Results help please

[Kadie3]

I am new, I was diagnosed hypothyroid in 2013. Current results

TSH 6.80 (0.2 - 4.2)

Free T4 12.9 (12 - 22)

Free T3 3.7 (3.1 - 6.8)

Thyroid peroxidase abs. 263.5 (<34)

Thyroglobulin abs. 299.3 (<115)

I take 75mcg levothyroxine, do I need a raise in dose? Thank you

[Clutter]

Welcome to the forum, Kadie3.

You are under medicated and need an increase in dose. The goal of Levothyroxine is to restore the patient to euthyroid status. For most patients that will be when TSH is 1.0 or lower with FT4 in the upper range. FT4 needs to be in the upper range in order that sufficient T3 is converted. Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email [e-mail] if you would like a copy of the Pulse article to show your GP.

Thyroid peroxidase and thyroglobulin antibodies are positive for autoimmune thyroid disease (Hashimoto's). There is no cure for Hashimoto's which causes 90% of hypothyroidism. Treatment is for the low thyroid levels it causes. Many people have found that 100% gluten-free diet is helpful in reducing Hashi flares, symptoms and eventually antibodies.

chriskresser.com/the-gluten...

thyroiduk.org.uk/tuk/about_...

[Kadie3 in reply to Clutter]

Thanks Clutter for this info. I felt better when on more levothyroxine and had T3 added. Endo did not like where results were. Current symptoms - muscle cramps, periods going heavy to light, pain under nail beds, recurring urine infections, muscle twitches, tiredness, constipation, easy weight gain, looking ill all the time.

[Clutter in reply to Kadie3]

Kadie3,

Presumably endo didn't care for suppressed TSH but there's nothing to like in your current results either. There's nothing wrong with suppressed TSH as long as FT3 is within range.

[Kadie3 in reply to Clutter]

That's correct, she didn't like TSH suppressed. T4 only went over range once. T3 remained in range at this time but that was after I reduced on her recommendation.

[Clutter in reply to Kadie3]

Kadie3,

Well, TSH 6.0 means you are under medicated so you need a dose increase now.

[SlowDragon Administrator]

In addition to being under medicated, (TSH needs to be around 1)

You have Hashimotos- have you tried strictly gluten free diet? Very many of us with Hashimotos find this really helps. It can lower antibodies slowly over time. Selenium supplements can also help improve conversion of T4 to T3

See The Thyroid Pharmacist website

Also Chris Kresser and Amy Myers are good sites