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617316 tn?1274867515

Low FT3 and FT4 - normal TSH

Hello,

Can anyone please help me with my problem?  I have had an underactive thyroid for 3 years and have felt terrible nearly every day.  

My last blood test my results in Sept 09 were:

TSH - 1.5 (1-5.5)
FT4 - 10.1 (9.9-25)
FT3 - 4.4 (3.9-6.5)

As you can see, my FT3 and FT4 levels are at the low end whereby my TSH is within normal limits.  I guess this means I have have conversion problems.  I take 75mg of T4 and 5mg of T3.   My Endo suggested I increase the T4 to 100/75 on alternating days.  This gave me huge anxiety attacks and insomnia so I reduced it back down to 75mg.  

I am due a blood test in January.  The test is for TSH, FT4, FT3, Vit D (I was vit D deficient), Calcium and RT3.   Does anyone know what other tests I can ask for?  My DHEA was normal in my last test.

I've read a bit about conversion problems and know it could be due to adrenal, liver and digestive enzyme deficiencies.   Are there any blood tests I can do to find out whether these are the problem?

Thanks so much for any advice here.

Jo
29 Responses
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798555 tn?1292787551
OK, but,

"I think it's a good idea to have an honour board in this great forum to make more competition  between the members ! "

- Hu?  This forums intentions and reason for existence is not about competition between members. This is not a game to be competitively won or lost. This is about peoples health.

Its about helping others gain knowledge about there ills, by offering facts learned, new information and personal experience from within your knowledgeable area.  Many here know a lot, but only answer what is in their range of specialty, most likely from personal experience. And we must remember, that our personal thyroid issues can be different from others, there is no 'standard' treatment for all. This forum provides the proof and sometimes specializes, to some extent on some peoples more challenging thyroid issues that the medical system does not manage or treat very well.

Didn't mean to 'hijack' this thread, but this is not the place to be 'competitive'.  Of course people being people, dont always use there best words of choice at the time when posting either.


Helpful - 0
Avatar universal
[quote] Never did I try or intend to outcast anyone on the post I made a few weeks ago. I did not pull that post up to quote things, but I am pretty sure my wording on it was not to "honor" anybody and that all the members here are very valuable.  [quote]

No body feels outcasted .

[quote] not trying to push anyone into hurt feelings. Sometimes that little purple flower can look like something its not and if anyone is upset - they should of sent me a message. [quote]

No body feels hurt .

[quote] re are any - still bothered by that "honor" post which if I am reading right - some think (that "honor" word does bother me being used)- which certainly was not my intentions, I would greatly welcome the chance to explain and apologize in a message.  [quote]

THere is no need for apology at all , I meant to till gimel how important is he ,and that I am not contradicting him .
I already said that the reason I give from my expensive time here has nothing to do with honour boards at all .
I think it's a good idea to have an honour board in this great forum to make more competition  between the members !

all the best !
Helpful - 0
393685 tn?1425812522
tilusrc - I am glad you are here and find great comfort contributing and reading. I really think this is a healthy discussion on the lab roles for thyroid but I must intervene at least on one topic.

I did speak to Barb and she helped me understand some things. Never did I try or intend to outcast anyone on the post I made a few weeks ago. I did not pull that post up to quote things, but I am pretty sure my wording on it was not to "honor" anybody and that all the members here are very valuable.

The reason why I reached out to those particular people is I was in close contact with them on my own issues with things. I was near the end with my thyroid meds and was scared... I also tried other forms of thyroid meds that were said identical - and I spiraled fast down into hypo within days. I also was working on the mass global shortage of desiccated meds for personal... and leadership reasons.

Plus personally I was in a job situation that was tearing me apart - I was searching for a new job. We had no Christmas due to money issues and it was a very tough time for me thyroid and personally. The death of my father was very hard this year too for me.

I spoke to those members in messages about my issues and they helped me alot. It was only showing appreciation as me-  as a person very scared and not able to be totally a Co Leader at that time. - not trying to push anyone into hurt feelings. Sometimes that little purple flower can look like something its not and if anyone is upset - they should of sent me a message.

If there are any - still bothered by that "honor" post which if I am reading right - some think (that "honor" word does bother me being used)- which certainly was not my intentions, I would greatly welcome the chance to explain and apologize in a message.

I really don't expect this wonderful post be consumed with my post here and hope it continues posting about how important labs are to get well.
Helpful - 0
Avatar universal
I am learning and enjoying this forum. Please continue and Happy New Year to everyone.

tilusrc
Helpful - 0
Avatar universal
]]]I have tried to explain your numbers to you on other posts.  In a nutshell, your FT4 is too high, your FT3 is too low.  The frees are out of balance.  You need to add in some T3 and lower your T4 meds.  It is not your TSH that is making you either hypo or hyper. [[[

I have no doubt regarding your knowledge ,and I respect you very much ,but ,no,I have no conversion problem ,I was hyper on 700 mcg and now I am on 650 mcg/week and start to feel better and symptoms are disappearing !

I asked regarding computer science degree because you mentioned the top down and the bottom up approach !
Helpful - 0
Avatar universal
I would argue that if they don't feel hypo (or hyper), then they are not.  This is a condition based on symptoms.  The "numbers" can be a guide, but feeling well is what we're all after.

I have tried to explain your numbers to you on other posts.  In a nutshell, your FT4 is too high, your FT3 is too low.  The frees are out of balance.  You need to add in some T3 and lower your T4 meds.  It is not your TSH that is making you either hypo or hyper.

No, my degree is not in computer science, but I was a systems analyst all my life.  I'm self-taught in the computer field...old enough that all of us were back then...no one had a computer science degree (and that's old!).  
Helpful - 0
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