Low T4

[Peony57]

Currently on 1.25 grains NDt and 25 mcg levothyroxine

TSH. 0.6. (0.27 - 4.2) mn/

T4. 11.0. (12.0 - 22.0 ) pmo/

T3. 3.3. ( 3.1 - 4.70 ) pmo/

feeling good and stsrting to loose weight T4 has dropped ftom 12.64

And TSH up from 0.2 in 8 weeks

[Angel_of_the_North]

Your T3 is also very low in range. You could use a dose increase, but not a huge one if you feel well. Do you need the extra levo because there is no evidence that you are converting well? Generally, if you are taking T3 or NDT, FT4 is low or under range and TSH is also low or under range and Ft3 is high in range.

[Peony57 in reply to Angel_of_the_North]

Thank you . I reduced down from 2 grains to 1.15 purely becsuse of fatigue in rhe afternoons. My T4 had dropped from 15.3 to 12 on last bloods in feb so that is why i added

25mcg levo. I am now going to titrate back up to 1 and 3/4 grains. I am feeling so well. So will have bkoods tested agsin in 6 weeks

[Angel_of_the_North in reply to Peony57]

I would have added T3 to the NDT rather than levo as your Free T3 is very low in range (want to be aiming for at least 4.23), or just increase the NDT. Fatigue in the afternoon suggests too low a dose, not too high.

[Peony57 in reply to Angel_of_the_North]

I do not have T3 ir any idea where to purchase from . I have tried over 2 grains but felt wired hence ehen i recuced the fatigue just went going to stick wirt 1.75 grains for 6 weeks then retest