Almost everyday, I wake up early morning around 4AM and at first I will feel fresh and ready to go then gradually feel tired, exhausted and short of breath. This gets worst in 9-10AM and disappear after 12:00 noon and feel good the rest of the day.
What I notice that this correlates to cortisol daily trend, but not sure what is the exact problem. Doctors will not lessen to me!! When I convinced them to test cortisol in AM and PM they looked within range.
Here is summary of my treatment:
TSH: 0.015L (ref. 0.460 - 4.680).
FT4: 18.10 (ref. 10.00-28.00).
FT3: 7.48 (ref. 4.28-8.1).
Radioactive Iodine Uptake very low 0.1% (N 0.4-4%).
Anti TPO <10 (ref. up to 34)
Thyreoglobulin abs 233H (ref. up to 115).
After 6 weeks on 50 mcg Levothyroxine:
TSH: 4.690H (ref. 0.460 - 4.680).
FT4: 9.93L (ref. 10.00-28.00).
FT3: 4.17L (ref. 4.28-8.1).
I have taken 75 mcg for a month then 100 mcg for another month, here is the latest results:
TSH: 0.371L (ref. 0.460 - 4.680).
FT4: 15.80 (ref. 10.00-28.00).
FT3: 5.61 (ref. 4.28-8.1).
B12 Vitamin: 264 (ref. 239-931)
Currently I'm taking 150 mcg Levothyroxine and will test in two weeks.