Still no better off with my t3 levels although they have gone up slightly from my September results. I don't know what to do. Latest results are me 6 weeks on 100mcg Levo and 10mcg t3. When I upped to 15mcg t3 I went over range.
I was on 100mcg Levo & 10mcg t3 when I first introduced the t3 at the end of June. My July results below show that my t3 was coming up nicely but going back to that dose for the last 6 weeks my t3 has gone down
I don't really have any idea what to do now. I wish I had done the test with the rt3 to see what my current levels are now, might have given me a better idea
Folate levels have slightly improved but my Thyroglobulin abs have gone up. Wondering if it's due to the Candida I have
***1st Nov**** - after being on 10mcg t3 and 100 Levo for 6 weeks ***
CRP 0.10 <5.0
Ferritin 88.4 (20-150)
FT4 20.27 (12-22)
FT3 3.84 (3.1 - 6.8)
TSH 0.97(0.27 - 4.20)
T4 Total 122.40 (64.5 - 142.0)
Anti Thyroidperoxidase abs 362.30 <34
Anti Thyroidglobulin abs 275.70 <115
B12 931 Deficient <140
Serum Folate 14.95 (10.4-42.4)
***12 Sept**** - after being on 10mcg t3 and 75 Levo for just over 3 weeks
TSH 13.69 (0.97 0.27 - 4.20 IU/L
Free T4 14.43 (12 - 22 pmol/L
Free T3 3.18 (3.1 - 6.8 pmol/L
****24th August**** - after 75mcg Levo, 2-3 days off 15mcg t3 and restarted on 5mcg on the 20th August
CRP 0.1 <5.0
Ferritin 97.1 (20-150)
FT4 12.45 (12-22)
FT3 2.43 (3.1 - 6.8)
TSH 13.46 (0.27 - 4.20)
T4 Total 85 (64.5 - 142.0)
Anti Thyroidperoxidase abs 365.60 <34
Anti Thyroidglobulin abs 245.40 <115
B12 961 Deficient <140
Serum Folate 11.65 (10.4-42.4)
***15th August**** - after being on 15mcg t3 and 75 Levo for just over 2 weeks
TSH 0.97 (0.27 - 4.20 IU/L)
Free T4 13.77 (12 - 22 pmol/L)
Free T3 H 9.34 (3.1 - 6.8 pmol/L)
****26th July **** - after adding 10mcg t3 on 30th June with 100 Levo
CRP 0.2 <5.0
Ferritin 100.4 (20-150)
FT4 19.38 (12-22)
FT3 4.74 (3.1 - 6.8)
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Jefner
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I am not medically qualified but have hypothyroidism. I was undiagnosed/unmedicated for a long time.
Looking at your latest levels, I see that your FT3 is low and should eventually be towards the upper part. Your 100mcg of levo doesn't seem to be converting sufficiently to T3 but your dose of 10mcg is quite low. I'd suggest adding 5mcg of T3 and if you don't feel an improvement in 2 weeks add another 5mcg so you'd be taking 20mcg daily. If at any time you feel you're taking too much, drop T4 by 25mcg.
Did you have your blood tests at the very earliest possible and fast. Did you leave about 24 hours between your last dose of thyroid hormones?
I wouldn't pay much attention to reverse T3 and go to the date March 24, 1999 to read the question/answer:-
Yes I do my bloods early completely clear of my meds. I have been GF for nearly 2 yrs.
I don't convert which is why I started in adding some t3 at the end of June. I tried to raise the t3 as I said to 15mcg but I went over range as shown in the August results
Thanks for your excellent Profile Jefner and August results were:
TSH 0.97 0.27 - 4.20 IU/L
Free T4 13.77 12 - 22 pmol/L
Free T3 H 9.34 3.1 - 6.8 pmol/L
2nd August - upped t3 from 10mcg to 15mcg and dropped Levo from 100mcg to 75
Did you feel you were on too much, i.e. too hot, too fast pulse?
Did you reduce dose due to your blood tests for FT3 alone?
I believe that the blood tests were introduced along with levothyroxine and were for taking levothyroxine alone. Your FT4 is low so maybe you aren't converting to sufficient T3.
When T3 is added into the mix results can be skewed.
The following is from Dr Lowe who took 150mcg of T3 only, so I'm sure his FT3 must have been very high:-
Dr. Lowe: With most patients, I use thyroid function tests (TSH, free T3, and free T4) and thyroid antibodies only for a patient’s initial diagnosis. Afterward, I follow the practice, in principal, of Dr. Broda Barnes—that is, measuring tissue effects of particular dosages of thyroid hormone rather than remeasuring TSH, free T3, and free T4 levels.
My reason for this different protocol is simple: the TSH, free T3, and free T4 tell us only how the pituitary and thyroid glands are interacting. Of course, the test levels may also tell us something of the influence of thyroid hormone over the hypothalamus in its secretion of TRH, another hormone that influences the pituitary gland's secretion of TSH.
yes when the results came through and saw my t3 had gone over range I was actually at the point where I was going to raise it to 20mcg which I believe I did in fact take one dose at night and woke up mega sweating. I don't remember any palps but I have those most of the day anyway
You shouldn't have palps at anytime as it seems to me it occurs when not on sufficient or too much (no easy way). It could also be due to fillers/binders in the hormone replacement.
When you are on an optimum of thyroid hormones which suit you all should be calm.
I only take one daily dose because T3 has to enter our receptor cells and then its work begins and lasts between 1 to 3 days.
Excerpt:
If you’re new to the use of thyroid hormone, and you’re up to a dose that should be working for you, but you’re not benefiting from it, be sure to let your doctor and your pharmacist know. The dosage range that’s safe and effective for most patients is between 2-to-4 grains (120-to-240 mg) of desiccated thyroid. The equivalent dosage range for T4 is 200-to-400 mcg (0.2-to-0.4 mg). If you’re not improving within this dosage range, you may have thyroid hormone resistance, or the potency of the tablets or capsules you’re using may be lower than what’s stated on the label.
I have been on Levo for 10yrs hon and only been trialing the addition of t3 since the end of June because I wasn't converting. I did a t4/t3 urine test not so long ago to see whether it was getting into the receptors and it was.
My palps and anxiety are mainly due to my Candida and high cortisol levels
And yet when I was on 100 Levo and 10 t3 in July my results looked pretty good. Even going back to that dose for 6 weeks my t3 has dropped, I don't understand why
Just checked my calendar and I was at the time taking the full 15mcg at bedtime before I changed to splitting. Looking at the days after when I moved up to 15mcg t3 there were plenty of rough days, so it didn't make me feel any better
Hon, I just don't know what to do. I did lower my t4 at the time to 75 when I was on 15 t3. Maybe that made the difference and I should stay on 100 Levo and try for 15 t3 again?
I wonder if my poor diet in not eating enough has anything to do with it.
I was thinking my t4 was a little high in the range and thought about alternating as you say. Am just wondering whether to move everything again to taking daytime as I used to or carry on taking my Levo at night with a 5mcg t3 dose and then adding in 2 5mcg doses in the day?
I have trialed this t3 for 5 months now and there is no real change in my levels. Maybe since I have been through the menopause my body has changed that much that I need to try something else like NDT?
I know hon, I can't believe the fluctuation of the t3. My t3 levels in July were looking better at around 4.74 and that was on 10mcg t3 but then I went up to 15mcg and it went over range. How the heck can I find the right dose
How should I dose it. Beginning to think this t3 is no good for me to be honest. Maybe I need NDT. I never felt any better on the 15mcg anyway looking at my calendar
I have the problem of low in range T4 and T3 and very low Tsh which the docs are in a flap about. I have decided that my issue is my adrenals and that I need to do something about sorting my adrenals first and then think about T3. Don't know if you have done anything to check if your adrenals are out of kilter! I know I read somewhere that if your adrenals are not sorted you shouldn't take T3. brain fog prevents me remembering where I read it!
How long do you wait after eating before you take thyroxine? I ask as I have long thought about changing to night time but the only time I can guarantee nothing interfering with the absorption of thyroxine is to take it in the morning. I have been eating early evening in a routine to try taking it evening time but still have not go to the point of biting the bullet and doing it
Thank you I have another blood test in the morning so as I won't of taken my meds since this morning Iwill bit the bullet and try tomorrow night my first night time thyroxine in over twenty years of taking thyroxine I have heard some people say it helps them sleep better x
I weaned myself off 125mcg of Synthroid a year ago. I have tried several different approaches of Synthroid/NDT combinations and straight NDT. I have difficulty converting T4 to T3. I am very sensitive to any change in my NDT. An increase from 90mcg to 105mcg NDT gave me severe chest pain. I currently alternate my dose daily between 90 and 105mcg. I started checking my body temperature and Pulse (Broda Barnes) 2 weeks ago. It is very accurate. I am still very hypo but when I try to increase my dose to 105 mcg. every day, I suffer from severe chest and neck pain. I also have high cortisol and Candida issues. I started taking 1 tbsp of apple cider vinegar in a glass of water every morning on an empty stomach. I think this has improved the Candida, at the very least and my hypo symptoms seem to be disappearing as well.
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Blood test results - help please x
Got my blood test results
Test results help please 
Blood results, can anyone shed any light please?
