Aa
New test results. What next
New results taken 30th April.
Ft4 15.8 (9.0-19.0)
Ft3 3.49 (2.63-5.70)
Total T3 1.17(1.30-3.10)
TPOab 604.72 (0.00-5.61)
Previous on 6th march
FT3 3.75 (2.63-5.70)
TSH 1.69
On the 6th of march my med was increased from 75 Levo daily to 75 and 100 on alternate days. This affected my sleep at first but that settled down. I now have neck discomfort similar to that before treatment for hypo also eye pain. I have also lost about 4lbs without change of lifestyle. I cannot afford to lose more weight as I will b underweight. Going back to endo in a few days what do u think would be best course for me. Thanks for help. Marley
Ft4 15.8 (9.0-19.0)
Ft3 3.49 (2.63-5.70)
Total T3 1.17(1.30-3.10)
TPOab 604.72 (0.00-5.61)
Previous on 6th march
FT3 3.75 (2.63-5.70)
TSH 1.69
On the 6th of march my med was increased from 75 Levo daily to 75 and 100 on alternate days. This affected my sleep at first but that settled down. I now have neck discomfort similar to that before treatment for hypo also eye pain. I have also lost about 4lbs without change of lifestyle. I cannot afford to lose more weight as I will b underweight. Going back to endo in a few days what do u think would be best course for me. Thanks for help. Marley
Hello goolarra. I agree with you why put off added t3 for so long. I will do as you suggest and give it 4 to 6 weeks and reschedule appointment if I don't see improvement. Thanks for your support and sound advice. Marley
Arrrgh... For someone who thinks that FT3 at 28% of range is "in the middle", she sure does get precise about FT4. Yours is a little high, but it's far from over the top.
However, don't give up on her yet if she's already agreed to add a little T3. I would only ask "why so long before re-testing?" Your current dose should have stabilized in 4-6 weeks. Anything after that is really a waste of time.
TPOab causing fatigue? Not in my experience. Logically speaking, once you have TPO antibodies, you have them for life. The implication is that you will always feel fatigued (even if your thyroid hormone levels are optimized) if your antibodies are high, and that is not the case.
I think it's a good idea to drop your T4 meds a bit at the same time or just before adding in some T3. Your FT4 is pretty high, and some of your symptoms sound like they might be from excess FT4. Remember, too, that it takes several weeks for FT4 levels to drop after a decrease in meds, but the effects of T3 meds are much more immediate. Can you see how you feel in 4-6 weeks and press her for labs and re-evaluation sooner if you don't fell better or feel worse? My guess is that you are going to have to add some T3 in, and why prolong the process?
However, don't give up on her yet if she's already agreed to add a little T3. I would only ask "why so long before re-testing?" Your current dose should have stabilized in 4-6 weeks. Anything after that is really a waste of time.
TPOab causing fatigue? Not in my experience. Logically speaking, once you have TPO antibodies, you have them for life. The implication is that you will always feel fatigued (even if your thyroid hormone levels are optimized) if your antibodies are high, and that is not the case.
I think it's a good idea to drop your T4 meds a bit at the same time or just before adding in some T3. Your FT4 is pretty high, and some of your symptoms sound like they might be from excess FT4. Remember, too, that it takes several weeks for FT4 levels to drop after a decrease in meds, but the effects of T3 meds are much more immediate. Can you see how you feel in 4-6 weeks and press her for labs and re-evaluation sooner if you don't fell better or feel worse? My guess is that you are going to have to add some T3 in, and why prolong the process?
Hi goolarra. I'm just back from visit to endo. I feel disappointed that the only change is to decrease my Levo dose from 75 and 100 on alternate days to 75 with 100 twice a week. Endo thinks I may be very sensitive to med and wants to try get me in the right place on t4 med before adding any t3. My test results are as follows
TSH .455 (0.27-4.20)
FT3 3.49 (2.63-5.70) to this she said its in the middle of the range, that's fine. As u pointed out its at 28precent
FT4 15.80 (9.0-19.0)
I have had a lot of symptoms for the past few weeks. Neck pain and stiffness. Pressure pain in head. Smarting darts of pain in eyes. Shaky and uneasy. 3 lbs weight lose. Joint pains. I do think that I may have been over medicated. I am to go back in 3 months time and if there is no improvement she will add some t3. My tpo ab was very high and she says that this can cause a lot off fatigue. Is she on the right track or would I be better to start t3 sooner. I have to take on board what she advises but I feel the real me is missing at the moment and I'd like to get back to feeling normal. Thanks for all your help. I went prepared because of what I have learnt on this site.
TSH .455 (0.27-4.20)
FT3 3.49 (2.63-5.70) to this she said its in the middle of the range, that's fine. As u pointed out its at 28precent
FT4 15.80 (9.0-19.0)
I have had a lot of symptoms for the past few weeks. Neck pain and stiffness. Pressure pain in head. Smarting darts of pain in eyes. Shaky and uneasy. 3 lbs weight lose. Joint pains. I do think that I may have been over medicated. I am to go back in 3 months time and if there is no improvement she will add some t3. My tpo ab was very high and she says that this can cause a lot off fatigue. Is she on the right track or would I be better to start t3 sooner. I have to take on board what she advises but I feel the real me is missing at the moment and I'd like to get back to feeling normal. Thanks for all your help. I went prepared because of what I have learnt on this site.
Your FT3 is quite a bit on the low side. It's at 28% of range, and many of us find it has to be above 66% to feel well.
Your FT4 is a little on the high side. The rule of thumb for FT4 is 50% of range, and you're at 68%. So, I don't really think an increase in levo will help you feel better at this point.
Ideally, FT3 should be higher in its range than FT4 is in its, so your profile is a little upside-down.
I'd ask my doctor about adding in a little T3...perhaps around 5 mcg to start. Also, ask him if you should reduce your T4 a little at the same time since it's quite high. The rule of thumb is to reduce T4 meds 20-25 mcg for every 5 mcg T3 added in because T3 is so much more potent.
Another question for him would be if you should split the T3 dose in half, taking half in the morning with your levo and the other half later in the day (but not late enough to disturb sleep). Unlike T4 meds, T3 meds are very fast acting, so splitting the dose creates more even levels throughout the day.
I think that would give you a better FT3/FT4 balance and make you feel better.
Your FT4 is a little on the high side. The rule of thumb for FT4 is 50% of range, and you're at 68%. So, I don't really think an increase in levo will help you feel better at this point.
Ideally, FT3 should be higher in its range than FT4 is in its, so your profile is a little upside-down.
I'd ask my doctor about adding in a little T3...perhaps around 5 mcg to start. Also, ask him if you should reduce your T4 a little at the same time since it's quite high. The rule of thumb is to reduce T4 meds 20-25 mcg for every 5 mcg T3 added in because T3 is so much more potent.
Another question for him would be if you should split the T3 dose in half, taking half in the morning with your levo and the other half later in the day (but not late enough to disturb sleep). Unlike T4 meds, T3 meds are very fast acting, so splitting the dose creates more even levels throughout the day.
I think that would give you a better FT3/FT4 balance and make you feel better.
Sorry for late reply but did respond but must have failed to post comment. I was diag with hashis. I started med sept 11 at 50mcg and increased to 75 a month later. Yes they only did TSH and FT3 in march. This time I requested the other tests which had to b sent to a private clinic. They did not do tsh so I will have to get this done today as endo will need this. Any advice u may have will be appreciated. Thanks
Have an Answer?
You are reading content posted in the Thyroid Disorders Community
We tapped the CDC for information on what you need to know about radiation exposure
Endocrinologist Mark Lupo, MD, answers 10 questions about thyroid disorders and how to treat them
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
Herpes spreads by oral, vaginal and anal sex.
STIs are the most common cause of genital sores.
