Help with results

[mrsomes]

Had a TT in June of 2009.   Just had my most recent tests.  
TSH=.45        (.3-3.0)
Free T4=1.37    (.7-2.0)
Total T3=89      (80-220)
Free T3=2.5     (2.3-3.2)
AB Screen=1.8
Everything appears to be in the normal range but my FT3 is at the lower end of normal.
I'm on 88 mg of synthroid.   Had been on 75mg up until March but that wasn't quite enough (tired and a little weight gain).
I feel  very good but still lose energy earlier in the day than prior to the surgery.  Nothing horrible or life altering but a little irritating.
Was just wondering how these levels seem to you guys.
My endo is happy and doesn't think much should be changed since I do feel ok.  
Any feedback would be appreciated.
Thanks

[magpieannie]

My daughter is nine and born without a thyroid gland. She has done so much better with the addition of t3 this last year.(most endo.'s are so set in their ways and love to discourage the use of t3 by scaring us half to death about the dangers of it and or desiccated hormone, and never even check it to see if you are converting enough of the t4 into the active t3 within the body- very irresponsible in my opinion and a receipe for disaster) Her T3 is now kept higher in the normal range and her free t4 is slightly above mid range with her TSH well under 1. No hypo. or hyper issues of any kind. Had lots of hypo. health issues on Synthroid only, as Tamera is right about conversion issues when there is no gland. Add in intestinal issues (another 20% of conversion happens here) to this and conversion is even further hampered. Add in wrong diet/ toxins (liver conversion is then also affected). So adding in t3 is safe, as long as you are healthy, and effective, and lessons the burden of the conversion process to those who have issues with this. We have also begun eating a gluten free diet and this has also really made a difference.  

[mrsomes]

I have an appt with my endo in early June to discuss but I know he didn't feel my levels warranted adding Cytomel.   His concern is that it gets a little riskier to use Cytomel as you get older (I'm 56).  I'm also not feeling badly; just a little off and so I think he's being conservative.   I had an adrenal check done last year before I had my TT and everything was normal.
I'll get more info when I see him.
Thanks

[TamraW]

Yes, T3 does have room to budge. If you get the T3 up a little higher and you still don't feel well, then request a reverse T3 test and also get an adrenal check. The 24 hour saliva test is the only reliable test. Blood cortisol is outdated.

I am wondering why the doc is just treating you with T4 meds and no T3. You have no thryoid and 20 percent of T3 conversion is done by the thryoid. Why not add a little Cytomel to your Synthroid?

:) Tamra