Help with understanding TSH pls

[A_G09]

Why does your Free T4 stay the same level when your TSH is all over the place , i know iam under medicated for after having RAI just need to take it step by sept and up it every 6 weeks untill getting the right dose 25mcg each time more Iam now on 100mcg levothyroxine , its just took a year or so for mine to die off (thyroid) must have been slow
Sorry i cant get T3 levels Docs checked they do it back to front in the UK and ive gave up trying , few months ago i did manage to check them but he said its fine T3

Question is about Free T4 ? why it stays the same
And is there any natural meds to help convert Free T3 T4
my
Free T4 is - 12
TSH - 18.0
Which had tripled since a few months back this is Decs results which i managed to get T3 tested
T3 -1.4
Free T4 - 13.3
TSH- 3.55

They are sending my bloods away to get checked , god knows why ???
help pls

[A_G09]

Thanks Gimel very useful , think its time a pushed to go private i have health care but all this thyroid business was before i took it out maybe they will look into an excisting condition , its a nightmare for me and delaying my future for a family :( with not having the right levels , all the thyroid underactive symptoms iam having just now only knows what damage its doing to me not having the correct levels for 2 years after RAI , its better being under than over (hated over) but its just getting it right , wish they done it the same why as you guys , dont know if its maybe cause NHS is free here , hmmm not sure
I will get there (i think) lol

[A_G09]

thanks might try and go private : /

[Barb135]

There are some members who have gotten treatment with T3 med, but I think they've either had to go private or go through a whole rigid process with their doctor to get it.

[gimel]

You might find this info useful in your discussions with your doctor.  


IMPRESSIVE GOOD THYROID NEWS!  

After a grueling week by the United Kingdom’s General Medical Council (GMC) , it was decided that the UK’s most renowned thyroid practitioner, Dr. Gordon P. Skinner, should have all his restrictions lifted and his Fitness to Practice restored!

On November 11th, 2007, the GMC had decided that the beloved Dr Gordon Skinner was not fit to practice, simply because in 2005, he dared to listen to and dose by a patient’s clinically-presented thyroid symptoms rather than her TSH labwork–the latter which fell in the erroneous normal range.  Even more dastardly, felt the GMC, Skinner was going to treat the patient without a referral letter from her GP, and may have failed to contact the GP. Heaven Forbid!!

Says a recent statement from TPA-UK:

    The GMC have agreed that Dr Skinner was not acting dangerously in initiating treatment with thyroid hormone replacement for those patients who had normal thyroid function tests but who suffered several symptoms and signs of hypothyroidism. They also agreed that for those patients who did not do well on levothyroxine-only therapy, the use of natural desiccated thyroid extract (i.e. Armour Thyroid) was a safe and effective thyroid hormone replacement that doctors could prescribe, even though it remains unlicensed. This is a precedent - and one that the British Thyroid Association are most definitely very unlikely to be happy with.
______________________________

[A_G09]

Thanks guys , iam banging my head off a brick wall with T3 iam sure in Dec it was Free T3
They always give me the results over the phone and its a nightmare everytime i ask about Free T3 then just say its not required testing anymore because iam under and they used to test it when i was over ,
Somethings not quite right , i will demand results next time and maybe take evidence with me :( its unreal iam really starting to think its something to do with T3 meds but they defo dont prescribe then in the UK so i know iam at a brick wall , thanks guys much obliged

[flyingfool]

Please check out this website.  It is American I believe but it the National Academy of hypothyroidism.  http://nahypothyroidism.org/

the 3rd item on the top left list talks about the Deiodinases enzyme. But the summary is that MANY, MANY things can affect the cellular level of thyroid that the Pituitary just doesn't recognize.  This is just a reminder of just how variable and useless TSH really is.

TSH can report that everything is fine and dandy while at the cellular level they are starving for thyroid.

People in the UK we've heard have extremely difficult time with this. Some have even reported that it is illegal for Dr's to prescribe a T3 medication.  I'm not sure if that is true but it shows the level of difficulty some have encountered trying to get the proper testing and medication to make them feel well.

As barb stated. Without testing of Free T3 there is really no way of knowing how much thyroid is available for use at the cellular level.