Confused about my thyroid results... :(

[sa1234]

I got my TSH,Ft4 and Ft3 tested again on 24/3/2016 and here are the results:

TSH   0.69 ulU/ml   (euthyroid 0.25-5/Hyperthyroid <0.15 /Hypothyroid >7.0)

FT4  17.52 Pmol/L (9-25)

FT3  5.00 Pmol/L  (4-8.3)

The doctor said that my thyroid is normal and he doesn't want to listen any complain related to thyroid.So I am confused now what to do and how to get rid of this fatigue that I have all day long.

I even wake up tired....I am just so tired ,heavy and sad all the time!

I have body aches now and the doctor blamed it on my Vitamin D.My vitamin D is within the range but I am supplementing to increase my levels more.I am doing same with Vit.B12.My ferritin is not bad either but I still have the same hypothyroid symptoms that I had before.

My doctor got angry when I asked him if I should increase my T4 a little bit to see if that helps with my symptoms.So I am not going to talk to him again about my thyroid.

I still have trouble getting regular bowel movements,my skin is dry and dull,dark circles,dry burning eyes,allergies,congestion in throat,I feel weak while walking and cannot maintain balance,blurry vision,I cry easily,feel like a ball is stuck in my throat sometimes (I do have multinodular goiter),I cannot make up my mind about anything and I am always confused about everything.My memory is extreme poor.I even struggle to talk to people as my tongue gets tied,I am always short of words.I feel like I am going crazy but the doctors don't listen.  

I  am currently talking 50mcg levo every day.  

[Clutter]

SA1234,

Your results have improved considerably since Jan but there is scope to increase dose to raise FT4 and FT3 as you are still symptomatic.  Perhaps there is another more empathetic GP you can see at your practice.  Read Treatment Options in thyroiduk.org.uk/tuk/about_... and email [e-mail] if you would like a copy of the Pulse article to show your GP.

Keep supplementing iron, D3 and methylcobalamin until ferritin is >100 to  halfway through range, vitD around 100 and B12 high in range.  Take iron and vitD 4 hours away from Levothyroxine.

Constipation can be caused by dehydration so drink plenty of water to keep hydrated.  Psyllium husks may help with constipation.

_______________________________________________________________________________

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.

[sa1234 in reply to Clutter]

Thanks Clutter for your reply.

My results have improved no doubt because I am on a higher dose now as compared to before.

I tried visiting different doctors and all just see my TSh levels and say that my thyroid is normal now.So I have no hope from any GP or even Endo to help me solve my health issues.

Do you think I need to increase my levo a little bit? My FT4 has increase a lot but FT3 is still so low.Does this mean that I have conversion issues?

[Clutter in reply to sa1234]

SA1237,

 I think it more likely that you are slightly undermedicated.  If you had lower TSH and higher FT4 with low FT3 it would indicate you weren't converting well.

______________________________________________________________________

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.

[sa1234 in reply to Clutter]

Yes,I feel the same that I am undermedicated.

But how much levo should I increase without getting my ft4 over the range?

[Clutter in reply to sa1234]

Sa1234,

25mcg is the usual dose increase.  Highly unlikely FT4 will go over range but TSH will go low.

_______________________________________________________

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.

[sa1234 in reply to Clutter]

Should i worry abt tsh going low because im very confused about that as well.

[Clutter in reply to sa1234]

SA1234,

No, TSH may become suppressed when your FT4 and FT3 levels are good but it's something your GP may give you grief about and many GPs will reduce dose so that TSH remains within range.

My TSH is usually suppressed at or under 0.01.  It's desirable for thyCa patients to have suppressed TSH but doctors don't like other patients to have suppressed TSH as earlier research suggested suppressed TSH increases the risks of atrial fibrillation and osteoporosis although more recent research debunks this and finds no association with TSH and AF and osteoporosis.

press.endocrine.org/doi/abs...

___________________________________________

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.

[sa1234 in reply to Clutter]

Sorry for the late reply.

I have 50mcg levo so instead of splitting it and taking 25mcg with every 50mcg,can I take 50mcg+50mcg on alternate days? 

and how would I know if I am over medicating? Will pulse and basal body temperature help in case of levo dosing?

[Clutter in reply to sa1234]

SA1234,

yes, you can take 50mcg alternate days instead of halving to 25mcg daily if you have sufficient Levothyroxine.

Signs of overmedication are fast pulse, high temperature, sweating, tremors in hands, moist hands, irritability, anxiety, palpitations, breathlessness and loose bowels.

__________________________________________

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.