I went to my GP for a blood test as been feeling ill for a few months, went from going to the gym 4 or 5 times a week to being too exhausted to get through the working day, making many mistakes at work and now sleep most of the time I am not at work. Along with weight gain, cold, muscle aches, depressed etc. My GP has said that I'm actually overactive and wants to reduce my Levo from 200mg to 175mg to bring me to the normal free t4 range. I was overactive for years before thyroidectomy and know my symptoms are nothing like my overactive symptoms.
I only went up to 200mg levothyroxine last year during a severe depression spell where I was suicidal and wanted antidepressants to get through the day. A different GP suggested I upped my Levo as well as my T4 was only in the mid range and suggested some patients will feel better at the higher end of the range. I'm not sure if the antidepressants or Levo increase worked best but I did feel better and stopped taking anti- ds within 3 months. However, I have since moved towns and my current GP does not seem as clued up.
After this appointment where she decreased my meds, I went for a private blood test as I did not believe my current health reflects being overactive, the results are below. As far as I know I have never had t3 measured before. Any opinions from those more knowledgeable about my results. Going off some reading on here I see that others feel better with free T3 in the upper quartile of the reference range, whereas I am in the bottom quartile currently.
I am obviously going back to my GP with these results, although am having to wait a month for an appointment as it is non-urgent, although I will continue on my 200mg dose for the time being. Also, are there any other tests or investigations I might need to ask my GP to begin so I can get back to feeling better soon?
TOTAL THYROXINE(T4)143nmol/L 59 - 154
THYROID STIMULATING HORMONE0.47mIU/L 0.27 - 4.2
FREE THYROXINE* 22.4pmol/l 12.0 - 22.0
FREE T33.9pmol/L 3.1 - 6.8
Thyroglobulin Antibody40.7IU/mL 0-115
Method used for Anti-Tg: Roche Modular
Thyroid Peroxidase Antibodies10.2IU/mL 0 - 34
Method used for Anti-TPO: Roche Modular