Thyroid UK

New protocol

So after quite a time ie over a year of taking just T3 and increasing to about 75mcg daily and no T4 I have started to feel they are not good on their own. My blood tests came back with practically non existent T4 and top of range T3. I know the T4 can be very low on T3 only but it didn't seem right. I have felt quite depressed and achy and putting on weight. Also heavy eyes and tiredness.

I think it might be an idea to introduce some T4 ( I still have quite alot left within date from the doctor) and wonder if I might be better to have a more balanced blood test result.

I wonder whether the T3 only with non existent T4 reading is too heavy for me.

What is everyone elses experience. I came off T4 initially because it was thought I wasn't converting it and I was achy, swollen and generally feeling quite ill.

1 Reply

Your results on T3 alone are typical i.e. very low T4, high T3 and low TSH. Maybe you are not on sufficient T3 yet as you still have symptoms.

This is an excerpt from the first question on this link:

My reason for this different protocol is simple: the TSH, free T3, and free T4 tell us only how the pituitary and thyroid glands are interacting. Of course, the test levels may also tell us something of the influence of thyroid hormone over the hypothalamus in its secretion of TRH, another hormone that influences the pituitary gland's secretion of TSH.

Another excerpt and go to the date August 13, 2002 to read the whole question/answer:

Dr. Lowe: No doctor can intelligently decide what a patient should do with her thyroid hormone dosage solely by the results of thyroid lab tests. We can make informed decisions about dosage only when we know the patient's clinical status and have the results of physical exam procedures. Most endocrinologists and other conventional doctors would likely disagree with me about this. But their belief that they can determine correct dosages solely by lab test results is a major reason that millions of hypothyroid patients chronically suffer from hypothyroid symptoms despite taking thyroid hormone. I wish you success in your treatment.

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