sylus_911 There's a lot there to make you feel awful.
Although these don't look too bad, apart from a low FT3
Tsh 1.3 (0.27-4.20)
Free thyroxine. 20.9 (12.00-22.00)
T4 124.1 (59.00-154.00)
Free t3 3.12 (3.10-6.80)
This is a problem:
Reverse t3. 31 (10.00-24.00)
Reverse t3 ratio 6.55 (15.01-75.00)
Instead of making FT3 you are making reverse T3. rT3 should be low, and some people say the ratio is best when over 20. Unfortunately, this doesn't seem to be recognised by the NHS so I doubt whether you will find a doctor to even know about this never mind treat it.
Here are some links for you to check out, which I saved from when I was in a similar position:
Suggestions for your high antibodies were mentioned in a previous thread.
**
These are also a problem:
Vitamins b12. 201.6 (140.00-724.00)
Folate 8.11 (2.91-50.00)
B2 under 500 can cause neurological problems. Recommended level is very top of the range, even 900-1000 for us Hypos. You could supplement with sublingual methylcobalamin lozenges 5000mcg daily until the bottle is finished the buy then 1000mcg dose as maintenance. Popular here are Solgar and Jarrow's.
When taking B12 we also need a B Complex to balance all the B vitamins. Look for one that contains 400mcg methylfolate and that will raise your low folate level, which should be at least half way through it's range. Look at Thorne Basic B (one capsule) and Metabolics B Complex (two capsules).
**
25 oh vitamin D. 74.99 (50.00-200)
Vit D is recommended to be 100-150nmol/L so you need to get this up. 2000iu D3 daily might be enough, maybe more, but you'll need to experiment.
When taking D3 there are important cofactors needed which you can read about here
D3 aids absorption of calcium from food and K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day. D3 should be taken four hours away from thyroid meds.
Magnesium comes in different forms, check here to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds
Ferritin needs to be at least 70 for thyroid hormone to work properly and half way through it's range is recommended. You could supplement with iron tablets, taking each one with 1000mg Vit C to aid absorption and help prevent constipation, and eat liver regularly, maximum 200g a week.
It would have to be a very enlightened endo to even consider rT3. Maybe print off some of the information in those links, study them yourself so you can put up an informed argument for it to be considered and investigated.
Im going to this time, he,s always told me that my tsh was fine and that im on the right dose of thyroxine 100mcg, that was back in september,when i mentioned about t4,t3 etc.. he got a bit irrate and said there only numbers,i have been trying to learn more and have been feeling unwell for the past 17 months on and off,the only blood test he done was for a sythen test(sorry dont know how to spell it). So yes im going to armed with all the blood tests i,ve had and the print out that you,ve suggested.I cant go on feeling like this, i feel so miserable.Thanks again and i will let you know the out come of my appointment.
"he got a bit irrate and said there only numbers,"
What a stupid thing to say. It's where in the range the numbers lie that matter.
Take the ferritin range 13-150. Someone with a level of 13 would feel very different from someone with a level midway. They would be one point away from officially being prescribed treatment for deficiency. Similarly someone with a level 150 would be one point away from investigation to be considered for a high ferritin level.
If you get nowhere regarding the rT3, there is always the option of helping yourself which is what I did and feel in a better place than I did a year ago, having also addressed nutritional deficiencies.
If FT4 and FT3 are 'only numbers', what's the TSH? Looks like a number to me. lol
The problem is, you have too much unconverted T4 hanging around, converting to rT3. What is needed, is a reduction in your levo, and some T3 added in. Your FT3 may be just a number, but it's a very low number - too low for you to feel well! Silly man.
We,ll see what he says when i go back this time and he realises i,ve been learning a lot about the condition,i wont be just sitting there taking in all what he,s telling me, like i have the last 2 times i,ve been back to him.Thanks for your help.Remains to be seen the outcome,i really cant wait.!!!!!!
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