I have had an inactive thyroid for more than thirty years. Recently, my GP reduced my thyroxine from 200mg to 100 mg daily.
I now have a paid in my left shoulder. My GP cannot say what is causing it. Has anyone any idea what might be causing it?
A recent blood test included these results:
TEST RESULT RANGE
Free TS 3.66 pmo1/L 3.100-6.800
Reverse TS 31ng/dl 10.000-24.000
Reverse TS Ratio 7.69 15,010-75.000
25 OH Vitamin D 68.02 nm01/L 50.000-200.000
Ihb3goto Why has your GP reduced your Levo, and did he do it gradually or all in one go?
What are your thyroid test results besides those FT3, rT3 and rT3 ratio results?
Are they the same as when you posted 6 months ago here healthunlocked.com/thyroidu...
In reply to that post, member galathea explained what you needed to do about the rT3.
The recommended level for Vit D is 100-150nmol/L. You would benefit from supplementing with D3 to raise your level of 68. As D3 has important cofactors vitamindcouncil.org/about-v... , you could buy a combined D3/K2-MK7 supplement or buy them separately.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds. Magnesium is calming and best taken in the evening, four hours away from thyroid meds.
Thank you for your advice.
My GP reduced my Levo because he said that 200mcg was a strain on my heart. It was reduced in two stages of 50mcg each time over a nine month period. During that time I had a CVD Risk-(MOM6355)- chow 6.2
The other results that you asked for are:
TEST RESULT UNITS RANGE
Thyroid Stimulating Hormone. 0.425 mIU/L 0.270-4.200
Free Thyroxine. 18.25. pmo1/L 12.000-22.000
Total Thyroxine (T4) 114.3. nmo1/L. 59.000-154.000
Thyroglobulin Antibody. 14.050. IU/ml 0.000-115.000
Thyroid Peroxidaze Antibodies 11.05. IU/ml. 0.000-34.000
Ihb3goto Why did your GP say that 200mcg Levo would be a strain on your heart? Some people are on more than that. A patient needs what they need to treat their Hypothyroidism and as long as FT3 is in range there's no problem.
Reductions in Levo should be like increases - 25mcg at a time and retest after 6-8 weeks.
What did he say about your CVD risk result?
If those results were what he based the reduction of Levo on there was absolutely no need. The aim of a hypo patient generally is for TSH to be 1 or below or wherever it is needed for FT4 and FT3 to be in the upper part of their respective reference ranges if that is where you feel well.
TSH: 0.425 (0.270-4.200) - absolutely no problem, a very nice result, less than 1 but in range.
FT4: 18.25 (12-22) - in a good place, just about at the top third of range, could even gonna bit higher if necessary.
Total T4: 114.3 (59.000-154.000) - a good amount of T4
Thyroglobulin Antibody: 14.05 <115.000
Thyroid Peroxidase Antibodies: 11.05 <34.000
Antibodies low, no sign of autoimmune thyroid disease.
FT3: 3.66 (3.100-6.800)
Reverse T3: 31 (10.000-24.000)
Reverse T3 Ratio: 7.69 (15,010-75.000)
This is where your problem lies and it was explained in your previous thread what to do about it. Your rT3 is far too high and the ratio should be over 20. Instead of making FT3 you are making rT3.
A lot of us have shoulder and other joint problems. I had both shoulders (rotator cuffs) go one after the other. That is a huge reduction in meds and it may be related though it is difficult to tell from your results.
Hi there, I had severe tendinitis in both rotator cuffs, causing pain and restrictions of movement. Since being on NDT the pains have gone. Has your GP suggested getting your shoulder scanned? That might be a start.
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