What symptoms did you have during the time before starting on the Thyronorm? Had you gained weight during that time? How long were you on the 50 mcg of Thyronorm before increasing to 62.5?
Just to clarify, your weight was 74 kg, then 6 years ago it went to 68, then 72 and now 68. Is that correct?
6years before My weight is 68 gradually I gained weight to 74kg in 2017. When I dedected with thyroid I’m 72(4months before) now 68
Hypothyroidism reduces metabolism, so it is not unusual to gain weight in that condition. Your first test results showed Hashimoto's Thyroiditis. With Hashi's the autoimmune system erroneously identifies the thyroid gland as foreign to the body and produces antibodies to attack and eventually destroy the gland. As this is occurring the gland's output of thyroid hormone diminishes and the pituitary secretes increasing amounts of TSH in an effort to stimulate the thyroid gland to produce adequate hormone.
When starting on thyroid med like Thyronorm, it is not additive to your prior FT4 and FT3 levels. The med causes TSH to drop and thus the output of natural thyroid also drops. Since serum levels are the sum of both natural thyroid hormone and thyroid medication, serum levels won't increase significantly until the med dose is enough to suppress TSH. After that, additional increases in med dosage will start to raise FT4 and FT3 levels. One thing to note here is that you should delay your dose of Thyronorm until after the blood draw for tests, in order to avoid false high results. That may have been the reason for the increase in FT4 results after starting on the Thyronorm.
In the future you should make sure they always test for both Free T4 and Free T3. Your objective, of course, is to relieve hypo symptoms. In order to accomplish that you will need to get your FT4 to at least mid-range, and your FT3 into the upper third of the range, as needed to relieve symptoms. In addition, hypothyroid patients are frequently deficient in Vitamin D, B12 and ferritin, so you should get those tested also and then supplement as needed to optimize. D should be at least 50 ng/mL, B12 in the upper part of its range and ferritin should be at least 100.
Sorry I didn't mention it specifically, I just mentioned that hypothyroidism lowers metabolism and thus reduces weight. So raising your medication dosage and your thyroid hormone levels will increase your metabolism and, all else staying the same, will reduce weight. I would not worry about it at all. The amount in the first month is likely a lot of water weight you were carrying because of the hypothyroidism. It will not continue at that rate, and maybe not at all unless you continue to increase your med dosage as needed to relieve symptoms.
Sorry, I wrote the wrong thing above. Low metabolism will cause weight increase. So taking thyroid med adequate to fix hypothyroidism will cause weight loss, if diet and exercise stay the same as before.
Latest post by martinmystery, copied and pasted here.
I’m not active because my job is setting all day before computer. I noticed when ever walked more than 5kms a day next day hair loss happens. 6 month before I went gym for 2 weeks. Excessive hair loss happens. I think something happens when I put my body in exercise. 4month before im detected with hypothyroidism f T3 3.54 (2.0 to 4.4 pg/ml) fT4 0.956 (0.7 to 1.8 ng/dl) TSH 73.32 (0.4 to 4.2 ulU/ml) ATPO 54.75 (normal < 34lU/ml). Now TSH 8.7 fT4 1.61 after taking thyronorm 50mg. now 62.5 mg is taking for past 1 month. My weight 69 age 25
What, if anything has changed in your medication dosage recently? Also, have you tested for Vitamin D, B12 and ferritin so that you can supplement to optimize? Two of the main causes for hair loss are hypothyroidism and low ferritin.
Just being in the reference range for a test does not mean that it is optimal. Ferritin should be at least 100. You need to know the result and supplement as needed to achieve that. You also need to know B12. It needs to be in the upper end of its range.
Very doubtful that the small increase in thyroxine will be anywhere near adequate. When will you be tested again for Free T4 and Free T3?
I would not self medicate with B12 and ferritin without first being tested to know the starting levels.
Has the doctor ever considered that your palpitations could be associated with being hypothyroid, which is a known symptom. From a very long list of symptoms that may be related to hypothyroidism, note the following:
High blood pressure
Low blood pressure
Slow/weak pulse (under 60 bpm)
Fast pulse (over 90 bpm at rest)
Arrhythmia (irregular heartbeat)
High LDL (“bad”) cholesterol
Mitral Valve Prolapse
Coronary Artery Disease
Elevated C-Reactive Protein
Congestive Heart Failure
Perhaps the doctor is taking too long between appointments to re-test and increase your med dosage. With even a T4 med like Thyronorm, with a half-life of about one week, over 95% of the full effect on serum thyroid levels will be reached in about 5 weeks, so why have to wait for 6 months for further help from your doctor?
Your FT4 result of .956 is only at 23% of its range, which is lower than optimal for many people. Your FT3 of 3.54 is at 64% of its range. This is an unusual pattern. Usually hypo patients taking T4 meds find that their T4 level lags their T3 level due to poor conversion. This makes me think of two scenarios: one is that your body is over-converting T4 to T3 in an effort to maintain thyroid function as well as possible. The second is that you have something called "pooling of T3 in the blood", causing inadequate FT3 in cells/tissue of your body. This condition is reported to be due to low ferritin, or either high or low cortisol. So I suggest that you try to see the doctor and get tested for cortisol, Reverse T3 (and a Free T3 from same blood draw, in order to calculate the FT3 to RT3 ratio), Vitamin D, B12 and ferritin. Also keep in mind for the future that you should not take your daily thyroid med until after the blood draw, in order to avoid false high results.