Does this seem right?

[Misscshell24]

Yesterday I received an official diagnosis of: Hypothyroid secondary to Hashimotos and have been prescribed Synthroid 25mcg. Does this seem right and good to start medication?

September 2016:

TSH - 2.61 (0.27-4.20)

T4 - 5.9 (4.5-11.7)

T4, free - 0.79 (0.93-1.70)

T3 - 94 (80-200)

Reverse T3 - 9 (8-24)

Here are the results from August 2016:

Biopsy: benign and lymphocytic thyroiditis.

Thyroid uptake scan showed hypo at 7% (10-20%).

TSH - 0.01

T3, free - 3.9 (2.3-4.2)

Free T4, index t7 - 2.6 (1.4-3.8)

T4 thyroxine, total - 8.1 (4.5-12.0)

T4, free - 1.3 (0.8-1.8)

T3 uptake - 32 (22-35)

T3 total - 114 (76-181)

Thyroglobulin antibodies 1 (<or=1)

Thyroid peroxidase antibodies 6 (<9)

[puncturedbicycle]

I'm not sure how they diagnosed Hashi's as your antibodies are within range. Interesting though. Do you have symptoms? I assume you must to have been tested.

Keep an eye on your dose as sometimes a low dose can make you feel worse. If you find your results are becoming more abnormal on Synthroid you may need an adjustment. But it sounds like you're being given very close attention for your thyroid stuff, which is good.

[Misscshell24 in reply to puncturedbicycle]

Thank you. The Hashi's is from the biopsy. She's thinking its early stages and that's why antibodies weren't present a month ago and just ordered a recheck of my TPO. I do have many symptoms: joint pain, brain fog, fatigue, dizziness, weight gain (nearly 6 stone this year), migraines, and nausea.

Thank you for the info on the low dose, I will see how I'm feeling and hope it's not worse since it's a low dose.

[Misscshell24]

Thank you. Yes, I am in the US.

B12 - 751 (>400)

Folate - >1558 (>750)

Ferritin - 20 (13-150)

Vitamin D - 35 (30-100)

I have been given B12 and D supplements.

Concerned that levels changed quite a bit in the last month.

[greygoose in reply to Misscshell24]

They should have given you something for the ferritin, too. It's much too low.

[Misscshell24 in reply to greygoose]

What helps with ferritin?

[greygoose in reply to Misscshell24]

Ferritin is stored iron, so you need to supplement with iron - ferrous fumarate. Didn't your doctor say anything about that low level?

Always take 1000 mg vit C with iron tablets, to help absorption and protect your tummy.

[Misscshell24 in reply to greygoose]

Thank you. I will get a supplement. She did not say about the ferritin. I asked and she said it was ok.

[jimh111]

Assuming you don't have some concurrent illness affecting the blood tests your TSH is unusually low for your fT4. Rather than just prescribing levothyroxine you should be referred to an endocrinologist to check your pituitary.

[Misscshell24 in reply to jimh111]

Thank you. I have a MRI scheduled to check my pituitary and have had my hormones checked, it shows estrogen dominance secondary to adrenal fatigue, progesterone and cortisol were remarkably low and she has prescribed progesterone cream and ordered an urine test to check my organics (?). Once those results are in, she said she will likely start adrenal support supplements. Does that sound right and the right tests for pituitary?

[Misscshell24]

I am a vegetarian so will look into the iron supplements and have the vit C. Thank you.

[Misscshell24]

Afraid they're not great here either. I've been very ill for two and a half years and have seen many doctors. Have been told my problems have nothing to do with thyroid, etc.

Only recently found a functional med doc (thanks to someone's suggestion on here) and have private paid to see her. Worth it since she's helping and feel like I'm finally getting answers.

[Misscshell24]

Thank you. Will look into iron and eating liver then. Already struggling enough and don't need anymore uphill battles. I'm shattered from all the battles.

[Misscshell24]

Funny you should say that. My cholesterol is high and a MTHFR showed t/t high risk. She suggested I do a 23andme test and am doing an urine organics test to check selenium, zinc, and other levels.

So much information, my head is spinning and trying to process it all.

Hiding minced liver in a veggie casserole is a good idea. I will read the link as well.

[Misscshell24]

Lol, couldn't agree more!

[Misscshell24]

Very interesting. Thank you. I had a dose this morning and am feeling not quite right. Eyes feel a bit crossed and head feels fuzzy and spinning. Was thinking of holding off on taking another dose. Also started a high dose of b12 and have changed my diet. So a lot of changes. Maybe best to hold off on another dose and do one change at a time.