Thyroid test back: Hi everyone, can anyone tell... - Thyroid UK

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Thyroid test back

Julie2 profile image
5 Replies

Hi everyone, can anyone tell me if my test is good or not, I've been told to drop levothyroxin down from 100 mg to 75 mg, I don't want to do this as I feel so, so much better on the slightly higher dose my results are as follows:-

Serum TSH level 0.01 mu/L. ( 0.35-4.94)

Serum free T4 level. 16.3pmol/L. (9.0-19.0

This is all it says, do I need to drop dosage?

Thanks , Julie

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waveylines profile image
waveylines

I my opinion though I'm not a medic -no - i wouldn't drop. Your Ft4 level is not high -if anything you could tweak it up a little more not down. Why does your doc want it dropping?

Julie2 profile image
Julie2 in reply towaveylines

Don't know he has said I need to drop it no explanation , I supposed that it was to high

waveylines profile image
waveylines in reply toJulie2

Hmmm- but your Ft4 is in range!!! I guess he might be panicking about the TSH which is supressed -happens when on thyroid medication. This is only signal mechanism to the the thyroid to produce more or less thyroid hormones. The most important factors are the actual thyroid hormone range and how you are feeling. I would stick to your guns and ask to speak to him -saying that you don't understand as your Ft4 is in range and you are feeling well. Treating by the TSH level is known for a non-effective approach and leads to under treatment.

Julie2 profile image
Julie2

Ok, thanks wavy lines,

I will make an appointment to see doc, as I don't want to feel ill again now I am at last feeling a lot better.

shaws profile image
shawsAdministrator

Tell your doctor you don't want to drop. He is adjusting your level to try to get the TSH 'within range'. Some of us need a low or suppressed TSH to keep well.

They should adjust your levo only upon your symptoms. ie. not feeling too good with continuing symptoms (increase) - feeling too stimulated, i.e. very fast pulse, too hot (too much meds).

Myth - part 1 and 2.

Read first two answers:

web.archive.org/web/2010103...

email louise.warvill@thyroiduk.org.uk and ask for a copy of the Pulse online article and read question 6 and discuss this with your GP. Some ignore this but some take notice as it's from the doctor's online magazine.

If we want to get well and keep well we have to read and learn as much as possible.

You also need to know your Free T3 but labs don't do them usually if your TSH is 'normal'.

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