Please help me with my readings.

[sarajuarez2912]

My TSH is 3.09 0.40-4.50

T4, Free is 0.86 0.93-1.70 ng/dl

T3, Free is 2.30 2.8-3.9 pg/ml

Iron is 66 37-145 ug/dl thanks so much.

[silverfox7]

Are you already on medication? If so you need an increase. Many doctors diagnose by the TSH and are happy if it is in range but once on medication it isn't an accurate reading. The other two, especially FT3 are important. Where in the range is important and for many it is at least over half way and better if in the top third or even the top quarter

Other things need to be in the right place as well to help your thyroid and also general health. Ask your doctor to test Vit D, B12, folate and ferritin they are often low as well and can make a huge difference if you supplement

[sarajuarez2912 in reply to silverfox7]

Of I'm sorry, I'm taking 5mg of Methimazole once a day, and I have graves and hashimotos. I will ask to have my vitamin D tested. I got the result for my vitamin B complex and it was good. I'm just confused with how the TSH levels never stay the same, it always seems to fluctuate every 3 weeks to do blood work silverfox7.

[Gillybabe in reply to sarajuarez2912]

I would stick to what your specialist said. Do not stop any medication until you see him or her. Graves with Hashimotos is complicated and a TSH of 3.9 is in range between 0.4 and 4.0. So nothing bad can happen between now and then. We are not experts on this forum and each individual is different.

[silverfox7 in reply to sarajuarez2912]

TSH varies throughout the day so would be unusual to get two exactly the same.

Why are you doing bloods every theee weeks?

[sarajuarez2912]

That's probably why I've been sleepy...thanks really fedup123

[Clutter]

Sarajuarez2912,

The 5mg Methimazole is now too much because it has made you hypothyroid with high TSH and FT4 and FT3 below range. Your doctor should tell you to stop taking Methimazole.

[sarajuarez2912 in reply to Clutter]

Clutter if I stop taking the medication would I have to take something else or would that be remission for me? Just asking, I have been quite sleepy lately especially after I eat, not saying I think because I'm hypo could be a coincidence tho. I don't see my Specialist till May 4...pretty long ways, and my blood work for TSH is the 12 of April. I noticed that every time my TSH is checked it's different ( fluctuates) but I know the TFree 4 is never checked like it should. My Family Doctor requested for the TFree 4 and the TFree 3

[Clutter in reply to sarajuarez2912]

Sarajuarez2912,

You don't need to take anything else and should be trying for remission. Your low FT4 and low FT3 are why you feel tired. TSH fluctuates throughout the day so levels will be different unless you test at the same time of day every time. I would contact your specialist otherwise your FT3 is going to get lower and lower.

[sarajuarez2912 in reply to Clutter]

I will call in Monday and let her know, hopefully the nurse or receptionist would let her know I need answers as to what I have to do, cause these results were requested from my Medical Doctor not the Specialist. The Specialist once told me she wanted me to go up to 5 and I didn't know the rackets of what is normal, but I know 5 is not good at all for a TSH level. Do you think I should try the 2.5 Methimazole since she the Specialist had wanted too but said to just go ahead and take the 5mg, she hasn't been checking none of my Frees just the TSH levels, last Free4 she checked it was 4 months ago.

[steviecat]

Yep. The results you have posted indicate you are hypo and undermedicated. As far as fluctuating TSH is concerned, this often happens when you have Hashimoto's.

[sarajuarez2912 in reply to steviecat]

Steviecat if I'm under medicated what are the meds they usually prescribe since I only take 5mg of Methimazole once a day? I have graves and hashimoto. My specialist had said she was going to cut it down to 2.5 mg of Methimazole but she didnt, she said to continue to take the 5mg until she checks my blood work on my TSH level in 12 of April...

[Clutter in reply to sarajuarez2912]

Sarajuarez2912,

Steviecat and others are assuming you have Hashimoto's hypothyroidism and and are taking Levothyroxine. You could cut your 5mg tablet in half and reduce to 2.5mg daily yourself. I urge you to do this if you don't want to stop taking it before you see your specialist in May.

[steviecat in reply to Clutter]

You mention that you have Hashimoto's, hence my reply. I'm sorry but I don't understand the concept of having Graves and Hashimoto's at the same time. They would appear to be a contradiction - but I'm no expert. Perhaps someone could enlighten us?

[Clutter in reply to steviecat]

Steviecat,

It is quite common to have Hashimoto's and Graves antibodies at the same time. The patient will be either hyperthyroid with Graves or hypothyroid with Hashimoto's, not hyper and hypo at the same time. If the Graves patient has permanent remission from hyperthyroidism the Hashimoto's antibodies may eventually cause hypothyroidism. thyroiduk.org.uk/tuk/about_...

[sarajuarez2912 in reply to Clutter]

Yes Clutter I think it's best also since the Specialist wanted to cut it down to 2.5 mg once a day, but said no to just continue with the 5mg once a day. The only thing I noticed is now I wanna sleep more.

[steviecat]

Thanks for the clarification, Clutter I had no idea... it's a learning curve, ain't it? The body is a complex structure...