Hi guys. I've been told in another forum to raise my actual 2 grains to around 3-5 grains gradually since they think I am still hypo due to my symptoms (check end of the post) in despite my numbers being in range from my last lab. My endo which is a TSH chaser things that I am still hyper and wanted to me reduce my dosage. he always check my slightly shaking hands:
Labs 04/17/2017 (Last dose was 12 hours before the labs) . I was on 1 1/2 grain + 75mg levothyroxine
T4 FREE: 1.4 in range: 0.8-1.8 ng/dL
T3 FREE: 4.1 in range: 2.3-4.2 pg/mL
However when I was on 3 grains 1 year ago my numbers were high. Even though there is a difference from lab to lab of 12 hours so I am not sure how drastically it changes the lab numbers and who is correct if 12 vs 24hs. For me 12hs has worked until now. These ones were the results:
Labs Collected: 05/11/2016 10:17 ( I was on 3 grains plus 25 mg of t3 by the time I took these labs, so since on May 2016 I dropped to 2 grains + t4 50mg of levoythyroxine and nothing of T3 to reduce the high T3)
T3, FREE: 5.3 High 2.3-4.2 (pg/mL)
T4, FREE: 0.9 "normal" 0.8-1.8 (ng/dL)
At this time I replaced the T4 75mg Levothyroxine for 1 NDT grain since it's being said that's the equivalent two weeks ago for recommendation from that forum. So it means I am on 2 grains of NDT at the moment.
-Even I lost 10 pounds I got stuck in the same weight again and unable to get rid of another 20 extra pounds.
-Slightly Puffy face. It used to be worse.
-Knees pain when bending only
-Slightly difficulty in getting sleep between 5-6 pm every two or three nights but my sleep is good in general.
-Losing hair all the time
-I have my energy back after taking clomiphene for my Low T, but I know for sure is not optimal.
-97.6 degrees in the morning. My Endo says it is because my AC. (I don't believe in him because he is a TSH chaser btw. Just with him to get the recipes). And normal 98.6 in the pm. I know this is low cortisol in the morning
MED & VIT:
2 NDT grains, 50mg clomiphene for low T daily
3-4 times a week: iron, zinc, selenium, magnesium, D3.
1) Do you think I still should raise to 3-5 grains in despite my numbers being on range? Wouldn't it get me same high numbers as 1 year ago since it will raise up my FT4 and FT3?
2) Do you think I will get the same numbers as my last labs which were in range when replacing T4 75mg levothyroxine for 1 NDT grain?
3) How can I be Hypo when having numbers in range? Because of the symptoms?
Thank you for your answers.