Help with results : I've just had my latest... - Thyroid UK

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Help with results

Blacksmile1978 profile image
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I've just had my latest Thyroid results. This was after my doctor reduced my ERFA because of a high FT3. I've now been on this lower dose for almost 10 days I tried to.raise back up but really struggled I posted about this before so I left it.

My results are quite bad now. I'm looking to increase again by 1/4 grain tomorrow as I will have to slowly again but looking for any other advice that you can give

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Blacksmile1978
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Clutter profile image
Clutter

Blacksmile1978,

The results are too small to read.

Blacksmile1978 profile image
Blacksmile1978 in reply toClutter

Sorry clutter

TSH 2.51 ( 0.27-4.5)

T4 10.3 (12.2-20)

T3 3.1 (3.2-6.8)

Vit D - 22(50-100)

Iron 14.5 ( 6.6-22)

Ferrtin 99 ( 13-150)

Clutter profile image
Clutter in reply toBlacksmile1978

Blacksmile1978,

FT4 is often low and below range when people are taking NDT but when adequately dosed TSH will usually be below 1.0 with FT3 >5.0. You do need to increase dose because FT3 is currently below range.

VitD is sub optimal. If you are in the UK vitD is optimal around 100nmol/L. If you are in the USA 50-60ng/ml is optimal. I would supplement 10,000iu D3 daily for 2 months, then reduce to 5,000iu daily and retest end of April. Take vitD 4 hours away from NDT.

Iron and ferritin look fine.

Blacksmile1978 profile image
Blacksmile1978 in reply toClutter

Thanks Clutter I'm currently on 1 grain do you think I can go to 1.5 or shall I do it in 1/4 increases to see how I get on

Clutter profile image
Clutter in reply toBlacksmile1978

Blacksmile1978,

As you've had trouble tolerating raising dose try 1/4 grain increase. You can increase by 1/4 grain every week or two until symptoms improve. I think you may need more than 1.5 grains.

Blacksmile1978 profile image
Blacksmile1978 in reply toClutter

I think I may need more too but I'll start with a 1/4 to start with . Thank you so much for your help I do appreciate it

Blacksmile1978 profile image
Blacksmile1978

Hi Clutter increased back to 1.5 been on this a week now. Feel awful tho, still waking up with pounding heart. Nausea Etc. I also can't seem to tolerate the iron or vit d supplements they make me feel very racy and anxious. I have blood test on Tuesday. I am thinking I should increase ERFA by another 1/4 but am also unsure as to whether to wait until my levels come in first.

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