Help with latest TSH and other tests: Hi Having... - Thyroid UK

Thyroid UK

137,135 members160,810 posts

Help with latest TSH and other tests

lc1973 profile image
4 Replies

Hi

Having had a recent increase (6 weeks ago) of levothyroxine from 150mcg to 200mcg here are my latest results:

TSH 0.08 (Range 0.34 - 5.60)

FT4 21.5 (Range 7.9 - 20.00)

FT3 5.2 (Range 3.8 - 6.00)

Ferritin 15 (Range 11 - 307)

Vitamin D 61 (Range <50)

Progesterone 17.2 (Range 16 - 59)

On 150mcg of levo in April this year my results were:

TSH 1.53 (Range 0.34 - 5.60)

FT4 15.7 (Range 7.9 - 20.00)

FT3 3.3 (Range 3.8 - 6.00)

Ferritin 19 (Range 11 - 307)

I thought i had a conversion problem T4 - T3 but the latest results dont show this. If anything symptom wise i feel worse on this increase. i am wondering whether to reduce the dose to 175mcg/200mcg on alternate days as the FT4 is over range now? Clearly i need to do something with the ferritin problem which is worse now than before and the vitamin D. i didnt ask for the B12 or folate to be tested as i had to request the vit d and ferritin as for some reason doctors dont see the correlation between thyroid problems and vitamin difficiencies! the symptoms i have are bone and muscle pain, brain fog, further weight gain, very tired unrefreshed sleep etc. The progesterone was tested as i was low in it before and put on progesterone only meds but the doctor took me off them 6 weeks ago as i wasnt having a period but i have had a period since the increase in T4 so something is working again!

Any advice would be welcomed.

Regards

Written by
lc1973 profile image
lc1973
To view profiles and participate in discussions please or .
Read more about...
4 Replies
greygoose profile image
greygoose

I disagree with you, there, Ic. Your latest labs do show that you aren't converting very well. The FT4 is over the top of the range, but your FT3 is only just scraping over mid-range. That indicates a conversion problem. It could be due to that low iron but you would probably feel much better with a little T3 added to your T4.

lc1973 profile image
lc1973

Thanks Greygoose. i'm sure you are right about the T3 but i am trying hard not to have to self medicate but if i know i will have to if i go down the T3 route. How can i get my ferritin levels up quickly and safely to see if that will make a difference to the conversion? Just wondering what to take as in over the counter meds as my doctor doesnt see that it is low because of the ridiculous range thing!

Clutter profile image
Clutter in reply to lc1973

lc1973, there's no quick way to raise ferritin. Supplement 3 x 210mcg Ferrous Fumarate and take each tablet with 500mg-1,000mcg vitamin C to aid absorption and minimise constipation.

There's no need to reduce Levothyroxine dose unless you feel overmedicated. Some patients need FT4 slightly over range to convert sufficient T3. Your FT3 is just shy of the top third of range which means you are converting well.

langdocienne profile image
langdocienne

The blood levels look right to the docs, but as I keep saying, it's not one size fits all, it's what the patient feels like, and you still feel bad, so it's not right. I am on 125/150mcg T4 daily, still about the same as I was before the meds. Am getting my t3 and free t3 done on Tuesday, whether it's looks ok or not, I am going to buy some when I'm away, the T3 I mean, drop the dosage of T4 and take 12.5mcg daily of T3, then up it a week later to 25mcg, I just wonder if that will make the difference. Of course, the endo might just prescribe the T3, but if he does!!!!!! The T4 will regularise your periodsI am 60 the other day, and still have regular heavy periods, as my doc says, she's never known anyone that age!

You may also like...

Help please with latest blood test results. Low TSH.

9.55 Vitamin B12 101.0 Vitamin D 92.1 Ferritin 293 I...

Latest results and slightly increasing tsh

Tsh 0.04 Ft3 3.8 (3.6-6.3) Ft4 15(12-22) I might add that my TSH was only 5.6 but Ft3 and ft4...

Latest blood tests - is my TSH now at a “good” enough level to be satisfied?

everyone, Just had my latest round of blood results. TSH - 1.83 mU/L (TSH range - 0.30...

Latest TSH Blood Test

Hi My latest BT (I'm on 75mg of Levo) came back with the following: TSH - 2.34, T3 - 4.39 & T4 -...

My latest test results, can anyone help me to understand them!

Also Serum Ferritin is 37ug/L range 20.00-250.00ug/L. D3 is 42.5 range is 50.00, have started...