Hi Jenn. glad you are doing better. You do need to continue to increase your FT4 and FT3 to optimal levels. I know you are concerned about what you referred to as hyper symptoms, but I wondered what made you think it was hyper, instead of hypo symptoms?
Are you currently taking Thyroid medication? If so what are you taking and what is your dose?
I assume that you ARE already on thyroid med.
Are you sure that the T4 levels and ranges are for FREE T4?
The numbers and range look more like what is normally seen for "total T4"
Regardless, You are BELOW or in the basement of BOTH results. And it is no surprise that you feel Hypo.
The Dr's are all wound up and ONLY focusing on TSH which is useless at this point.
The only suggestion I would have at the moment to discuss with your Dr is this. If your thyroid is suppressed which is what the TSH suggests. That is, your thyroid gland is producing little to nothing. With that truth. It would then mean that the Free T4 and Free T3 levels that you are living with are ONLY the result of the medication. And BOTH levels are extremely low or below range. And your symptoms are consistent with HYPO.
So you have 3 very important indicators that you are Hypo. BOTH blood level tests and most importantly your symptoms! These should WAY overpower the useless TSH test.
Put another way. You could ask your Dr's. If you removed the TSH test from the process. And you presented ONLY with the Hypo symptoms AND extremely low or BELOW range thyroid hormone levels. What would be their opinion of your condition, and based on that, would they recommend a dosage increase, or to continue letting you suffer hypo symptoms?
I recently had my thyroid levels checked.
TSH: 0.14 (0.34-5.0)
FT4: 11 (12-22)
FT3: 4 (3.5-6)
Sometimes I still experience some hypo symptoms, but overall I'm doing a lot better than before.
Please check your messages on your personal page.
I am somewhat surprised that you seem to be doing pretty well on that dose, which is not even an average daily replacement amount of thyroid med, as discussed previously by telus2. OF course, delaying your med dosage means that your levels are near their low for the day, but your FT4 is at bottom of the range, and your FT3 is only at 31% of its range. Even though everyone can have different levels at which they feel best, both of these levels are lower than many of us have found to be adequate to relieve hypo symptoms. The goal of treatment is to titrate your dosage so that your FT4 and FT3 levels are high enough to relieve hypo symptoms, but without going so far as to create hyper symptoms. Accordingly, I think you could benefit from a small increase in dosage, which I am sure will be a problem with your doctor, due to resultant low TSH. I have discussed all this in prior messages, but I am sending you a PM with further info. To access, click on your name and then from your personal page click on messages.
Before discussing your latest results, we need to know if you delayed your morning dose of med until after the blood draw for those tests. If not, then what time did you take the med and what time was the blood draw. Even more important, feeling "pretty good" is not definitive enough. Do you have any symptoms at all?