High t4 high t3...supressed tsh???

[Agnes79]

Hi....is it possible to have over the range t4 top of the range t3 and supressed tsh??? I have it ....am on levo and t3 combo...shall I reduce sth??? What does my result mean??

[Clutter]

Agnes79,

It will help members advise if you post your results and ranges.

[Agnes79 in reply to Clutter]

My tsh is 0.011

Ft3 6.22 (3.13-6.76)

Ft4 22.2(12-22)

[Clutter in reply to Agnes79]

Agnes79,

FT4 is mildly over range and FT3 is within range so there's no need to reduce dose unless you feel overmedicated.

[SeasideSusie Remembering]

Agnes79 Are you talking about these results you posted the other day?

tsh O.O11

Ft3 6.23 (3.13-6.76)

Ft4 22.2 (12-22)

If so, clutter suggested that if you aren't feeling overmedicated then as your FT3 is within range there's no need to reduce dose.

How do you feel?

If you're feeling overmedicated or are worried then reduce your Levo slightly.

[Agnes79 in reply to SeasideSusie]

I feel really achy!! That is my worst symptom!! The only one really!!!! That is why I have been increasing the dose for the last few months hoping for improvement....but it hasnt made any difference! So Therefore....I have decided to reduce both hormones slightly.....

Also, I have tested my antibodies 2 days ago and they came back normal! Both tpo and tpg negative.....

My d3 came back low....26ng....norm from 30 ng.....can this be the reason of my achiness?

[Clutter in reply to Agnes79]

Agnes79,

Low vit D will be why you're feeling achey. See my advice in healthunlocked.com/thyroidu...

[Agnes79 in reply to Clutter]

Thanks for the link!

[jimh111 in reply to Agnes79]

If increasing your thyroid hormone dose doesn't help go back to your lower dose. Low vit D can cause aches, there can be many causes. However, there are many reasons for having good vit D levels so I suggest you supplement with high dose vit D3. Pehaps take two or three tablets daily for a week or two, just to get your levels up and see if it helps. I'd suggest supplementing vit D3 in the winter and try to get prudent sun exposure during the summer.

[Agnes79 in reply to jimh111]

Thanks. How much vit d per day???? I am taking 8000 per day...started a few days ago.....shall I do it for a month or two and see how I feel??? I think I might have problems absorbing it as a few years back I was deficient as well and the doc put me on 60000 per week for 3 months and only then did my levels go back to higher ends.....I wasnt achy then....just tired....now I am very achy....

[bluebug in reply to Agnes79]

Vitamin D doesn't work like that.

Most people in the world make Vitamin D through the action of sunlight, UVB, on their skin. In the Northern hemisphere the sun is only high enough during April to September, while it is the opposite way in the Southern hemisphere. Around the equator people make vitamin D all year round.

If you stay out of the sun for a year for any reason such as being ill so you are housebound, or for some reason, normally increased age, your body has a faulty mechanism then you will be vitamin D deficient. You are then advised to take supplements of vitamin D3 to get your level up.

The main issue is doctors in the West due to faulty research studies and using case studies of single individuals, get worried about prescribing higher amounts of vitamin D3. So in some UK areas they think 3,000IU per day is high while in others 10,000IU is considered high.

Anyway once you are found to have a vitamin D deficiency the agreed consensus now is that you must supplement daily for life. The amount recommended varies, and ideally once a year at the beginning of October in Northern hemisphere you should have a vitamin D blood test to see if your dose needs altering.

[bluebug in reply to Agnes79]

You want your vitamin D level to be around 40ng so take 8,000IU daily for two months then go down to 5,000IU every other day. (Vitamin D is fat soluble and while daily dosing is preferred every other day or weekly dosing is acceptable.)

Then after 12 weeks level wait at least 24 hours before taking a supplement and have a vitamin D test.

Then if you aren't at 40ng start a new thread and ask for advice.

If you are at 40ng finish your bottle of 5,000IU then go down to 1,000IU per day. In October have another test and if you are between 30-40 start taking 2,000 IU per day and stick to it.

[Agnes79 in reply to bluebug]

Thanks so much!

[SeasideSusie Remembering in reply to Agnes79]

Agnes79 First of all, you have Hashimoto's, you know that as you made a post about it a year ago. Once you've tested positive that's it, there's no need to test again. Antibodies fluctuate and if you've tested 'negative' this time then presumably you tested when the antibodies were low. I assume you've looked into and read about Hashi's and will be gluten free and supplementing with selenium L-selenomethionine 200mcg daily to help reduce the antibodies.

Vit D is recommended to be 40-60ng/ml so you still have a way to go. I see from your post below that you are taking 8000iu per day. Continue with that for a couple of weeks then reduce to 5000iu daily (or whatever is closest with your supplement). Retest in May and if you've reached the recommended level reduce to 5000iu alternate days.

Are you taking Vit D's important co-factors K2-MK7 and magnesium?

What about your ferritin level, discussed in previous posts? Are you still supplementing with Ferrous Fumarate and did you start eating liver? What's your level now?

It was suggested in previous posts that your low Vit D and ferritin levels could be causing the achiness. So maybe you should be optimising those levels rather than increasing thyroid meds to try and eliminate the achiness.

Don't reduce both Levo and T3 at the same time. Do one or the other and see how things go. Personally I'd reduce Levo first as your FT4 is over range. Reducing Levo should reduce both FT4 and FT3.

[Agnes79 in reply to SeasideSusie]

Thanks.My fertitin is 42.2 ng (13-150) so I continue to supplement 3 times daily with vit c1000 until my range is around 100....stilll havent got round to eating liver absolutely hate the taste;/ but maybe I should as the levels are rising slowly....I will supplement with vit 3 and K2 for 3 months and retest hopefully will notice the difference...it has been so many months now of feeling achy

[Agnes79]

Thank you...so how much shall I be taking/???? Is 8000 per day enough for 3 months???

[bluebug in reply to Agnes79]

See post above.

[Glynisrose]

How do you feel ? Thats more important than numbers.

[UrsaP]

If you get the Vit D levels sorted as suggested, and you still have aches, and your t4 remains high, and raises, you may want to consider if you are converting and using the t4 correctly. Just a thought as I struggled with fibromyalgia for years and seemed to be ineffective processing of t4 causing it in the end. I was becoming 'toxic' with it.

[Agnes79 in reply to UrsaP]

Thanks so much.....I might be experiencing the same...I was thinking ...that I am becoming toxic because of all that t4 pooling in my blood......what shall I do?? Reduce T4 ???

What did you do?? Did you reduce levo?? With what results??

[UrsaP in reply to Agnes79]

I'm afraid I'm not qualified to advise you, we are all different.

I only know what worked for me, but I was working with Dr P monitoring. And I had other adrenal issues to sort too. Hence, I stopped the T4 I was on (but I was taking t3 also and continued with that, whilst taking adrenal supplements.) Every time I stopped t4, within about 4 days all aches/migraines subsided. As soon as reintroduced t4 came back. Tried several times to reintroduce t4, same thing. ON t3 only now...for as long as they let me!

I would hope someone on here may be better advised than I to help you. It was just something I thought you may need to consider if the Vit D does not sort you out?

Best of luck.

[Agnes79]

Thanks a lot!