TSH Still High

[besst]

Been awhile since my last post.  Have slowly been increasing my levothyroxine since having issues in January and halving my levo dose from 175mcg to 75 mcg (due to possible overdose symptoms).
I am a little confused.  
Last Labs collected Sept 25/10 (on 137 mcg levothyroxine)

TSH 6.88 (range: .3 - 5.5)      *** Last TSH when on 125 mcg was 4.65
Free T4 16 (range:11 - 22)
Free F3  3.6 (range: 4.0 - 7.8)

So I have increased my dose from 125 to 137 mcg, and my TSH has gone up?? And no change in Free T4 /Free T3.

I saw an Endo a few months ago, and she made a comment that my Free T3 would always be low........wondering what she meant.  I was told we could add time release T3 to the mix , but I quess I have been trying to fix adrenal issues etc, in hopes of fixing the conversion problem.   The endo wants my TSH to be around 2.0.
Should my next step be to increase my levo to 150 and see if continuing my adrenal program and the increase makes any difference.  Anyone have an idea why my TSH would go UP with increasing my thyroid med dose??? Makes no sense to me...................thank you.

[besst]

Thank you for your comments.  I really appreciate your knowledge.

I forgot to mention that I have antithyroid peroxidase antibodies as well.  From what I have been reading, lowering the TSH further can also suppress the antibody response.  I am going to my doctor this week, and may ask for another increase in levothyroxine - to 150 mcg - and
hopefully the TSH will come down and the FT3 goes up.  I also read that adding a selenium supplement (200 mcg) can help the conversion of FT4 to FT3.

Can you explain your comment regarding being concerned about the endo saying my FT3 would always be low?  

The endocrinologist did say that I could come back and we could try lowering the levo and adding in some time-release cytomel.  I tend to get palpitations - so she is a bit cautious about this option  , at least for now.  Working on the adrenal fatique has really helped the palpitations, and my nervous system is starting to really calm down now............so maybe the increase in levo , and continuing my adrenal progrom, with the addition of selenium should be my next move?  What do you think?

[stella5349]

looking at the labs, it is clear you are not converting to enough T3 here. You could have 2 choices.

Depend on the T4 Levo to do all the work and up the meds to see if the FT3 level increases more to relieve you of the hypothyroidism or -

Go on the T3 XR med and see if getting directing T3 in you helps.

Option 2 would be what I feel would be best and will work faster then depending on the T4 only meds to do all the work. The body is not build to convert 100% of the T4 into all the T3 you need.

Its concerning with your comment of the T3 always being LOW as this doctor said. - That is not the case and the levels actually are high on the references with the labs when a patient feels their best. The TSH - however will suppress to almost hyperthyroid ( usually 1.0 or below)