help with theroxene

hello my latest results are




FREE THYROXINE 16.81 pmol/L 12.000



FREE T3 4.42 pmol/L 3.100



and my results now are

Results Page







FREE THYROXINE 16.08 pmol/L 12.000



TOTAL THYROXINE(T4) 105.6 nmol/L 59.000




4.49 pmol/L 3.100



I'm on 75 of thyroxine.

what's best to do?

13 Replies

I would suggest you need an increase in levothyroxine but bear in mind I'm not medically qualified.

75mcg is a low dose but it would seem to me that the GP is 'happy' that you are within the 'normal' range. What he/she must understand that most of us need a TSH of 1 or lower and some might need it to be suppressed before we have relief of clinical symptoms. That's another thing doctors don't appear to understand is that the priority should be that the patient feels well with relief of clinical symptoms which should be alleviated.We should then feel well.

One doctor, now deceased, tried to get the BTA to change their guidelines by saying that the emphasis on the TSH alone was wrong and that we are now given too low a dose (usually) of thyroid hormones when many feel better with a higher dose and before the blood tests were introduced we were given doses of between 200 and 400mcg.

Your FT3 could be higher too.

thanks the t3 seems to of lowered as well

I agree with shaws, you need an increase in dose. :)

do you think I'm utilising my t3 from the t4 ok?

Only you can know that, by the way you feel.

vivienneferreira With your first lot of tests FT4:FT3 - 16.81 : 4.42, your ratio is 3.80 : 1 . With your second lot of tests, where you say 'and my results now are' it is 16.08 : 4.49 your ratio is 3.58 : 1.

Good conversion takes place where the ratio is 4:1 or less, so you are converting well enough, and your second lot of tests show your conversion is slightly better.

Were both tests done at the same time of day (and fasting) and were you on the same dose of Levo both times?

I agree that you need an increase in Levo.

hiya and thanks, I was taking 87 for 2 weeks before the first tests but felt a bit anxious so went back to 75 both tests were taken the same I think I should go back to 87?

id prefer not going down the t3 way if I can avoid it

I think if you increase your Levo then there'll be more T4 to convert to T3, that may be good enough for you (Levo alone is enough for very many hypo patients), so I wouldn't worry about adding T3 at this stage.

thanks for help I will raise it again

well I'm still tired but that could be as my dose of t4 is to low

If they have not been done ......Suggest you ask GP to check levels of vitamin d, b12, folate and ferratin. These all need to at good (not just average) levels for thyroid hormones (our own or replacement ones) to work in our cells.

When you get results suggest you make a new post on here and members can offer advice on any vitamin supplements needed

If you can not get GP to do these tests, then like many of us, you can get them done privately

Blue Horizon - Thyroid plus eleven tests all these.

This is an easy to do fingerprick test you do at home, post back and they email results to you couple of days later.

As you have Hashimoto's then you may find adopting 100% gluten free diet can help reduce symptoms, and lower antibodies too.

Assume you know that Levo generally should be taken on empty stomach and no food or drink for at least hour after. Many of us take on waking, some prefer bedtime, either as more convenient or perhaps more effective. No other medications at same time, especially iron or magnesium, these must be at least 4 hours away

Best advice is to read as much as you can. Vitamin and minerals levels are very important, but standard NHS thinking, doesn't at the moment seem to recognise this.

You will see, on here lots of information and advice about importance of good levels of B12, folate, ferritin and vitamin D, leaky gut and gluten connection to autoimmune Hashimoto's too.

hiya yes I had them tested and all were average apart from folic was low ferritin was good .d and 12 and folic I take supplements and selenium,

I follow all the guides on taking them and don't have gluten and eat a good diet


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