T3 /t4

[shaybenholly]

Hi can I just ask it a t3 / t4 combination only used for people that are having trouble converting or is their other factors why it might be used Tia

[Clutter]

Shaybenholly, I think poor conversion is the only reason T4+T3 is prescribed.

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I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.

[shaybenholly in reply to Clutter]

Thanks clutter I thought so I'm not doing that well on Levo I'm starting gluten free this week see if that helps I get a lot of palps hearts fine I've got all my vit levels up to top of range I was slightly hoer few week back I've reduced meds I was ok but I feel like crap again I'm so tired I'm waiting to see an endo but with all the cuts their making on the nhs I don't hold out much hope I'm a bit scared to self medicate but looks like I might have to

[Clutter in reply to shaybenholly]

What are your recent thyroid results and ranges, Shaybenholly?

[shaybenholly]

Will post the later their on the post I made before this I reduced my meds to 100 one day then 125 the next as OK after a week of doing that n now it's started again the palps an the fatigue

[Clutter in reply to shaybenholly]

Shaybenholly, I've had a look at your results and your FT3 was good so you don't have a conversion issue. If you felt better on 125mcg I would resume that dose. I suspect you may have had a Hashi flare which can cause palpitations and a lower TSH may dampen Hashi flares. You may be able to further reduce Hashi flares and antibodies by adopting 100% gluten-free diet.

chriskresser.com/the-gluten...

____________________________________________________________________

I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.

[shaybenholly in reply to Clutter]

Hi clutter I was slightly hyper on them results a few weeks back an I felt dreadful so I reduced my meds after a week of reducing them I felt OK now I feel ill again will I not go hyper if I up them again my throats really sore again as well feel like I've got a cold I felt like this last time

[Clutter in reply to shaybenholly]

Shaybenholly, you weren't hyper, your FT4 was mildly over range. Reducing dose to see whether palpitations resolved was sensible and helped for a week but now palpitations have resumed and you are tired, resuming 125mcg may at least help with the fatigue. It is likely the palpitation are due to Hashi's, not 125mcg and the sore throat is often a symptom of a Hashi flare which can cause the thyroid to become tender and swollen.

_________________________________________________________________

I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.

[shaybenholly in reply to Clutter]

Clutter is their anything I can do about the palps an how long do flare ups last an can they happen every few week sorry for all the questions the hashi thing is knew to me not long found out

[Clutter in reply to shaybenholly]

Shaybenholly, there's no telling how long a flare will last or how frequently they'll occur. Most doctors won't even acknowledge that Hashi's causes symptoms. The best thing to try is the gluten-free diet but it will take a few weeks/months to feel benefits.

Palpitations are distressing and uncomfortable but are rarely damaging. They often don't even show up on ECGs. Beta blockers sometimes help but they also reduce T4 to T3 conversion which makes hypo symptoms worse.

Has your ferritin been tested? Low iron/ferritin can cause palpitations.

_____________________________________________________

I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.

[shaybenholly in reply to Clutter]

I had everything checked it was In range but bottom end so I topped them up an got everything into the top end of range

[Clutter in reply to shaybenholly]

Shaybenholly, if it was more than 6 months ago it is worth rechecking.

[shaybenholly in reply to Clutter]

Thanks clutter i had a retest about 3 months ago all too end of range I wouldn't be bothered if I was getting one or 2 palps a day but it's loads When I'm feeling well I try to go the gym because I enjoy it but it wipes me out the next day

[Clutter in reply to shaybenholly]

Shaybenholly, I do sympathise, I had dreadful palpitations 24/7 with Hashimoto's until I had thyroidectomy, and again when I was switched from T3 to Levothyroxine. I still get them on T4+T3 but less frequently and they're less intensive.

[shaybenholly in reply to Clutter]

Clutter can I ask why you had you thyroid out an do you have trouble converting hope you don't mind me asking

[Clutter in reply to shaybenholly]

Shaybenholly, I had a large nodule removed because it was compressing my trachea. Histopathology found Hurthle cell cancer so I had completion thyroidectomy. Hashi's stopped after thyroidectomy. I didn't do well on Levothyroxine and conversion was poor with FT3 below range. I'm fine on T4+T3. Not only does T3 deliver good FT3, almost more important to me, it calms the adverse effects T4 only causes me.

[shaybenholly in reply to Clutter]

I'm glad you are feeling better it must of been a scary time does hashi go if your thyroids removed I was wondering about this or does it attack something else

[Clutter in reply to shaybenholly]

Shaybenholly, Hashi's goes if ALL of the thyroid tissue is removed. If a lot of remnant tissue is left in the thyroid bed attacks may continue. I had no more Hashi attacks after thyroidectomy and 2 rounds of RAI destroyed any thyroid cells in the body so I have no thyroglobulin or thyroglobulin antibodies.

It's Graves disease which may go on to attack other organs after thyroidectomy or RAI.

[shaybenholly in reply to Clutter]

Thanks for all you help clutter your a diamond