results is as an indicator of your status during diagnosis, and then as a tracker of progress as meds are increased toward achieving symptom relief.
You doctor is wrong in saying that there are no specific meds to raise FT3 levels. There are two types, the T4/T3 combo types such as Armour thyroid, Nature-Throid, and Erfa. Then there is the T3 types like Cytomel. Of course these are the names used here. I don't know what they might be called in India. If there are no sources for T3 meds in India, then maybe you should start a new business as a distributor of T3 meds. LOL
After I wrote that, I took a quick look through the Top Thyroid Doctors List for India, and I saw this in one of the Doctor's info. "I went to Dr. Sahgal without much hope. A close friend nagged me constantly to consult him. He believed my story and ordered a fistful of hormone tests. Three days later the results came, and I had my answer. I was suffering from Hypothyroidism caused by Hashimoto’s Thyroiditis. Dr. Sahgal prescribed a combination of T3 and T4 medication." So at least it appears that someone got T3 meds at one time, so maybe there is hope.
So my only advice is to somehow find a source for a T4/T3 type med and change to that and increase slowly until symptoms are gone. Since patients with hypothyroidism frequently also have deficiencies in other areas, I suggest that if you haven't already been tested, then you should test for Vitamin D, B12, and selenium.
Best to you, rajbir.
From that data, it is clear that your body has responded to the med changes, as far as FT4 and TSH levels. However, your FT3 is still too low, and those levels are associated with being hypo. Many of our members here report that symptom relief for them required that FT3 was adjusted into the upper part of its range and FT4 adjusted to at least midpoint of its range. Symptom relief should be all important, not test results. The main value of test results is as an indicator of your status during diagnosis, and then as a tracker of progress as meds are increased toward achieving symptom relief.
You doctor is wrong in saying that there are no specific meds to raise FT3 levels. There are two types, the T4/T3 combo types such as Armour thyroid, Nature-Throid, and Erfa. Then there is the T3 types like Cytomel. Of course these are the names used here. I don't know what they might be called in India. If there are no sources for T3 meds in India, then maybe you should start a new business as a distributor of T3 meds. LOL
After I wrote that, I took a quick look through the Top Thyroid Doctors List for India, and I saw this in one of the Doctor's info. "I went to Dr. Sahgal without much hope. A close friend nagged me constantly to consult him. He believed my story and ordered a fistful of hormone tests. Three days later the results came, and I had my answer. I was suffering from Hypothyroidism caused by Hashimoto’s Thyroiditis. Dr. Sahgal prescribed a combination of T3 and T4 medication." So at least it appears that someone got T3 meds at one time, so maybe there is hope.
So my only advice is to somehow find a source for a T4/T3 type med and change to that and increase slowly until symptoms are gone. Since patients with hypothyroidism frequently also have deficiencies in other areas, I suggest that if you haven't already been tested, then you should test for Vitamin D, B12, and selenium.
Best to you, rajbir.
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