MMH latest bloods

[Sparklingsunshine]

Just wondered what members thought of this, on 200mcg Accord Levo.

TSH 0.01 range 0.27 to 4.2

FT4 21.2 range 12-22

FT3 5.2 range 3.6-6.8.

Does this show poor conversion? I supplement Vitamin D, B12, B complex and folate. I know if my NHS GP sees this he'll reduce dose based on TSH result and I've been called in for a thyroid panel blood test. Thanks

[SlowDragon Administrator]

How do you feel

FT4: 21.2 pmol/l (Range 12 - 22)

Ft4 92.00% through range

FT3: 5.2 pmol/l (Range 3.1 - 6.8)

Ft3 only 56.76% through range

When did you last test vitamin levels

You may be better reducing dose levothyroxine slightly.

175mcg once week and 200mcg 6 days = 196mcg per day average

Or perhaps

175mcg twice week and 200mcg 5 days = 192mcg per day on average

retest 8-10 weeks time

[Sparklingsunshine in reply to SlowDragon]

I dont feel too bad actually, these are the best results on Levo only I've had. I've struggled with both frees being on the low side on 125mcg and 150mcg Levo so I thought I'd try 200mcg just to experiment.

The best T3 I ever had, 6.8 was a combo of 2 grains of NDT plus 50mcg of Levo, but I'm unsure whether to commit financially to the ongoing cost of NDT. Also I was curious about the effect of taking LDN on my thyroid levels, which is prescribed privately. I've been on nearly a full theraputic dose of LDN for Fibro since June.

Will lowering my dose of Levo slightly improve conversion? I'm concerned that if these results are reflected in my upcoming NHS bloods then GP will lower dose based on TSH result alone. Even though frees are in range.

Thanks as always for your input SD 😁

[SlowDragon Administrator in reply to Sparklingsunshine]

Going from 150mcg to 200mcg was too large a jump

Probably 175mcg daily would have been enough

What dose does GP think you’re taking

Can be difficult to reduce dose……perhaps 175mcg and 200mcg alternate days (187.5mcg average)

Because Ft4 is pretty high…….yes reducing dose a little may improve conversion.

If Ft3 drops then look at getting prescription for adding small doses of T3 alongside levothyroxine

[Sparklingsunshine in reply to SlowDragon]

I'm supposed to be on 150mcg but have plenty of Levo in reserve. I tried NDT on its own for several months but am reluctant to continue due to cost and sourcing issues. NDT plus Levo gave me my best frees results. I thought I'd try just Levo again and see if I could get levels up by increasing dose.

[SlowDragon Administrator in reply to Sparklingsunshine]

Many members do fine on levo plus small dose of T3 prescribed alongside

[Sparklingsunshine in reply to SlowDragon]

The difficulty is getting it prescribed. If it came to it I'd probably self source as its cheaper than NDT.

[SlowDragon Administrator in reply to Sparklingsunshine]

Roughly where in U.K. are you

You can search by ICB area

openprescribing.net/analyse...

[Sparklingsunshine in reply to SlowDragon]

Northamptonshire which looks like one of the less restrictive areas if I'm reading that graph correctly.

[SlowDragon Administrator in reply to Sparklingsunshine]

List of thyroid specialists and endocrinologists who will prescribe T3

Initially see privately….then aim to transfer to NHS

healthunlocked.com/thyroidu...