Almost hyper labs , but feeling amazing .

[dolbydriver]

With 128 micrograms of levothyroxine I had this labs , TSH at 0.90 and the FT4 1.38 , 0.9 to 1.7 the ref range , what I found some hyperthyroid but still feeling hypo . I changed to 130 and I feel amazing , what probably will send the lab values to more hyper . What do you think ?

[Barb135]

First off, Totie is "not" hyper... my TSH is also non-detectable at < 0.01 (our labs record the numbers differently)... My FT4 is actually less than the recommended mid range and my FT3 is less than the recommended upper half to upper third of its range.  

You're right, though, a very small dosage increase/decrease can make a huge difference in the way you feel.  

We all have to do what is right for our own body and for most of us TSH is usually not the determining factor, but if you feel best right now, that's where you should stay...

[dolbydriver]

Thanks again for the comments . Totie , but what meds do you take , I think you are hyper , a lot . Barb , what I learned here from the contributors , like you , is that a little change in the dosage can have a huge impact , one microgram of levothyroxine made a big difference on how I feel .

[Totie]

Glad your doctor lets you stay at that dose. My TSH is non detectable @ .00000, but my doctor says as long as I am not showing any symptoms and i feel fine then I can stay where I am .

[Barb135]

Since Free T3 is the hormone actually used by the individual cells in your body, that's always what we prefer to look at first.  TSH is affected by many variables and can fluctuate by up to 75% over the course of a day, so it's really quite unreliable.

You're right, though... when you feel great, there's no way you're going to want to change your medication to something that will make you feel less great, so I'm all for staying with the dosage you're on as long you remain stable on it.

If you start going up and down, as on a roller coaster, then take a good look at the testing/treatment and make changes that won't allow for as much fluctuation...  Good luck...

[dolbydriver]

Thanks for the useful recommandation , to both of you . I am on T4 only treatment , and maybe FT3 lab values can be a good indicator , but for me the best was the TSH , and not the FT4 , like right now . The most important is how you feel , more or less , no doubt , and if you feel great no way you ll change the medication .

[1Kel12]

I'm new to all of this so take my input with a grain of salt...

With my latest dose increase my labs jumped to FT4 60% and FT3 79% of the range. My doc is ok with me staying at this level since I feel good finally.

I have not gone "hyper" but I have noticed a heart pounding/slightly breathless feeling (comes and goes) but my heart rate is normal (60's) just higher than it used to be(50's). BP is still low (95/65)

I was considering reducing a bit but I feel really good overall and my heart/breathing seems to be improving.

Do you have any symptoms? How long have you been at this dose?