Hi. I'm new to these forums and have never made a post before.
My GP has prescribed Levothyroxine at 100mcg for several years now, and throughout that time I have never felt energised, or had any weightloss without major effort on my part - 40 minutes of fast cycling on my exercise bike while sticking to a low calorie diet.
I've tried to discuss this with my doctor, and have presented evidence gathered online to show how T4 may not be converting to T3, etc. but at the last session he lost his patience, almost accused me of arguing against science with black magic and quackery, and refused to accept that T4 wasn't the be all and end all for treating hypothyroidism.
I've now had a private test done (£170) and the results are as follows:
TSH 2.87; range 0.27 - 4.20 IU/L
T4 Total 127.4; range 64.5 - 142.0 nmol/L
Free T4 18.87; range 12 - 22 pmol/L
Free T3 4.08; range 3.1 - 6.8 pmol/L
Reverse T3* H 40.0; range 10 - 24 ng/dL
Reverse T3 ratio L 6.64 >20 Ratio
Anti-Thyroidperoxidase abs 12.0 <34 kIU/L
Anti-Thyroglobulin Abs 11.9 <115 kU/L
Vitamin D (25 OH) L 46 Deficient <25 nmol/L
Insufficient 25 - 50
; Consider reducing dose >175
Vitamin B12 388 Deficient <140 pmol/L
Insufficient 140 - 250; Consider reducing dose >725
Serum Folate 19.99; range 10.4 - 42.4 nmol/L
From these results it looks like the reverse T3 is pretty high, while everything else is within range.
I intend to present these to my GP, but I'm not sure what I should be saying to him, and what a high reading of RT3 means, if anything, with regards to still feeling like I have hypothyroidism. How do these numbers look, and is there anything I should be saying to my GP that contradicts his stance on the issue? Any help would be greatly appreciated.