I wouldn't think you are over-medicated. Your FT4 is low and your FT3 is well in range. I'd wonder if you are showing symptoms of Vit B12 deficiency? Your B12 is low and I think tingling hands and feet are a classic symptom.
Have you considered taking a thyroid support formula in addition to your thyroxine? I was recently put on Nutri's thyro-complex. For me it's been a magic pill, although the doctor who suggested it did say to me a couple of days ago that it doesn't work such magic for most people who take it.
Browny, up your B12 to 5,000mcg-10,000mcg daily for a month and see whether that improves the tingling and numbness. You won't overdose as any excess will be excreted but you should also take a B complex to keep everything in balance.
Browny, how peculiar to say you may be over medicated but not suggest you decrease your dose. You could reduce to 100mcg daily and see whether that reduces your anxiety, palps and pulse rate but it is likely to reduce your FT4 and FT3 too, and won't help your fatigue. I wouldn't make any radical dose changes until you have the results of the adrenal stress test. I experienced many of the symptoms you describe (plus some) on T4 monotherapy and needed T3 to calm the T4 effects and improve my low FT3.
I think the endo. was waiting for the results of my blood tests before deciding if I should decrease the levo. He is away now for a week so he will write to my G.P. on his return.
I don't understand how my T3 has improved but not T4
I have had the saliva adrenal test done which showed I had above range cortisol on the morning sample all others were in range. I did show the endo. the results but he did not say anything about it.
I have to be grateful he is doing some tests as the last endo. I saw just said "It is not your thyroid causing your symptoms" and when my husband asked "what is it then" he said "I don't know" and discharged me.
I would wait till all your tests are done but am apt to agree with the other comments that you aren't over-medicated.
If you supplement with B12 it has to be methylcobalamin and not cyanocobalamin and if supplementing with Vitamin D you should also supplement with Magnesium. I read this report today. Excerpt:
Why it is essential to take Magnesium with vitamin D
clipped from Carolyn Dean MD ND Oct 2012
Magnesium is required to transform Vitamin D from its storage form to its active form.
That means if you take the extremely high doses that allopathic doctors are now recommending you can plummet into magnesium deficiency and not know what the heck is happening.
In general, I don’t recommend more than 1,000-2,000 iu of Vitamin D daily for this reason.
Browny, Shaws makes a good point about sensitivity to fillers/binders. Try taking an antihistamine an hour before you take levothyroxine. If it relieves your symptoms it will 'prove' a sensitivity to fillers and you could ask for liquid thyroxine to be prescribed.
Hi browny. Glad your Endo visit went reasonably well. I had a similar happening at mine the other week, my BP and HR very elevated. I explained that probably white coT syndrome as I am petrified of hospitals plus I had a hacking cough so I thought the medicine for that may be wasn't helping. I did find so low BP readings in the pile of results I took along. I was sent, amongst other things for a 12 lead ECG as my TSH is suppressed so checking for arrhythmias. ECG was fine but they worried about HR so I repeated why I suspected it could be and after I got a second opinion I was allowed to leave. One of the joys awaiting me is a day on the endocrin ward looking at adrenals so I expect other observations may pop up again there. When I got his report that he sent to my GP it reads as though the last Endo I saw thinks I've never had a thyroid problem, may be if he'd asked about it it how I was he might have got a few hints!
Congratulations you have just earned your doctor a load of money!! (They get paid for every test and every time they send you to see a consultant). TSH is useless in monitoring thyroid, blood tests do not tell you whether you are converting T4 to T3 or whether ANYTHING is working!!
Regarding your pulse rate, it might be instructive to take it first thing in the morning when you're still laying down in bed; you can get an app for your smartphone (if you have one) that uses the phone's camera to measure the pulse rate. I use the runtastic one and it's pretty accurate. Then get up and stay standing up for fifteen minutes: measure your pulse rate at five, ten and fifteen minutes after rising. If your pulse rate climbs by 30 bpm and stays there for a while (up to fifteen minutes) then it might be that you have something called Postural Orthostatic Tachycardia Syndrome (or POTS for short). This causes the heart rate to rise quickly and stay there as your heart tries to get the blood to flow from your lower limbs to your brain; low blood pressure makes this difficult, hence the elevated heart rate. It should slow down once you've stopped standing, within a few minutes.
You may also have 'white coat syndrome', which causes a person's blood pressure and heart rate to rise when they're in a medical setting. You'd be surprised how often it occurs! This is why I recommend you test your own heart rate before you get out of bed in the morning (even better, do it if you wake up in the middle of the night because your body won't have pumped out lots of lovely 'get up!' adrenaline which can mess with the result).
Many thanks for your reply, I do not have a Smartphone but do have a Blood Pressure Monitor that also measures the pulse so I could use this in a morning. My BP generally is on the high side in a morning and I take meds. for this.
I do definitely have white coat syndrome but my pulse can go high other times and it is usually more in a morning after breakfast.
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TSH of 27 (has anyone seen results this high)
Test results exactly the same despite increase in T4 
Hi been on 75mcg levo since Christmas time, had bloods which revealed low vit d, low ferritin. On iron tablets and also vit D, still 
Free t4 question 
