Good Morning Everyone,
Am after some advice please. At the end of September I was allowed a 3 month trial of T3 to be added to T4 as I wasn't feeling any better on T4 alone. Prior to starting on T3, I was alternating between 75mcg T4 one day, and 100 the next. The endo suggested dropping to 50mcg t4 one day and 75mcg the next and adding in 5mcg T3 daily, which I started on 24 Sept. Initially this did help and I felt a lot better, but after 2-3 weeks I felt rotten again with the aches and pains and excruciating headaches returning. On advice I received here, from 12 Oct I upped this to 75mcg T4 each day and 5mcg T3. I felt better on this but felt there was still room for improvement. I had further bloods done 12 Nov as follows.
Results 12 Nov 16 ( older results listed further below)
FT4 18.92 pmol/L (normal range 12-22)
FT3 5.3 pmol/L (normal range 3.1-6.8)
TSH 0.0112 mU/L (normal range 0.27 - 4.2)
When I saw the endo end of November he seemed irritated that I had upped the levo each day to 75mcg, as opposed to the alternate 50 - 75 dosage he suggested.
I said that although I was feeling much better , I still have low energy but more than I had before adding the T3.I felt there was room for improvement and asked if I could increase the T3. He said he wouldn't prescribe an increase of t3 as he didn't want me going over active. I was wanting to either reduce t4 or add further t3 to the mix. Either way I just feel the improvement felt on a small amount of t3 suggests this is helping me more than the t4 did.
He agreed a further 3 month trial of 5mcg daily to be added to 75mcg T4 and follow up bloods and apt with him in 3 months.
For the last 3 weeks the aches , pains and fatigue have started to return and I just feel I am not firing on all cylinders.
Could you advise if my results would suggest a small increase of T3 would be worth trying.
Thank you 
Older Results
31/8/2016
FT4 26.47 pmol/L (normal range 12-22)
Ft3 5.9 pmol/L (normal range 3.1 - 6.8)
TSH 0.027 mU/L (normal range 0.27 - 4.2
May 2016 Vitamin D =77 ( range 50-250)
11 July 2016 Short Synacthen Test
The basal level needs to be above 100, 30 min sample needs to be above 500 nmol/l with an increment of at least 200 nmol/1
Basal 468
30 Mins 815
60 mins 905
LH 11.4 U/L
follicular 2.4 - 12.6
Ovulation 14.0 - 95.6
Luteal 1.0-11.4
Post Men 26 - 135
FSH 21.1 U/L
follicular 3.5 - 12.5
ovulation 4.7 - 21.5
Luteal 1.7 - 7.7
Post Men 26 - 135
B12 723* ng/L (199-663)
Folate (serum) 13.9 ug/L (4.6-18.7)
Pathology
WBC 4.9 X 10^9/l (4.0-10.0)
RBC 4.56 X 10^12/l (3.8-4.8)
HAEMOGLOBIN 154* g/l (120-150)
HCT 0.44 ratio (0.36 - 0.46)
MCV 97.0 fl (83 - 101)
MCH 33.8* pg (27.0 - 32.0)
MCHC 347* g/L (315-345)
RDW 12.5 (11.0-14.0)
Platelets 222 X10^9/L (150-410)
Differential
Neutrophils (abs) 2.5 10^9/L (2.0-7.0)
Lymphocytes (abs) 1.5 10^9/L (1.0-3.0)
Monocytes (abs) 0.5 10^9/L (0.2 - 1.0)
Eosinophils (abs) 0.30 10^9/L (0.02 - 0.50)
Basophils (abs) 0.11* 10^9/L (0.02 - 0.10)
Erythrocyte sedimentation rate 13 mm/HR (9-19)
Biochemistry
Sodium 141 mmol/L (133-146)
Potassium 4.0 mmol/L (3.5 - 5.3)
Urea 4.2 mmol/L (2.5 - 7.8)
Creatinine 80 umol/L (45-84)
estimated GFR 66 ml/min/1.73m^2
AKI no previous creatinine
CRP 6.5 mg/L (0.0-5.0)
Sodium
Short synacthen test 31.8.16
basal cortisol nmol/L 427
30 mins 763
6o mins 898
Sodium 140 mmol/L (133-146)
Potassium 4.2 mmol/L (3.5-5.3)
Urea 4.8 mmol/L (2.5-7.8)
Creatinine 70 umol/L (45-84)
estimated GFR (eGFR) 77 ml/min/1.73m^2
AKI (acute Kidney injury) No Warning
Older results :
Aug 2011
TSH 4.65
June 2015 prior to any medication being started.
At baseline, TSH 4.29
FT4 14.9, Thyroid Antibodies Peroxidase ABS + 112.7
Sept 2015 TSH 3.0
Nov 2015 TSH 2.11
Improving T4 to T3 conversion 
Hospital Blood test results help!
Re posted blood for help
Confused about dosage
