Advice on latest lab results please.

[guysgrams]

I just had labs done for my follow up visit with the Endo on this coming Monday. I have read that now that I am on T3 medication also that I shouldn't be concerned with TSH levels. Am I correct in thinking this?Results are as follows:

TSH 0.011 (Low) .450-4.400

T4, Free (Direct) 1.67 .82-1.77

Triodothyronine, Free, Serum 3.9 2.0-4.4

I started on T3 added to my Synthroid back in November 2015. I feel much better, have lost weight and don't feel tired all of the time along with all the other symptoms I started having again. I've also been taking a number of supplements to help. I am poised to have a 'discussion' with the Endo if she wants to lower my Synthroid. I would rather go a while yet (6-8 weeks) and have another test done to see the results before doing anything. Advice, thanks.

[Clutter]

Guysgrams, Your FT4 and FT3 look good, both are within range so you are not overmedicated despite suppressed TSH.

The endo I don't usually see decided my TSH could be less suppressed and reduced T4 dose by 12.5mcg daily. Six weeks later TSH was a tad LOWER! Usual endo said no further reductions as he didn't want FT4 and FT3 dropping further.

[guysgrams in reply to Clutter]

Saw Endo today and since my TSH was low she now thinks I should take the normal Synthroid dose 6 days a week and take a half pill on the 7th day! Effectively putting me back to .127 a day when I do the math. I even asked since my Free T3 and Free T4 are within range (especially the T3) and I feel fine (best I've felt in years) why change. Answer "You have too much thyroid hormone in your system". Go back in 6/7 months for follow up and lab work requested is only for TSH. Back to square one! I'm not doing it. If I start to feel funny or get jittery or have any funny symptoms I'll do what she says but not until then.

[Clutter in reply to guysgrams]

Guysgrams, i don't get it. How can you have too much thyroid hormone in your system when FT4 and FT3 are within range?

[guysgrams in reply to Clutter]

Because she is going by the TSH only as most doctors/endos do. She stated that TSH is quite low even though I brought up the fact that both the FT3 and FT4 were well with in range. I simply refuse to go backwards. I'll monitor myself with private blood tests to make sure that all is well. I seem to have found another doctor that goes by TSH more than anything else. Never mind that I finally feel like a real person again. Heaven forbid!

[Stourie]

You have to be sneaky. Why don't you stay on the meds that you are taking and cancel your appointment and make another. Especially if you are feeling a bit better.

Jo xx