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What is it? Hashi, Peri-menopause, Synthroid dose

Hi, Please help. 9 months ago was diagnosed Hashimotos TSH 7, age 54. I had extreme exhaustion, hot sweats and then immediately cold continuously at night, headaches, muscle and shoulder aches. Initially I was given a dose of 100mcg synthroid and felt very much better but also felt I was over medicated and hyper. TSH .01 and Free T4 in mid to higher range. Since then my dose has been lowered to 50mcg. All my symptoms are starting to return but not quiet as bad. I am also in peri-menopause. Would like to know if I need dose increase or if it is perimenopause or Hashi itself or side effects from Synthroid? They all seem to have the same side effects.
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649848 tn?1534633700
COMMUNITY LEADER
You need to get an FT3 test.  With your FT4 as high in the range as it is, I suspect that you might not be converting FT4 (storage hormone) to the usable FT3.  Your symptoms are those of being hypo; you may need to add a source of T3 med, in order to alleviate symptoms.

If your doctor refuses to run FT3, you need to find who will.   FT3 is the hormone that's used by the individual cells, and if there's a shortfall, symptoms will not be alleviated, no matter how high you drive your FT4.

High cholesterol is also a symptom of hypo.
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649848 tn?1534633700
COMMUNITY LEADER
I reported this as a duplicate, so the mods might delete it.  Here's my response from the other thread, which I've now reported as duplicate.

Please post your actual thyroid hormone levels.  What tests have been done?  Your doctor should be testing Free T3 and Free T4, along with TSH, which is a pituitary hormone and not indicative of actual thyroid hormones.  Be sure to include reference ranges, with any labs, as ranges vary lab to lab and have to be posted with results.

100 mcg is a huge starting dose and I'm not surprised you were over
medicated

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I see you did have the FT4; what was the actual result, with reference range?
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Avatar universal
Hi, thank you for responding, this is my lab  when diagnosed  9 months ago  - TSH                  [H]  6.57 UIU/ML        scale-  0.30-5.10
This is one month ago -  
TSH                  [A]  <0.1 UIU/ML           scale- 0.3-5.1
FREE T4                   1.79 NG/DL          scale- 0.73-1.95
CALCULATED LDL CHOL  [H]  104 MG/DL         scale  <100
I am trying to figure if I should have my synthroid increased to .75 (on .50)  if it is Hashi returing symptoms or peri-menopause or reaction to the synthroid itself....having a lot of same symptoms (headache, chills then hot flashes, fatigue, dry skin, tired an napping at 2pm) as before I was diagnosed, just not as quite as bad.
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Avatar universal
Thank you so much!
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