Nik, Thyroid medication should be taken after your blood test. Levothyroxine (T4) peaks 2-6 hours after ingestion so your blood test reveals the T4 peak rather than your normal serum levels. This will explain your low TSH and elevated FT4. Your June TSH looks to be in the right area.
1/2 grain NatureThroid is roughly equivalent to 37.5mcg T4 but you are right to take it slowly until 8 days after your last Levothyroxine tablet to avoid being overmedicated. Stay on 1/2 grain for 10/14 days before increasing by 1/4 grain increments every 2 weeks until your symptoms are resolved.
Thanks Clutter. I remembered I should not take meds or food prior to the test on my way to the appointment! Could I just check, as I was not on any T3 medication at the time, this would be my true T3 result? I am also awaiting my reverse T3 so again, would this be affected as I had take Levothyroxine? Thanks
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