Blood test results, increase needed

[pennyrose]

Merry Christmas all. I posted a couple of weeks back about feeling a little under medicated. Had a message from docs to arrange a telephone appointment tomorrow to discuss an increase. I'm on 75mcg t4 and 30mcg t3. Results are:

TSH: 2.8 range 0.5-4.5

T4: 7, range 9-23

T3: 3.8, range 3.8-6.9

I was thinking increase Levo to 100mcg and t3 to 40mcg? I've had time off work so have had a chance to rest but have pretty much been a vegetable since Christmas Eve ☺️ Thanks all x

[pennyrose]

Thanks lovely, haven't had them tested since September. Get regular b12 injections. I take a daily multivitamin with iron (has folic acid too) after a bout of anaemia almost 2 years ago. Vit D was low this year and started supplementing in Juneish. Managed to increase it quite a bit by September and have reduced the dose. Gp didn't get the importance of vitamin D but my endo did! Is the fluctuation down to hashi's or just that time of year?

Interesting about the foil- used lots over the festive period! X

[Clutter]

Penny, increase either Levothyroxine or T3 but not both at the same time. As your FT3 is low I'd recommend increasing T3 to 40mcg.

[pennyrose in reply to Clutter]

Thanks so much as always. Doc is only increasing thyroxine so might take a wee bit of time to notice the difference. x

[shaws Administrator]

I think trying a rise will be a good idea as your TSH is too high. If you feel a bit overstimulated on the increase reduce dose slightly down as sometimes all that is needed is a small tweak in meds to work.

[pennyrose in reply to shaws]

Thanks Shaws. Spoke with my GP last week (sorry, been shattered and barely online - slept for 26 hours in 2 days!). He has increased my T4 by 25mcg. I suggested the T3 increase to give me an immediate hit but it's "expensive".

Managed to get out of bed today, don't think I realised how shattered I was! x

[shaws Administrator in reply to pennyrose]

See how you feel in a couple of days. The idea of levo is to make us feel well, not just a small improvement.

[pennyrose]

Sorry for the late reply, I really didn't know that! I do have some Betaine as I thought I had that issue last year and turned out to be a stomach infection! Might try it again though x

[shaws Administrator]

Email [e-mail] and ask for a copy of the Pulse Online article by Dr Toft (ex President of the BTA) and discuss with your GP question 6 which gives hints on how low our TSH can be.