Evening all, currently taking 40mg of liothyronine split 20 at 6am, 20 at 12.30, feeling continuously drained, consultant is refusing to increase, saying worried about overmedicating and osteoporosis, as I said to him, I was hyperthyroid for 10 years, I know what that feels like and I'm certainly not that. Current bloods TSH 0.15, T4 2, T3 3.4, the levels seem low to me, would appreciate your thoughts.
Jayne
What is the FT3 lab ref range, Aineyy?
Have found the ranges on the internet, thank you helvella, as follows
TSH 0.55-4.75
T3 3.5-6.5
T4 9-23
Aineyy,
You need the ranges for the lab which did your results. If the ranges you have provided are correct you are under medicated to have FT3 below range and need a dose increase. Most people on T3 only will be comfortable with FT3 in the upper third of range ie between 5.0 - 6.5. FT4 will be below range because you are taking T3 only.
Thank you Clutter, these are the lab ref ranges of the hospital where my test was done, as helvella suggested they do publish them, found with a bit of digging.
I definitely feel I need a dose increase, my consultant & GP are panicking over my TSH, as apparently I am ''hyper'', their lack of understanding of blood results when a person is on T3 only, actually scares me, the amount of people they must be keeping unwell. Fortunately I have educated myself with a lot of reading, just wanted you knowledgeable lot to back up my thoughts.
Do you know anything about liquid levothyroxine, I became so ill on the tablets, is the liquid less likely to cause the same reaction?
Aineyy,
TSH 0.15 is below range but it isn't suppressed. My TSH has been <0.01 for 5 years. My endo would like it around 0.05 but three dose reductions didn't budge it and I refused to agree to any more dose reductions.
If the fillers in the tablets made you ill then you'll probably do better on liquid Levothyroxine which doesn't have fillers.
Aineyy,
Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email louise.roberts@thyroiduk.org.uk if you would like a copy of the Pulse article to show your GP.
I don't think it is lack of knowledge about T3 which is the problem with your endo but low TSH. The above may help if you show it to him/her.
Yes, have to see the ranges because different labs use differing ranges. Since you are taking T3, it would seem your FT4 would be lower in the range but your FT3 should be near the top of its range. If all that is true I think I might try taking all the T3 at one time. If you would rather not do that, perhaps an increase of 10 mcgs. would get you there.
Are you taking all the B vitamins?
Have found the ranges on the internet, thank you helvella, as follows
TSH 0.55-4.75
T3 3.5-6.5
T4 9-23
Morning, no ranges regretfully, done on the nhs, just getting the levels out of my consultant is challenge enough. Heloise24 I take the following vitamins, liquid iron, vit D, k2, vit C, vit b12, multi b vits, magnesium and zinc. My consultant wants to try to reintroduce thyroxine, which first time round made me very poorly, hence being on T3 only, he has prescribed liquid thyroxine as a trail, I'm very unsure about this, and haven't tried any as yet, trying to pluck up the courage!
Absolutely understand the difficulty, but a result without a range is just a number.
If you know the lab used (e.g. the hospital has its own lab), then quite a lot of labs publish their ranges on the internet.
I don't blame you, aineyy, for being worried about going back on thyroxine. It is such trial and error as to what will suit you. Do you still have a thyroid gland? Is there a chance you have improved cofactors since being on the vitamins and iron? Perhaps you are more likely to handle the liquid if you now can handle the conversion. I'm sure you will find out quickly since T3 is rather quickly dissipated but your current status isn't good either, according to those ranges which seem questionable.
Thank you for your reply Heloise, I had RAI on my Thyroid a couple of years ago, then it all went down hill from there fairly rapidly, your right in what you say though, it was found at the time of being very unwell on Thyroxine, that my Vit D wasn't even registering & my Ferritin was on its backside, these levels are now hugely improved, still very nervous, but am going to give it a go starting tomorrow.
Hard to say without the ranges that go with those levels. Do you have them to add? Lab ranges can vary quite a bit
Oops sorry - have now managed to open the rest of your post lol
Increase needed? 
Can I increase T3?
T3 only dose increase 
Increase T3 or T4, please?
T3 increase 
