Aa
Thyroid test results
I'm So confused with my numbers.
12-2011 = TSH .005, T4 13.0, FT4 1.36, FT3 3.35, didn't have my T3 numbers= .150 levothyroxine
5-2012 = TSH .01, T4 13.7, FT4 2.0, FT3 1.43, didn't have my T3 numbers= .125 levothyroxine
3-2013 = TSH .011 and FT4 1.6 no other test were done. .125 Levothyroxine
My OBGYN told me that I'm taking in to much medication in. and was concerned that I may have AF. I'm very tired and palms of hands get really hot, feel hungry all the time, agitated and have put on weight, and feel a little depressed. Can someone help me please.
12-2011 = TSH .005, T4 13.0, FT4 1.36, FT3 3.35, didn't have my T3 numbers= .150 levothyroxine
5-2012 = TSH .01, T4 13.7, FT4 2.0, FT3 1.43, didn't have my T3 numbers= .125 levothyroxine
3-2013 = TSH .011 and FT4 1.6 no other test were done. .125 Levothyroxine
My OBGYN told me that I'm taking in to much medication in. and was concerned that I may have AF. I'm very tired and palms of hands get really hot, feel hungry all the time, agitated and have put on weight, and feel a little depressed. Can someone help me please.
Okay, so that was a total T3 a year ago. It's not as low then as I thought it was if it had been FREE T3. As noted above, it's too bad it isn't FT3, which gives a lot more information.
You could be just plain overmedicated. Fatigue is common with hyper (overmedication) as well as hypo. Are you tired despite a full night's sleep, or do you have insomnia? Weight gain isn't a typical hypo symptom, although some people gain weight hypo or hyper and some lose weight either way.
Since your FT4 is way at the top of the range, I think I'd ask my doctor to reduce my meds a bit. Of course, follow up with more blood work in 4-6 weeks (be sure to request FT3 this time), and see how you feel.
You could be just plain overmedicated. Fatigue is common with hyper (overmedication) as well as hypo. Are you tired despite a full night's sleep, or do you have insomnia? Weight gain isn't a typical hypo symptom, although some people gain weight hypo or hyper and some lose weight either way.
Since your FT4 is way at the top of the range, I think I'd ask my doctor to reduce my meds a bit. Of course, follow up with more blood work in 4-6 weeks (be sure to request FT3 this time), and see how you feel.
You may also be slightly confusing the difference between Total T3 and Free T3 (FT3)
Free T3 is really the important number. Total T3 is an outdated test of little value.
I agree with those above. That you may be over medicated with T4 only. If a reduction in the T4 medication results in you feeling Hypo. Then as mentioned above adding in a T3 only medication would be the route I'd recommend.
Your fatigue could also be coming from other vitamin deficiency's. Namely you should check your Vit D3, Vit B-12 and iron and ferritin. Deficiencies in any or all of them is not uncommon and all cause fatigue symptoms in addition to being Hypo.
From what I've gathered here, you want your D3 to be 60 or above and youre B-12 to be well up into the range if not towards the very top of the range.
Many of these vitamins have an extremely wide reference range. Particularly with Vitamin B-12. Again you will want to be at least mid range if not towards the top.
Another thing to test which helps with the conversion of T4 into usable T3 is Selenium.
You may be suffering from Hyper symptoms of the T4 being so high, yet some Hypo symptoms if your conversion is poor and you have low Free T3 levels. Hence the advice to lower the T4 dosage and see if you stabilize and have only one symptom of say Hypo and then knowing the levels of both FT4 and FT3 it may make sense to add in some T3 medication.
As always consult and work with your Dr.
Free T3 is really the important number. Total T3 is an outdated test of little value.
I agree with those above. That you may be over medicated with T4 only. If a reduction in the T4 medication results in you feeling Hypo. Then as mentioned above adding in a T3 only medication would be the route I'd recommend.
Your fatigue could also be coming from other vitamin deficiency's. Namely you should check your Vit D3, Vit B-12 and iron and ferritin. Deficiencies in any or all of them is not uncommon and all cause fatigue symptoms in addition to being Hypo.
From what I've gathered here, you want your D3 to be 60 or above and youre B-12 to be well up into the range if not towards the very top of the range.
Many of these vitamins have an extremely wide reference range. Particularly with Vitamin B-12. Again you will want to be at least mid range if not towards the top.
Another thing to test which helps with the conversion of T4 into usable T3 is Selenium.
You may be suffering from Hyper symptoms of the T4 being so high, yet some Hypo symptoms if your conversion is poor and you have low Free T3 levels. Hence the advice to lower the T4 dosage and see if you stabilize and have only one symptom of say Hypo and then knowing the levels of both FT4 and FT3 it may make sense to add in some T3 medication.
As always consult and work with your Dr.
Thank you for your feedback. I'm sorry, on my blood work a year ago , it was my T3 that was taken and it was 1.43 ranges (0.59-1.74).
Should I be feeling this tired? I never could never take naps or feel like I needed to, but now if I sit down I will fall asleep. Sometimes, for my lunch hour I will go home and take a nap. Ugh I don't like this feeling.
Should I be feeling this tired? I never could never take naps or feel like I needed to, but now if I sit down I will fall asleep. Sometimes, for my lunch hour I will go home and take a nap. Ugh I don't like this feeling.
So, your FT4 is right at the top of the range, which is what's giving you the hyper symptoms.
I realize that your FT3 is a year old, but do you have the range on that?
I'd definitely ask my doctor to repeat FT4 and TSH and include FT3 this time. If it's as low as it was a year ago and you decrease your levo, you are going to be very hypo unless you add in some T3.
I should have mentioned above that desiccated has both T3 and T4 in it, so switching to that is another option.
I realize that your FT3 is a year old, but do you have the range on that?
I'd definitely ask my doctor to repeat FT4 and TSH and include FT3 this time. If it's as low as it was a year ago and you decrease your levo, you are going to be very hypo unless you add in some T3.
I should have mentioned above that desiccated has both T3 and T4 in it, so switching to that is another option.
My body temp is okay, I just feel really hot at times. I was always cold, but not anymore. my heart rate I will have to check. Do you know what it should be? How many beats per minute?
Please post the reference ranges for all your tests. Ranges vary lab to lab, so we have to see them with results.
It looks to me, pending your posting the ranges, that your FT4 is a little high, so your levo may need to be reduced. It's unfortunate they didn't test FT3 this time, but last time your FT3 looked quite low, indicating that you might benefit if they added some T3 (Cytomel and generics) to your meds as they reduce the levo.
It looks to me, pending your posting the ranges, that your FT4 is a little high, so your levo may need to be reduced. It's unfortunate they didn't test FT3 this time, but last time your FT3 looked quite low, indicating that you might benefit if they added some T3 (Cytomel and generics) to your meds as they reduce the levo.
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