130396, FT3 is good now, just shy of the top third of range. Symptoms can lag behind good biochemistry by a couple of months and there may be improvement but the symptoms you are experiencing don't seem typical of low thyroid.
Resting pulse 60-100 is normal and pulse and heart rate may increase an hour to an hour and a half after taking a T3 dose and should normalise within another couple of hours.
Hot flushes may be due to menopause in which case HRT or folic acid may be helpful.
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.
130396, pounding heart can be a symptom of undermedication but you aren't undermedicated because TSH is suppressed and FT3 is good and as you left 18 hours between last dose and blood draw FT3 is probably closer to 5.0 maybe even a little higher.
I think you should continue taking T4 and T3 as you have been.
Hopefully reducing evening and nighttime cortisol will relieve the pounding heart.
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.
It has been suggested that I may actually have RT3 and possibly had it for a while since going back onto levo especially as I haven't been converting properly for about two years.
Would you think this is possible and the reason for the heart pounding.
As you know I have high cortisol 3 times a day and maybe it is this which has given me conversion issues.
Do you know of a lab that will test ft3 and RT3 only???
Genova do test them as part of a package but extremely expensive. I wondered if there is somewhere that will just test the two.
130396, It appears your heart pounding is worse at the times you have high cortisol. Maybe reducing cortisol will help. Perhaps you could post asking what symptoms members have with high cortisol and how they treat it.
The only way to know whether you have high rT3 is to test. I'm not aware of testing other than via Genova and Blue Horizon.
Shall I do a new post to ask about pounding heart and high cortisol.
This is something I found on a search
The principal physical signs and symptoms of cortisol excess after several consecutive days are, cardiac erethism (heart pounding in chest) and or anxiety. When this effect persists, we can see swollen hands and feet, swollen face especially around the eye lids, elevated basal blood pressures are very common as well. After several weeks to several months of chronic cortisol elevation we commonly see, excessive weight gain, frank morbid obesity, ecchymosis or easy bruising of the skin, petechiae (tiny skin hemorrhages). "
130396, If the heart pounding hasn't improved since FT3 was 2.9 and is now 4.5 I doubt it is thyroid related and think you should consider that it may be due to high cortisol. You aren't overmedicated.
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.
130396, If you still feel hypo you could increase either T4 or T3. FT4 is still low in range so increasing T4 dose will also bring up FT3.
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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.
When I was on 100mcgs only of levo my ft4 would be 17-19 but now I'm on 100mcgs levo plus t3 my ft4 comes in at 12.8. How does that work when the levo dosage is still the same??
I don't know if I do have nypo symptoms Clutter as I don't know what my symptoms relate to. I'd always assumed my weird symptoms were all due to low ft3.
I'm worried that if I increase either my levels will go too high. My tsh is now only <0.03. You said although my ft3 came back as 4.5 it was probably 5 as there was an 18 hr gap before blood draw
I suppose if I were to increase either it would be easier to increase t3 as it would show quicker and if the wrong thing to do then it could be reduced quicker
My remaining symptoms are:
Never feeling tired.
Difficulty getting to sleep
Hot flushes especially evenings
POUNDING heart
I keep reading pounding heart is hyPO.
But with the high cortisol now in the mix who knows.
Those symptoms aren't typically hypo. Fatigue, weight gain, musculoskeletal pain, cold are typically hypothyroid symptoms.High cortisol at night will make it difficult to get to sleep.
It may better to stick with your current thyroid dose until cortisol is lower.
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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.
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