Some three decades ago, I suffered from and was treated for Graves Disease, which went into remission after a few years, never to return.
For the past two decades I have been treated quite successfully—with only a few minor dose adjustment blips during the first few years—for hypothyroidism.
Then, two years ago, after an annual thyroid test, a GP decided I should increase my daily 1 mg of Eltroxin by an additional 0.05mg every Monday, Wednesday and Friday. (Unfortunately, I have since left that practice and do not have those test results.)
Subsequent tests have apparently shown that I was being overmedicated and now, not only do I feel ill all the time, but I have had two more blood tests as a (new) doctor tries to get the dosage right. He’s very kind but doesn’t seem to know much about hypothyroidism. As for me, I’m completely confused—and still unwell, although that could be due to a recurring UTI.
I would really appreciate it if someone who knows how to read results would comment on my last two lab reports. I’m not sure if they’re the same format as you are used to reading as, although I’m English I live in South Africa.
The codes given on the lab result print-outs are as follows:
H = High; L = Low; *H = Critically High; *L = Critically Low
In October last year, after my dosage had been reduced to 1mg Eltroxin daily plus an additional 0.05mg on Mondays and Fridays, my lab report was as follows:
Free T4 – Result 16.2; (Reference 7.2 – 16.4 pmol/L)
S-TSH – Result <0.10 *L (Reference 0.37 – 3.50 mIU/L)
In the comments section, it was noted: “The thyroid results suggest the following: Subclinical hyperthyroidism.”
I find this comment really confusing as I was still having symptoms of hypothyroidism, including weight gain.
As a result of this report, the doctor decided I should reduce my dose further, to 1mg Eltroxin daily plus an addititional 0.05mg on Mondays.
My latest lab results—after almost 5 months on that dosage—are as follows (please note that I also asked for a T3 test this time since I noted a recommendation on this forum to do so):
Free T4 – Result 18.8 H (Reference 7.2 – 16.4 pmol/L)
Free T3 – Result 4.4 (Reference 3.8 – 6 pmol/L)
S – TSH – Result <0.10 *L (Reference 0.37 – 3.50 mIU/L)
As of yesterday, the doctor has reduced my dosage to 1mg Eltroxin daily, which is what I was taking two years ago when my ex-doctor first decided to mess around with the dose.
I’m quite depressed about the situation, particularly as I still feel unwell and really tired most of the time. I would appreciate it if someone would take a look at the above results and tell me, in plain language, what they actually mean and whether or not my current doctor is on the right track with my treatment.
I'm sorry to be so wordy!
Thanks so much in advance for any help and advice offered.