1. Not necessarily. After only 15 days, your hormones would still be in flux. It's too early to draw any firm conclusions.
2. Which aspect of IVF are you referring to?
3. No, it appears not. Your FT4 really took a nosedive after you discontinued meds. That's after only 15 days. It will take 4-6 weeks before it's finished adjusting in your blood.
4. I think you're doctor's suggestion is valid, although I don't think I'd have dropped your T4 meds from 112 mcg to 50 mcg. But, he has said he'd add it back later if necessary. I'd take his advice.
5. In my opinion, other tests should be decided on by symptoms. However, both vitamin D and ferritin are key in the production of thyroid hormones and their use on the cellular level.
6. Some people do better with a synthetic combo, some do better on desiccated. Unfortunately, we have to be our own guinea pigs.
7. I wasn't hypo until I was post-menopause, so I have no personal experience, but there have been people on the forum on T4-only, synthetic T3/T4 combos and desiccated who had successful pregnancies. Anyone else's dose is completely irrelevant to you. We're all different, and meds depend to some extent on how much thyroid function we have left.
8. I highly doubt it. Your TSH went up as your FT4 went down, and that's exactly what it should have done. Your FT4 is now way too low in the range...50% is the rule of thumb, and yours is only 15%. Very few of us have to be below range on FT3 and/or FT4 before TSH starts to climb.
If you have reverse T3, the better way handle it is by using T3 only medicine. It will take a while, like one or two months to flush out the excess t3 pooling in your blood. You can either use Cytomel or Liothyronine ( pure form of T3 which you can find in compound pharmacy) I wouldn't suggest you to get on to synthroid until you fix the RT3 problem. There should be a reason why you have RT3, you need to find it out. Have your doctor check your
-ferrittin ( for me ferittin was low when I had the problem)
you will get some good information here. I would say look for a good doctor, a doctor with functional medicine or a holistic doctor ( if you can afford paying his bills) you can find good doctors here: http://www.thyroiddoctors.com/
Fix your thyroid issues first before you try to get pregnant again, otherwise the chances are less. Follow a good diet, Dr. Mark Hyman's protocol is good, Here is what he had to say about infertility https://www.youtube.com/watch?v=RCPWMp96LsA
Just hang in there, get on a healthy diet and fix your health problems first, then get pregnant. Good luck:)
Thank you so much for your quick response.
Q 2. I was referring to the stress ( biological or emotional, too many injections) caused by IVF. Could stress cause reverseT3?
Thanks for your prompt response. About ferritin, I am assuming it can be detected by blood test. When you found out your ferritin levels were abnormal, were your iron was in normal range. I will be paying from my own pocket for majority of tests as kaiser insurance wont do them. Should i get both iron and ferritin tests done or just ferritin matters in hypothyroid.
Stress, both physical, in the form of trauma, etc., and psychological can increase RT3. Converting more T4 to RT3 than FT3 is the body's way of protecting itself from too high FT3 levels. However, your 9/22 FT4 was also on the high side at 64% of range (target is 50%), and high FT4 can also cause RT3 to rise. Once again, the body protecting itself by neutralizing some of the T4 instead of converting it to T3.