Latest results.Confused. : I have just had... - Thyroid UK

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Latest results.Confused.

130396 profile image
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I have just had results back since reducing t4 from 100mcgs to 75mcgs and reducing t3 from 25mcgs to 20mcgs.

These are my new results

TSH <0.03(0.35-4.94)

Ft4 11.3(9-19)

Ft3 3.9(2.69-5.75)

Previous post......

Can someone advise on these results please and also my symptoms?

I'm taking 100mcgs levo and 25mcgs t3

Had results back of blood tests.

I'm on combo 100mcgs t4 and 25mcgs T3

Results are

Tsh <0.03(0.35-4.74)

Ft4 12(9-19)

Ft3 4.5(2.6-5.7)

I take 650mgs glycinate magnesium

Vit D vit C b complex

B12 sublingual

Symptoms :

Hot flushes (post menopause by 15 years. These started 2 years ago)

Pounding heart( not fast) this started last June

Never feel tired

Had high cortisol and addressed it with HB.

DATS are now stable and good.

What are your thoughts on these now please?

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130396
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Clutter profile image
Clutter

130396,

Why did you reduce dose, and have symptoms improved since reducing?

130396 profile image
130396 in reply to Clutter

I reduced the dose as I had high RT3 and I was told to reduce t3 first then reduce t4 if symptoms didn't get better after a week or so.

So that's what I did.

No my symptoms haven't improved.

Been using holy basil since January to address high cortisol

Clutter profile image
Clutter in reply to 130396

130396,

I can understand why you reduced T4 because it's unconverted T4 which can cause high rT3. I don't understand how reducing T3 helps reduce rT3. If rT3 is very high it's probably best to take T3 only for 3-4 months until it clears.

130396 profile image
130396 in reply to Clutter

Hi Clutter

My rt3 was 0.31 and I was told it should be 0.17.

I was then told to reduce t3 first and if no better reduce t4.

I queried this at the time and was told that if I reduced t3 it would help lower the rt3 as body would recognise lower t3 and would take the brake off.

Then I was told to also lower t4 so the body would stop converting it to rt3.

See why I said confused.

Now I don't know what my next step should be.

Don't want to go t3 only as too time consuming and I don't have the time to do all those sets of vitals

Clutter profile image
Clutter in reply to 130396

130396,

I thought 20-24 was within normal rT3 range. I guess you need to see whether reducing T4 and T3 has reduced rT3 before you make any further changes.

130396 profile image
130396 in reply to Clutter

20 is the rt3/ft3 ratio which is classed as optimal.

But rt3 on its own should be 0.17 or less.

To be honest I cannot afford to pay out anymore money.

The £146.00 it cost to have the rt3 test done has financially taken all of my savings.

Have spent out so much over last couple of years. And was living on savings and sick pay for 10months.

Thing is that u still have the worst symptoms no matter what my levels are.

Whether they are low or high they still remain.

I'm still working on high cortisol and have been since January. My DATS are stable doI'm.told my adrenals are happy but I don't know 😱.

Clutter profile image
Clutter in reply to 130396

130396,

It took so long to get your FT3 up >5.0 and now its back down at 3.9 where you felt unwell. Can you work out whether you felt better on the higher dose or on the lower dose?

What are DATS?

130396 profile image
130396 in reply to Clutter

DATS are daily average temperatures. You have to take them 3 times a day for 5 days and work out the average of each day. If they fail within 0.1-0.2 then they say adrenals are happy.

Oh Clutter, I can't figure it out as to whether I felt better with lower or higher ft3.

I think I've felt more a bit kind of anxious or jittery since t3 lowered.

Hot flushes driving me nuts so is hard heartbeat and breathlessness but that could be because my rbc us under range.

Clutter profile image
Clutter in reply to 130396

130396,

Maybe you can increase T3 dose to 30mcg and leave T4 at 75mcg. If you aren't going to test any more you'll have to try dosing according to symptoms. Keeping a symptoms and dose diary might be helpful.

130396 profile image
130396 in reply to Clutter

I can get tsh ft4 and ft3 from my gp. It's the rt3 test that is so expensive as they all have to be done at the same blood draw.

I have always kept a dosing schedule on my calender and symptoms

It's the same symptoms that just don't go away.

Would you say my ft3 has got toi low now.?

I think my cortisol may be hampering me too.

Clutter profile image
Clutter in reply to 130396

130396,

Only you know whether you felt better with FT4 5.4 or 3.9. If there is no difference in symptoms whatever the FT3 it seems likely the symptoms are non-thyroidal and may be due to your high cortisol.

130396 profile image
130396 in reply to Clutter

Thanks Clutter,

I may just put my t3 back up to 25 and see if it does make any difference.

I don't know what else I can do about cortisol though. Im taking holy basil.

Had awful blood results back too today and can't do anything about them!!!!

Clutter profile image
Clutter

Annonymous21,

If you ask the question by writing your own post I'll answer :)

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