Exhausted all the time!

[clydeine]

I just got a copy of my labs and have a doctor's appt on monday.  My TSH was .165 with a normal range of .40-4.5.  I am so exhausted all the time and if I have a long day I can hardly get out of bed and do anything the next day.  If I eat something it seems to boost my enegy but then I fall back into exhaustion a few hours later.  I have all the other syptoms including freezing in a house that is 80 degrees and short memory loss and lack of motivation.  My doctor switched me off natural thyroid which I was doing very well on to synthroid.about a year ago.  He was suppose to check my levels in 6 months but they just renewed my prescriptions last december without any blood work.  I am thinking of going to a specialist and quit seeing this doctor for my thyroid.  I am also very concerned about my T3 being that low.  I think it is obvious that my T4 does not convert well into T3.  My T4 is 1.3, with a range of .8 to 1.8          Any suggestions?  

[Mark Lupo, M.D.]

TSH goal, in general is 0.5 (or 0.3 depending on lab) to 2.5 (or 2.0 depending on situation).

[nanafox]

Dr. Lupo, My last tsh is below 1.0. (t3 mid range)

My doctor is not reducing generic levothyroxine 112 because I have no symptoms of being over medicated. In fact - my symptom is mainly complete exhaustion - as described above.

Doesn't too much levo caused hyperthyroidism and nervousness and racing heart etc etc. I am growing into my couch!

I am confused - Please Help.

[Mark Lupo, M.D.]

The TSH is a bit low, meaning your dose should decrease a bit.
Sometimes adding a small dose of 5mcg of cytomel can help but the T4 dose needs to be decreased.