Please help me identify the reason I am not making progress.
Is it too low a dose of Naturethroid? Is it the actual Naturethroid or maybe I need Levo? Do I need a T3 supplement?
Hypothyroid, USA resident. Recent labs when taking Naturethroid 130mg/day:
fsh 25.4 mlU/ml normal no range given
trilodothyronine free serum 2.6 pg/mL normal (2.0-4.4)
reverse t3 serum 9.9ng/dL normal (9.2-24.1)
tsh+free t4 :
tsh 0.151 uiU/mL low (0.450-4.500)
t4 free direct 0.74 ng/dL low (0.82-1.77)
Cortisol am 15.6 ug/dL normal (6.2-19.4)
Ferritin in 60's (middle upper range)
Vitamin D and B supplements have me in upper optimal ranges
For symptom relief on NDT I understand (please correct me if wrong or these rules apply to Levo):
FT3 needs to be in upper third range which would be 3.8-4.4. Its now 2.6.
FT4 needs to be upper third range. It is now 0.74 with a range 0.82-1.77. Upper third would be 1.44.
TSH should be supressed. It is now 0.515 low.
Last week I increased to Naturethroid 195mg/day-that's 2 increases upward. No jittery response.
(One increment upward would have been 162mg/day miscommunication with my doctor and resulted in a two dose increase)
How long after this recent increase in Naturethroid dose should i wait to do labs?
What lab measurements/symptoms would tell me the recent dose increase is not working and a t3 supplement is needed?
If t3 is needed, how much is Naturethroid decreased and what is usual t3 start dose?
Thank you for your consideration.
Furbabymommy (FBM for short)