Can u please educate me..layman's terms pls..

[zaquisha]

I had my total thyroidectomy almost a year now and finished Rai due to papillary carcinoma..now my lab tests are the following;

Tsh -- 0.020

Ft4 --13.49

Ft3 --1.98

T4 -- 88.72

T3 --1.004

Im taking up levo 100mcg mon-sat only

And also calcium tab once a day

Am I hypo?if I am, how could I get away from it?or what's the normal range that I should be in?I've been doubting my Endo..

Please be kind and answer me..thank u

[Clutter]

Zaquisha,

You are hypothyroid because you have no thyroid gland.

TSH 0.02 is suppressed and usually indicates adequate Levothyroxine replacement. I can't tell how adequate your FT4 and FT3 levels are without the lab ref ranges which are the figures in brackets after your results.

[zaquisha in reply to Clutter]

Tsh .020 ( 0.30-4.5 uIU/ml

Ft4 13.49 (8.9-17.2 pg/ml

Ft3 1.98 (1.21-4.18 pg/ml

T4 88.72 (52-127 Ng/ml)

T3 1.004 (.69-2.15 Ng/ml)

So if I'm hypo,what should I do with my medications?I've been telling my endo..and still no changes on my dosage..is she right not to do anything about it?thanks

[Clutter in reply to zaquisha]

Zaquisha,

You are hypothyroid because your thyroid gland has been reduced but your thyroid levels are euthyroid (normal) due to the 100mcg Levothyroxine you take Mon-Sat. If you are symptomatic there is scope to increase dose to raise FT4 and FT3 levels. Most people taking Levothyroxine will feel well when FT4 is 15.0 - 17.2 and FT3 3.1 - 4.18.

Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email [e-mail] if you would like a copy of the Pulse article to show your Endo.

[zaquisha in reply to Clutter]

Well I've been wondering whether it is better to take higher dosage of levo so I could at least lessen the effect of being hypo?or the other way around?I'm really confused..I've told my Endo bout it and she got mad at me coz I took the med straight mon-sun with the understanding that it's better to have higher dosage..coz I've really wanted to get away from being a hypo..I've been gaining weight in a short span of time..I'm on a diet and doing some workouts but seems to be useless..and having palpitations,getting tired easily and so many more..

[Clutter in reply to zaquisha]

Zaquisha,

If you are feeling hypo and having palpitations increase the Levothyroxine dose. It may be worth asking your GP to test ferritin, vitamin D, B12 and folate too as they are often low in hypothyroid patients causing fatigue. Low ferritin/iron can also cause palpitations.

[zaquisha in reply to Clutter]

Thank u for all the infos..now have to see my Endo..God bless