I am a 45 year old male that was recently diagonsed with Hashimotos based on the following labs and typical hypo symtoms:
TSH - 2.4 (.35 - 4.94)
FT3 - 3.2 (2.3 - 4.2)
T3 - 98 (58 - 159)
FT4 - .75 (.7 - 1.8)
T4 - 4.1 (4.5 - 12.5)
TP Autoantibodies - 42 (5 - 25)
Thyroglobulin Ab - 376
My doctor put me on 75 mg of Levothrtroxine a month ago. After waiting a full month, my follow-up labs were as follows:
TSH - 1.4 (.35 - 4.94) - Decreased to seemingly good range
T3 - 95 (58 - 159) - DECREASED from 98
T4 - 4.8 (4.5 - 12.5) - Increased slightly but still at low end of range
TP Autoantibodies - 60 (5 - 25) - Increased
Thyroglobulin Ab - 422 - Increased significantly
Upon me telling him that I haven't felt any better, possibly a little worse, my doctor has given me 3 options: Do nothing, increase T4 from 75 mcg to 100mcg, or stay at 75 mcg and add a little T3. I chose to increase T4 to 100 mcg and see how how that helps. I have also agreed to go on a completely gluten free diet for the next 30 days to see if it might help bring down my antibodies.
After nearly 3 weeks at 100 mcg, I still don't feel any improvement, but plan to have my blood drawn again in a couple weeks.
However, I would be curious on opinions and/or perspectives from folks on this forum as to what they would recommend as my next steps. Should I add more T4, add in some T3, or just ask to go on NDT, or something else?
Thanks very much for any input!