Graves and T3:  Hello , I am really struggling... - Thyroid UK

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Graves and T3

Maryloo03 profile image
5 Replies

 Hello , I am really struggling with feeling cold . 3 weeks ago my Dr. added 5 mcg cytomel to my  175 synthroid . Still feeling cold, but have more energy .He may not knows how to dose the Cytomel /Synthroid . 

TSH

 3.82 pmol/L

T4 Free 23 pmol/L

T3 Free

 3.2 pmol/L

 

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Maryloo03 profile image
Maryloo03
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shaws profile image
shawsAdministrator

What a miserable 5mcg of T3 - equal to around 15mcg of levo. This is a link and go to page 80 and on the left-hand side you will see the latest combined recommendation.

Give GP the whole article highlighting the appropriate part:

tpauk.com/images/docs/reduc...

Usually in the UK, if they add T3 they reduce levo by 50mcg an add 20mcg of T3. 

Your TSH is too high should be 1 or lower, or suppressed for some of us. Your T3 looks on the low side and there's no ranges. We need ranges as labs differ throughout the UK, just to make things a bit more difficult.

Maryloo03 profile image
Maryloo03 in reply toshaws

TSH      

3.82            0.30 - 5.50 mU/L 

T4 Free

    H 23      11 - 22     pmol/L 

T3 Free

  L 3.2         4.0 - 7.8    pmol/L

Thanks Shaw . I am in Canada .

Clutter profile image
Clutter in reply toMaryloo03

Maryloo03,

You are undermedicated to have TSH 3.8 and FT3 below range.  Your FT4 is over range but isn't converting well to T3.  I think your endo needs to increase T3 dose in 10mcg increments until FT3 is 6-7.8.

__________________________________________________________________________

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.

Maryloo03 profile image
Maryloo03 in reply toClutter

TSH  

0.39  0.30 - 5.50 mU/L

 

T4 Free

 H 25     11 - 22 pmol/L

 

T3 Free

 4.8 4.0 - 7.8  pmol/L

May I have you opinion on these results ?

Clutter profile image
Clutter in reply toMaryloo03

Maryloo03,

Low TSH, high FT4 and low FT3 indicates you aren't converting T4 to T3 very well and would probably do better with more T3 added to a slightly reduced dose of Levothyroxine to raise FT3.

I think this set of results is better than the first set you posted but not optimal. 

____________________________________________________________

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.

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