Please interpret my results for me

[jefftall]

I am aware there is no T3 despite me actually taking it!! Am addressing that at Drs apt tomorrow

[Clutter]

Jefftall,

TSH is suppressed and FT4 is low in range. Both typical results when taking T4+T3. Impossible to say whether or not you are optimally medicated without FT3 result. I'm surprised the lab didn't automatically test FT3 when they found TSH suppressed.

Everything else is within range. You aren't yet menopausal and GFR >60 means kidney function is normal.

[jefftall in reply to Clutter]

Thanks - I feel bloody awful :0( don't know where to go From here

[Clutter in reply to jefftall]

Jefftall,

Have vitamin D, B12 and folate been tested? They're often low or deficient in hypothyroid patients. If your GP won't test FT3 perhaps you could order a private thyroid test from Blue Horizon or Genova via thyroiduk.org.uk/tuk/testin...

[jefftall in reply to Clutter]

They do test my T3 but as happens EVERY flipping test they say yes we have asked for that - then I say it's not been done - then they say oh well let's do more bloods then and then I get a machine gun and kill everyone! (The last bit doesn't happen but it is SO beyond being able to put into words how frustrating I find the process) - I don't understand that if I take T3 why I can't be automatically tested for it

[Clutter in reply to jefftall]

Jefftall,

Your GP needs to grow a pair and tell the lab that FT3 is ordered for a reason and s/he wants it analysed and wants the results to help with a diagnosis.

[puncturedbicycle in reply to jefftall]

jefftall lol, I can identify w the machine gun part.

If your gp actually writes on the form that you need t3 tested *because you are taking t3* (that's the important part) and the lab still don't do the test, if you find out within the week (since blood draw) the surgery can ring the lab. If they still have the blood they may test it so you won't get stuck again.

Idk why the palaver but this is how I've avoided being stuck a second time. I hope it works for you.

[jefftall]

She does then they don't do it

[jefftall]

My B12 is 445, folate 7.8 they didn't test my vit d despite me taking meds for it

[stuartwwhouse]

How much t3 are you taking ?

[jefftall in reply to stuartwwhouse]

20mcg split into two so Am and PM

[stuartwwhouse]

The reason I ask is Dr John Dommisse (lots on Google) swears by optimising both FT4 and FT3 to ensure correct levels of physiological replacement - it's just a guess but your ft3 is going to be quite high or over range and as said previously , your ft4 isn't optimal at the bottom of its range. He says the brain needs adequate t4 to convert locally to t3 to eliminate cognitive symptoms. Many people don't get on with high ft3 low ft4

Have a read of one of his articles below

westonaprice.org/modern-dis...

[jefftall in reply to stuartwwhouse]

Would you be kind enough to remind me of optimum ranges for t4 and T3 please

[stuartwwhouse]

From memory ft4 should be at least 50% -80% of its range

Ft3 top 1/3 -1/4 of its range

The Dr in the link I sent you doses t4 slowly until right up in range with no over stimulation symptoms he then adds small doses of t3 in 5mcg multiples until the ft3 is optimal (only if the person's t3 is lagging behind - but thinks most of us need some t3 )

Looking at TSH last for fine tuning (if not completely suppressed)

[stuartwwhouse]

Copy and paste from his interview:

The reason why it is best to optimize the Dialysis Free-T4 – the only accurate test for it – as well as the DFT3 level, is because the brain seems to need to receive thyroid hormone in the form of T4 as well as T3, and then converts T4 to T3 INSIDE the brain cells. e.g., Patients on the so-called Wilson’s T3-only approach get good relief of physical symptoms but retain their brain fog, memory loss, concentration problems, etc.. The other reason is it is a good idea to have your

“reserve” of thyroid hormone, which is the T4, as high as possible as long as that is without any adverse effects – so that, if you miss a dose of T3-containing preparation, you can possibly convert T4 more readily to T3 than if the T4 level is not as optimal.

If I had to choose between a high-normal DFT3 level with a mid-range DFT4 level, on the one hand, vs. a high-normal DFT4 level and a mid-range DFT3 level, on the other, I would choose the first scenario, above. But, since I have the ability to optimize BOTH levels, that is what I prefer MOST.

Armour and other Thyroids, contain the ratio of T4 to T3 that the PIG thyroid gland puts out (4:1) – which is perfect for humans who have secondary (pituitary), tertiary (hypothalamic) and/or

Non-thyroidal-illness hypothyroidism, with or without some primary hypothyroidism. These other forms of hypothyroidism run much lower T3 levels than T4 levels, so the pig thyroid turns out to be just right for some of them.

Purely-Primary hypothyroidism patients, whose T3 level tends to run higher than their T4 level, can sometimes do fine on T4-only, but they are in a distinct minority, <10% of all hypothyroid patients that I see. A larger minority, maybe 20-30% do fine on just Armour/ Thyroid/Thyrolar. But, if you keep DFT3 levels constant thruout the 24 hrs of every day, you will find that the only way to optimize BOTH the DFT4 and DFT3 levels is to use some combination of T4 and Armour/Thyrolar, or some combination of T4 daily and Compounded T3/ Cytomel 2-3X/d. Since I am virtually the only physician using a combo of thyroid preparations – which is necessary to optimize both levels – this tells me that MOST hypothyroid patients under the care of other physicians never optimize both their DFT4 and DFT3 levels!!

Best wishes,

John ‘Domm’ MD

JohnDommisseMD.com

[jefftall]

any chance you're free between 12-2 today - my drs ringing and i think I've only got the energy to cry rather than fight my case :0)

[jefftall]

So it appears my T3 etc were done and the reception didn't give me all the printouts! My T3 6.2 (3.5-6.5), antibodies 14 (0-50), T4 14.4 (9-24), TSH <0.03 (0.35-5) FSH 20.2, LH 39.5,

Any thoughts please? GP wants to refer me back to endo as is out of her depth - would like to go armed