My results are as follows:
24 hr Urine Genova Feb 2016
T4 2030 pmol (1030 - 8240)
T3 890 pmol (610 - 3380)
T3 : T4 ratio 0.44 (0.50 - 2.00)
Bloods via NHS Jan 2016
TPO Ab 63.8 KU/L (< 5.6 normal)
TSH 3.85 mU/L (0.35-5.00)
FT4 13.3 pmol/L (9-22)
FT3 4.4 pmol/L (2.6-5.7)
I am symptomatic of Hypo/Hashis with feeling fatigued, cold, brain fog, forgetful, joint pain and stiffness, nerve pain, nails break at slightest touch, infertility, mood swings for the last 6 years since my son was born. I have Oral Lichen planus, painful bladder and Dry Eye syndrome which all started within a year of each other 4 years ago. I also had preeclampsia with my first pregnancy which i have heard can be hypothyroid related. TPO antibodies were detected as high after my second miscarriage 3 years ago.
I was put on 25mcg of Levothyroxine in January 2016 for infertility and TSH above 2.5 (anything above 2.5 they consider bad for conception). However i decided to come off of this after only 2 weeks as i just felt so horrendous on it and all my symptoms got 100 times worse. I had planned to decide what to do (seeing someone privately?) after getting my above Genova urine results back but now they are largely in-range i am stumped. The only thing flagged up is the T3:T4 ratio being low. Taking everything into consideration i do feel that i have a T3 issue but don't want to waste money seeing someone privately if they are going to take one look at the results and not want to help. I am currently gluten free and supplementing with Selenium, Zinc, Magnesium, Iron, and liquid Vit D. Any advice greatly appreciated.... Do you think a reverse T3 test could shed any more light? Thank you.