Firstly, apologies for the long post but I need help on a place I have never been to before and I am now there and have no idea what to do
Here are my latest results including two previous ones which might give some of the more experienced members more insight or see a pattern as to what is going on because I don't!!!
Some of the regulars might remember that I have been suffering from the most severe and debilitating anxiety hyper symptoms since October. My T4 dose at that time was 150mcg and my bloods kept showing my T4 constantly over range. Despite dropping every 2-3 weeks by 25mcg increments I still had classic hyper symptoms and lost over a stone in weight. I have now been on 75mcg for a month which seems to have levelled out my T4 and is in line with my current weight.
Even though this has dropped dramatically to within range from 28.20, alas my T3 has also dropped, too far in my mind. Have copied my GP and Endo with my results but to be honest I don't bank on hearing anything back from either of them as I provided them with my very high cortisol level results about a week ago and have heard nothing back since...so in effect it feels like they most probably don't give a sh** about me, just like most of the others
Is this most likely a typical Hashi's pattern because for the last 10yrs up to last September I had been on 150mcg with no problems or fluctuations?
Had a Genova saliva cortisol test recently and my results are scary but my nutritionist said she had seen the same high levels in others. I had high anxiety the day of the sample taking and it took me over half an hour to fill sample 1 and 2 because my mouth was so dry. With the anxiety in mind I can only assume it had something to do with my high levels? I was slightly over the time on the first 2 samples but Genova said that wouldn't have made much difference. The report with the results also says that my results ( don't want to type it all here as my post is long enough) MAY be due to stress, anxiety, smoking and hypoglycaemia which I do experience if I haven't eaten for a while and the anxiety I had been having causes me nausea so that did in fact prevent me from eating properly.
09.30 Sample 1 84.83 (7.45 - 32.56
1.30pm Sample 2 29.33 (2.76 - 11.31)
4.30pm Sample 3 24.35 (1.38 - 7.45)
11.15pm Sample 4 5.39 (0.83 - 3.86)
Sum of cortisol 143.9
DHEA sample 1(am) >3.47 (0.25-2.22)
Sample 3 (pm) 0.88 (0.25 - 2.22)
******17 Feb Results*****
CRP 0.4 <3.0
Ferritin 87.3 (20-150)
FT4 19.63 (12-22)
FT3 2.88 (3.1 - 6.8)
TSH 1.28 (0.27 - 4.20)
T4 Total 125.7 (64.5 - 142.0)
Anti Thyroidperoxidase abs 305.6 <34
Anti Thyroidglobulin abs 29.6 <115
B12 828 (high) 615 Deficient <140
Serum Folate 35.99 (10.4-42.4)
******21st Jan Results*****
CRP 0.30 <3.0
Ferritin 61.7 (20-150)
FT4 28.20 (12-22)
FT3 4.44 (3.1 - 6.8)
TSH 0.04 (0.27 - 4.20)
T4 Total 174 (64.5 - 142.0)
Anti Thyroidperoxidase abs 292.8 <34
Anti Thyroidglobulin abs 275.3 <115
B12 615 Deficient <140
Serum Folate 37.78 (10.4-42.4)
****2nd December results*****
CRP 0.60 <3.0
Ferritin 56.1 (20-150)
FT4 22.06 (12-22)
FT3 4.50 (3.1 - 6.8)
TSH 0.03 (0.27 - 4.20)
T4 Total 161.70 (64.5 - 142.0)
Anti Thyroidperoxidase abs 394.4 <34
Anti Thyroidglobulin abs 4000.0 <115
B12 334 Deficient <140
Serum Folate 26.60 (10.4-42.4)
As I said earlier I have recently started working with a nutritionist. I had a load load of bloods done and they go off to some fancy lab which then produces a minefield of test results and my nutritionist then builds a diet specifically for me around those results (which I have). I started a 2 day detox on the 16th and for the next two weeks I am on a strict metabolic balance die, eating 3 meals a day with brekkies before 10am and two other meals 5hrs apart, all items weighed. The detox days left me feeling "feek and weeble" and still feeling like that 3 days into my diet, but apparently it's normal. I also have to have a tsp of apple cider vinegar with each meal to help with digestion. Still getting the anxiety and palps too, although no where near as bad
The reason I mentioned the above is that I don't know whether it's my new diet that is now making me feel hypo or the low T3.
I was wondering whether to take 75/100 Levo alternate days to see if that will notch up my T3 a little bit without sending my T4 over again. Need advice please as I am now touching on areas that I have never been to before and have no idea what to do. I have purchased a reverse T3 test from Genova but wanted to hold off doing it until I got the above results back, is it now worth me getting that checked as well?