Help with blood results before endo appointment

[keb5332]

i am still struggling to get well 2 1/2 years after a TT. My gp thought maybe I needed t3 adding so requested bloods. These are the results and he has now referred me back to the hospital. I have an appointment this week by advise on blood results would be gratefully appreciated. TIA

[Jazzw]

Keb, what dosage of levo and lio are you on, please? It helps to have an idea of what you're taking. At first glance, it looks as though you could stand to have a raise in liothyronine (T3).

[keb5332 in reply to Jazzw]

I take 150 of Levothyroxine that's all

[Jazzw in reply to keb5332]

Ah right. You're not too bad a converter then. But a touch of T3 might make all the difference in the world. Don't let him reduce your levothyroxine more than 25mcg if you do manage to get Liothyronine off him.

Ever had B12, Vit D and Ferritin tested? Deficiencies in one or all of those will leave you feeling poorly and are common when you either have no thyroid or it doesn't work too well!

[keb5332]

Im hoping I can  try some t3  but not holding my breath!!! My ferritin is very low had iron tablets until I was just in range then the doctors stopped it. Just  feel so tired and achey all the time. Putting weight on and when I exercise after 2 or 3 weeks I'm so shattered I can't do any more 

[Clutter in reply to keb5332]

Kebs5332,

FT3 5.0 is quite good but you may feel better with it higher in range.  10mcg T3 is equivalent to 30mcg Levothyroxine so don't let your endo reduce Levothyroxine by more than 25mcg when introducing T3.

Ferritin is optimal >100 through to half way through range.  You can buy iron without prescription.  Take it with 500mg-1,000mg vitamin C to aid absorption and minimise constipation.

Low vitD causes musculoskeletal pain.  Ask your GP for the tests Jazzw recommended.

__________________________________________________________________________

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.

[gabkad]

keb5332, were you dehydrated when the blood was taken?  The potassium is just above range.  If you were dehydrated and the hemoglobin was 123 then probably it would test lower still if you were fully hydrated.  If the blood was taken and you were 'fasted' this does not mean a person can't drink water if there is thirst.  

When you were taking the iron, after a while did you feel better?  Also do you have any idea as to why iron is low?  Diet, bleeding?  

I don't understand how a doctor assumes that once the patient's 'iron stores' are replete, they'll stay that way forever more.  ????   if I fill my car's tank with fuel, i can't expect to be able to drive 10,000 km on one tankful.  I'll need to refuel.  In your case, the cause of iron going down needs to be determined.  If it's diet, then you need to supplement.  If you are bleeding excessively then that needs to be checked out.  

[jennygrigg]

keb5332, gab kad is correct in questioning your potassium level. I also think your sodium is too low. Optimum for sodium is around 142 and potassium 4.2. My daughter always tested low sodium/ high potassium and we found she has a problem with aldosterone and renin (along with being hypo and having Addison's disease). Aldosterone controls electrolyte balance, sodium and potassium, and symptoms of problems can include dizziness,  orthostatic hypotension, low BP and heart palpitations. She now takes fludrocortisone which has made a big difference to her health. Problems with aldosterone can be quite common in hypothyroid people. I think it is probable worth following up. Also potassium can be falsely elevated if a tourniquet is used when your blood is taken. Good luck and I hope your health improves in the very near future.