If you have the lab report, can you tell us if the T3 and T4 are "Free" or "Total"? And what the reference ranges are - these ranges vary from lab to lab, so must come from your own report. The T4 looks like it could be "Free", but I'm wondering about the T3... please confirm whether these are Free or Total - if your lab report doesn't specify Free or FT, then the results will be total.
Also, please post the reference ranges for the other tests - "normal" for vitamin D can be anywhere between 30 and 100, but if your levels are closer to 30, you won't feel as well as if they are closer to 100. Same goes for iron and B12. What was your TSH level, and reference range? Again, "normal" doesn't mean "normal for YOU". AND many labs, therefore, doctors are using outdated ranges for TSH. The new range, as recommended by AACE about 8 yrs ago, is 0.3-3.0.
Your thyroid basically controls your metabolism, so, yes, if you are hypo, you have a metabolism problem.
Do you know what other tests the endo ordered? Do you know if you have Hashmoto's Thyroiditis?
Looking at your labs, I suspect that the endo thinks maybe you aren't converting the T4 to T3 properly, which is keeping your metabolism low, since T3 is the only hormone the body actually uses. FT4 is a storage hormone and must be converted to FT3, prior to use. It's customary to reduce T4 medication, when adding a source of T3.
In my opinion, your endo is taking the proper approach by testing and possibly changing your medication. Do be aware, though, that some of us still have to work very hard to get/keep weight under control, even after our meds are adjusted properly. Before becoming hypo, I never had a weight problem and I'm at a point, now, where I "can" lose weight, but I do have to work at it.
I'm not a strong believer in weight loss doctors/clinics. Yes, you lose weight, but, like most "diets", once you stop, the weight comes back. I'm a firm believer in adopting lifestyle changes that you can live with from now on vs short term solutions. I'm also a Co Leader on the Weight Loss and Dieting forum, so I'll take this opportunity to invite you on over to take a look..
Thank you Barb 135......Here is the further breakdown of my lab results:
T3, Total 84 Normal Range: 76-181
T4 Free 1.5 0.8-1.8
TSH, 3rd Generation 0.34 Doesn't give a range
Hemoglobin A1c 5.5 1000
Total T3 is considered obsolete and is of very little value; however, it's relatively low in its range, which indicates that Free T3 might also be low in its range, but it's hard to say without having the actual test. Do you think you could get your doctor to do one.
Your FT4 is above mid range, so that, along with the low T3, tells me that you might not convert FT4 to FT3 properly and FT3 is the only hormone the body can actually use.
It appears that you could definitely use a source of T3, such as cytomel, but I'd sure like to see a Free T3 result. Without adequate amounts of T3, your metabolism will not normalize and you will have a hard time losing weight.
Hemoglobin A1c is good - that's used to test for diabetes. What are the ranges for the ferritin and iron?
I agree 100% with Barb135.
you either do not convert T4 to T3 well or you have a reverse T3 issue. Either way you need to get your FREE T3 test done.
T4 is a "storage" hormone. It remains in the blood stream until the body senses it needs more Thyroid and it then converts the T4 into the usable Free T3 hormone. It is only the FREE T3 that is used by the body's cells. The term Free comes from the ract that it is NOT attached to a protein which renders it useless. The conversion process produces the mirror image of the T3 molecule. This Revers T3 (RT3) is troublesome in that the body's receptors will accept this molecule. But it does no good. It is like a piece to a jig saw puzzle that is the exact right shape but when you put it in the spot only the blank cardboard side is seen and thus doesn't complete the picture although it fits perfectly. RT3 problems is a bit more rare but it does happen and sometimes can be "cured" by purging the RT3 out.
In either of these 2 cases, the problem is solved by the addition of a T3 medication.
Okay....thank you so much. I just got the results back from the endo/thyroid specialist and he has informed me to go forth and obtain the prescription for cytomel. I got the generic form liothyronnine. I hope the generic brand is just as good. I will go back and request a lab test for Free T3. Thank you all for the guidance. I hope this will help with the metabolism in addition to, losing weight.
I am so very glad for this community. I will be lost without it.
Forgot to include....
Iron 62 normal range: 40-175
Ferritin 20 10-154
Both your iron and ferritin are pretty low in their ranges; did your doctor suggest supplementing?
No...he didn't suggest anything ( regular doctor nor endo/thyroid specialist). I can ask whether or not iron supplements can be added. Do you know of any good iron supplements?
There are a lot of good choices for iron supplements; maybe even a good multi w/iron would be sufficient.
I'd suggest that if your doctor(s) approve of supplementing, you should ask them which brand they prefer, or go to your favorite health food store - there are tons of them - major chains, such as Vitamin Shoppe, Vitamin World, Mother Earth, GNC, along with smaller independent health food stores.... talk to the people at the store and ask for their recommendation - the chains, of course, will recommend store brand, and that's not always the best choice.... but I have had some employees recommend different brands, depending on the needs.
I spoke with endo/thyroid specialist and was informed to try prenatal iron supplements. However, he said that he does not diagnose the iron issue and to contact my family doctor. (That is frustrating to hear) I am going to try the prenatal supplement, in addition to, taking my fishing oil, Vitamin C (I do it to boost my immune system), and multivitamin. How far apart can i take these supplements after I take the second dose of my cytomel. The endo/thyroid specialist suggest I should take the second dose prior to 3:00 p.m. no later....
Forgot to ask....do you all know of a good fiber supplement besides benefiber?
You should separate vitamins/minerals from thyroid medication by approximately 4 hours. This means if you take your second dose of cytomel at 3:00 pm, you could take your vitamins around dinner/bed time.
I agree with your endo, not to take cytomel after 3:00 pm because it could likely interfere with your sleep.
For fiber, I take Fiber Advance Gummies - they taste good and are fun to chomp on; be careful starting out with them, though; you don't want too much fiber, too quickly. I also take an enzyme supplement, which helps with digestion issues.