plzz help me

[jai0114]

I am 23yrs/ male who lives in india. I was feeling very tired and was facing dry skin problems and lost 10 lbs of weight since two months..so i went to a gp..he ordered for a tsh test
Tsh - 5.12 ( 0.4 to 4.5. ) done on jun 15
Doc told me that i was hypothyroid and prescribed me levothyroxine 50 mcg and after taking i felt good for couples of days.
Then i had shortness of breath fr couple of days and had constipation so i thot that i was overdosed and reduced dose bymyself to 25mcg. I then felt better for one week and i again started to have muscle pains, joint pains , no energy at all and weak al the time.
I googled about this thyroid prob and by myself i went to a lab and done few tests:
On 4th july
Anti TPO - >600  ( Negative - < 34 )
Anti ATG - 108.6 ( Negative : < 115 )
Iron : 69.2  ( 70- 180 )
Testosterone : 388.5 (  241 - 827 )
Total T3 : 92 ( 60 - 200 )
Total T4 : 7.9 ( 4.5 - 12 )
TSH : 2.89 ( 0.3 - 5.5 )
FT3 : 3.5 ( 1.7 - 4.2 )
FT4 : 1.36 ( 0.7 - 1.80 )
25-OH Vitamin D : 16.36 ( 30 - 100 )
Vitamin B-12 : 253 ( 211 - 911 )
I went to an endo and she saw the lab results and told me that u dont have thyroid prob at all. Having higher antibodies is normal and ur tsh is normal and reduced my levothyroxine dose to 12.5 mcg and gave other tabs for vit D3 and B12
Now after a week of using them my symptoms are worse day by day..i feel very tired and have more muscle pains body pains and joint pains in the legs..i dont have any energy at all and my skin is more dry than ever
So i am unable to diagnose myself and even my endo isnt
Please help me

[goolarra]

You were on a very low dose of thyroid meds.  Your thyroid levels look really good.  B-12 deficiency can cause extreme fatigue and left untreated over an extended period can even cause nerve damage.  Vitamin D deficiency can have symptoms very similar to hypo.  D has to be present in cells in sufficient quantity or thyroid hormones can't get into the cells to do their work.  So, you can feel hypo even with adequate blood levels of FT3 and FT4.

If I were you, I'd definitely work on those vitamins and see if they help.  Also, since you are deficient in those, you might be deficient in others as well.  

[jai0114]

Do you think those symptoms are due to vitamin deficiencies? If i fix my vitamin deficiency will those symptoms subside?

[jai0114]

I was takin 25mcg before the tests and after my results came out..my endo prescribed me 12.5 mcg

[goolarra]

Thyroid meds do not suppress antibodies.  There is currently no way to lessen antibodies.

When the labs in your initial post were drawn, what exactly had you been taking for the six weeks prior to the draw?  I think I'm confused.  

No, those are symptoms of hypothyroidism.  Antibodies cause no symptoms in and of themselves.  It's only when they do enough damage to the thyroid to cause it not to be able to make enough thyroid hormones that you become hypo and experience the symptoms of the antibodies indirectly.

[jai0114]

I have bad muscle pains, body pains, joint pains, extreme tiredness, dry skin, chapped lips...arent theses symptoms of antibodies attack??

[jai0114]

So do you think i should increase my levothyroxine dose of 12.5 mcg to suppress the antibodies? I feel terrible on this dose...i felt way far better on 25 and 50mcg.

[goolarra]

No, having antibodies that high is not "normal".  It indicates that you have Hashimoto's thyroiditis, which is autoimmune thyroid disease.  However, it can take the antibodies years, or even decades, to do enough damage to give you symptoms.  At the moment, it seems like your thyroid is still producing sufficient hormones.  25 mcg for a week would barely affect your levels.

Perhaps next time you have labs you could ask that ferritin be tested.  Your iron is low, so ferritin could be as well.  Ferritin is very important for thyroid hormone metabolism.  

Be sure to test B-12 again once you've been supplementing a while.  Pernicious anemia (inability to absorb B-12 through the gut) is another autoimmune disease.  If you have PA, oral supplements will not help.

1,000 IU of D is too low.  Your doctor did exactly the right thing prescribing 60k IU.

I'm not sure you need thyroid meds at all yet.  Your numbers are very good.  Your vitamin deficiencies might be your whole problem.  Be sure to follow up on those to make sure levels are rising.

[jai0114]

Ya wat u said abt antibodies is correct.
Yes i was taking only 25 mcg for a week before the blood tests.
Yes i am taking supplements for B-12 and D ( 1000 + 500 calcium ) and the doc didnt prescribe me anythng for iron. She said it was okay.
But evn after taking those supplements fr one week i feel more bad than before. Muscle pains, body pains , shaking and fainting after getting up frm bed, dry skin on face nd body. I went to another gp yesterday he told me that my levothyroxine dose is too low( my endo chnged it to 12.5) because i have high antibodies. He also told me that the vitamin D supplement dose (1000 + 500 cal ) is low as well because i hav a deficiency. So he gave me another D3 ( 60K DOSE) once a week. Is 60k dose of D3 too higher even if it once a week?

[goolarra]

Let me make sure I'm reading your antibody results correctly:  TPOab result was greater-than 600 with a reference range of 0-34, and TGab was 108.6 with a range of 0-115.  Is that correct?

Your FT4 is at 60% of range, which is good.  The rule of thumb is that FT4 should be around 50% of range.  Your FT3 is 72% of range, which puts you nicely into the upper half of range recommended for FT3.  You were taking only 25 mcg before these labs were drawn?

Vitamins D and B-12 are both dismal and need some work.  Sufficient levels of D are necessary for the proper metabolism of thyroid hormones.  If D isn't sufficient in cells, thyroid hormones can't get in and do their work.  So, even with adequate blood hormone levels, you remain hypo at the cellular level.  Your doctor gave you oral B-12 supplements?  How much D are you taking?  Iron is also low.