Help with lab results please

[TJM3]

Hope someone can help me please. I have been trying for sometime now to get my thyroid and adrenals

right. I have been taking T4/T3 combo, but am still tired and I get the shakes a little, with some palps. I decided to have another test done and now don't know what to do. My results looked better on T4 only, but I'm not sure what to think. My results are:

19.06.14

TSH 0.64 range 0.27 - 4.2

FT4 9.8 " 12.0 - 22.0 Taking T4 37.5mcg/T3 12.5mcg

FT3 4.1 " 3.1 - 6.8

But in April last year (08.04.13) they were:

TSH 0.17 range 0.27 - 4.2

FT4 19.7 " 12.0 - 22.0 Taking T4 75mcg

FT3 4.6 " 3.1 - 6.8

I have also been taking iron to increase my ferritin for conversion and these are the reuslts:

06.03.14

Iron 19 umo/l " 6.6 - 26.0

TIBC 69 umo/l " 41 - 77

Transferrin Sats 28% range 20 - 55

Ferritin 50ug/l range 13 - 150

Latest results 19.06.14 are:

Iron 15.8 range 6.6 - 26.0

TIBC 66 " 41 - 77

Transferrin sats 24% range 20 - 55

Ferritin 66 range 13 - 150

I'm not sure what to do, i'm still very tired, don't know whether to go back on T4 only. I have changed

my T4 to 56 mcg and T3 to 5mcg, but don't feel great.

Don't know if I should continue with the iron either, I would be very grateful for any advice.

Thanks.

[Aurealis]

2nd attempt to reply as first one vanished mid word ! I wonder if your T3 is too low, but before considering increasing, think you could try splitting the dose if you're not already doing so, or redistributing it if you are. I think you have to get T3 balanced across 24 hours by taking doses at regular times and jittery feelings can happen either when dose is too high or if it raises quickly having been too low somewhere else in day. It's tricky, but worth it in the end.

[TJM3 in reply to Aurealis]

Thanks, yes I do split it, I take half in the morning and half around 4.00pm.

I'm just fed up with trying to get it right and whenever I try to increase it,

I get very jittery. Perhaps I could try splitting it into three or four doses

and see what happens.

Thanks again.