Chronic illness , infections and virus's can cause the body to slow the metabolism and hoard bodily resources.
The general effect is to change the behaviour of the thyroid and the production of various hormones.I'm not a medical professional so I can't go into specifics about the mechanisms.
Chronic illness and autoimmune conditions therefore can produce long term slowing of the metabolism which is the core effect of hypothyroidism.
On that basis , it can be beneficial to treat and underlying illness before trying to deal with hypo symptoms that may arise.
the reason I ask is I have had what I thought was a virus and my FT3 has dropped from 5.2 to 3.5, I have had a raise in my antibodies, but they are still in range, but just under top of the range. A member said I may have had a hashi' flare so do not know if it is in fact a flare and caused me to feel ill or it is a virus and this in turn had reduced my T3 level.
My experience is that a short term virus should not meaningfully affect T3 levels.
I am not a Doctor , this is important to bear in mind.
This is why all forum posters need to post their full results as one measure (like T3 level) doesn't really give any indication of what's really going on.
Variations can also be caused by day and time of the test , what medications you have taken and how much time has passed since last taking medication.
Its also more difficult if taking T3 medication as it has a short life in the blood stream.
Usually the best indication is how you feel , if you're feeling unwell after a few days it could be the virus. If your levels are consistently down after further tests then its likely there's something else at play.
I am not an expert in reading results but the fact that you're under range in T4 and low in range in T3 suggests you may have had an anomalous result last time.
To me you latest results look to be sensible. You may need to look at rebalancing your dosage.
It doesn't look like its virus inspired to me but I'm not an expert.
Hopefully one of the real experts will be along to give you advice on what to do next ....
If nobody comes along be prepared to repost with your full results.
If you have a virus, and your body needs to conserve energy, you convert less T4 to T3, and more T4 to rT3. That is why your FT3 level drops. Sorry, I don't have a link.
Oh, and when you have the autoimmune disease, Hashi's, the immune system destroys the thyroid, that's why your thyroid makes less hormone, because there's less of it.
PS, a virus will not lower the T3 you've taken in NDT. And, presumably, you started taking T3 because you were a bad converter, anyway. What I said above applies mainly to people on T4 only, and non-hypo people.
No, and you'll probably never know. But, it's more likely to be the Hashi's than anything else. But, if you feel bad, you need an increase dose, that's all.
At least give it a try. See if you feel better. Try it for about three months, then try eating gluten again, and see if you notice the difference. It works for a lot of people.
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