Thank you so much. I have had symptoms for 5 years. I've been to so many Dr's I can't remember them all. Always tired, hair failing out, one swollen foot that would not go away, bouts of anxiety, IBS-D, infertility, weight gain even on a 700 cal diet. I finally went to an 80 yr old Dr here in town that specifically works with hormones and thyroid.
Thank you for the link. And yes, I was low on D and B-12.
My swollen foot is now slowly coming back to normal after 5 years. :)
Thank you for your response.
Oh I didn't know that was needed. Here ya go and thanks!
TSH 1.7 (range 0.350 - 5.000)
FT4 0.9 (range 0.8 - 1.5)
FT3 2.3 (range 2.2 - 4.0)
TPO 43 (range <20)
By the reference ranges I see most often, I think your Free T3 and Free T4 are too low in the range, which is often associated with having hypo symptoms. It is always important to compare results against their reference ranges. So, if you will please post the reference ranges for those results, as shown on the lab report, members will be better able to respond.
You did not mention if you were having hypo symptoms before starting the meds. If so, please tell us about those symptoms.
It is a good sign that your doctor was willing to start you on thyroid meds. Many times the doctors will wait until test results are out of range or until the patient is suffering with overt hypo symptoms. I do think the starting dose was a bit high. The recommended dosage is usually between 25-50 mcg. So, that is likely why you had the reaction. The best approach is to be cautious and start slowly and build up very gradually, as needed to relieve symptoms.
A good thyroid doctor will treat a hypo patient clinically by testing and adjusting Free T3 and Free T4 as necessary to relieve symptoms, without being constrained by resultant TSH levels. You can get some good insight into clinical treatment from this letter written by a good thyroid doctor for patients that he sometimes consults with after initial tests and evaluation. The letter is then sent to the participating doctor of the patient to help guide treatment. In the letter, please note the statement, "the ultimate
criterion for dose adjustment must always be the clinical response of the patient."
http://hormonerestoration.com/files/ThyroidPMD.pdf
Since hypo patients are frequently too low in the ranges for Vitamin D, B12, and ferritin, I also suggest that you should test for those as well. It would also be good to get a full iron test panel done.
Please let us know how you progress with your treatment. It does not have to be as difficult as what many of us have gone through in the past. Mostly it is a matter of finding a good thyroid doctor that will do the testing and treatment described above.