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Avatar universal

thyroid reverse t3 so high please helpp!!!!!!!!

Hi
>
> i had done blood work and Im lil confused, can someone interpret this for me ? I go see endo in few weeks. The problem is Im gaining weight and so tired, my energy level going down and I also struggle with acne. Im 32 female 119 lb. T3 is in lower range, TSH so low and reverse T3 so high? Doctor put me also on birth control triphasic.
> Im on 200mcg SYNTHROID and doctor want's me to go even lower..?? No matter how high dosage i was im not able to drop weight even despite dieting and every day exercise 60 min/day. My TSH has been always SO LOW even if my T4 and T3 were in normal range.
>
>
> TSH 0.006 normal 0.450-4.500
> T4 free 2.2 normal 0.82 - 1.77
> T3 free 2.5 norma 2.0 - 4.4
> Reverse T3 51.9 norma 13.5 - 34.2
>
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Avatar universal
Now I understand.  You ordered the test yourself.

You may have to see an alternative medicine doctor.  Many mainstream doctors ignore RT3.  I don't know how they can do that, when it's right there staring them in the face.

Here’s a thread by a person struggling with RT3 dominance like you.  You might PM her and find out what kind of doctor she’s seeing for her treatment:

http://www.medhelp.org/posts/Thyroid-Disorders/Have-finally-got-lab-results--can-anyone-give-feedback/show/1687094
Helpful - 0
Avatar universal
hi, thanks for reply, well i have ordered those test  than i went to endo, i have already seen 2 endos and both ignored the rt3 they look only TSH, im so flustruated. im not doctor but i have already made so much research so idk where is the problem
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Avatar universal
If I were you, I'd make an appointment to talk to your doctor about your high RT3 level.  

RT3 is ONLY made during the conversion process.  Most conversion happens in the liver and kidneys.  It's normal to convert T4 to both T3 and RT3, but when too much is converted to RT3 and not enough to T3, you have RT3 dominance.  

When you take T3 only, you, in effect, shut down the conversion process.  Your body is getting enough T3 directly fom the meds that it doesn't have to convert any.  With nothing being converted, RT3 gradually goes out of your system.  Once it is gone, meds with T4 are once again introduced.  That can be either desiccated or synthetic T4/T3 combination or T4 only.

Did you ask your doctor to test RT3?  I'm just wondering why he ordered the test since he seems to be ignoring it.

Medicine is not an exact science.  A good part of it is theory and opinion.  Also, what works for one person often doesn't for others.
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Avatar universal
Doctor said anything about RT3 he just want me to lower T4 (synthroid) , the thing is he is against dessicated thyroid, which in my case i belive would be better choice. I made research and in RT3 dominance is T3 treatment beneficial so Im confused. Why every doctor say different thing???
Helpful - 0
Avatar universal
Our bodies convert T4 to both T3 and RT3.  RT3 is a mirror image of T3 and can dock upside-down at T3 receptors in cells.  RT3 blocks T3 from getting into cells, and it doesn't get neutralized quickly like T3 does.  RT3 is inert.

The result is that, even though your FT4 may be quite high (as yours is), you are still hypo at the cellular level.

Ironically, the more T4 meds you take, the worse the situation can become since more of that T4 is converted to RT3 rather than T3.

Do some research on RT3 dominance, also sometimes called "Wilson's Syndrome" and "Wilson's Temperature Syndrome".  

Your T4 really is too high, so I understand your doctor wanting to lower your Synthroid dose.  What has he said about your RT3?  
Helpful - 0
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