I am having Thyroxine 100 mg from last 5 years... I recently stopped taking tablets for about a month and did a check on TSH , T3 and T4.
The resuls are as follows :-
TSH - 11.21
T3 - 95 /ML
T4 - 4.6 /DL
KINDLY ADVICE WHAT TO DO PLEASE..
TSH is a pituitary hormone that is a poor initial diagnostic for thyroid. TSH is frequently low or suppressed below range when taking doses of thyroid med adequate to relieve hypo symptoms. So that is the likely explanation of your low TSH. Still you also apparently have a low Free T4 level. What is the reference range shown on the lab report for the T4 test? Also, even more important than test results, please tell us about any symptoms you have.
I have a T4 at 0.8 and a Tsh at 0.20 do I have a problem with the meds am on 125's
T3 reaches peak effect on serum levels in about 3-4 hours and then diminishes over the next few hours. For that reason it is best to always split the dose and take in the morning and early afternoon to even out the effect. Also, if you have blood drawn as you did, then you will likely get a false high result. So it is also best to defer your med until after blood draw.
In view of the above you really can't be sure of what your thyroid levels are. But as noted previously, most people on adequate doses of desiccated thyroid med have a TSH that is suppressed to low end of range or below and Free T4 around the middle of its range, and free T3 in the upper end of its range, or slightly above.
So in view of your symptoms and how you feel, I expect that you need to get our med dosage raised. You also need to get your cortisol level optimized into the upper quarter of the range. The only way that will help your thyroid status is if the low cortisol has caused some "pooling of T3" in your blood and causing a shortage of T3 in the cells throughout your body. Be aware that if you are started on cortisol med, you should make sure your DHEA-S level is good. Otherwise you will need to supplement with DHEA also.
What is your current thyroid med dosage?
TSH 3.31 - lab range 0.3-4.00
Free T3 5.8 - lab range 3.5-6.5
Free T4 15 - lab range 9-23
From this result your thyroid function is great and it should be and no need to make any change for thyroid medicine and dose and forget about TSH. Concerning low cortisol check for adrenal fatigue. Also look for vitamin D deficiency.
I take the meds first thing in the morning and do not split them. I had my blood drawn around lunch time so probably 5 hours after I took my meds. I will post the result from the actual report for my cortisol once I get home - I don't have that information handy.
I am not sure I completely understand the quoted text in your response but thank you for the quick and detailed response.