Hi all, I'm new here and looking for some advice. I was diagnosed hypothyroid in 2007. Over the years my TSH has been up and down as as my levothyroxine dose in response to TSH and symptoms. Always suspected I have Hashimotos, as I have all the symptoms, but was never tested (or at least was never given a diagnosis). Long story short... I asked my GP recently to test my T3 as I've been having hair loss for >9 months, and feeling slow, tired, cold, dry skin, can't lose weight, brain fog.... etc etc.
Anyhow. The GP said the NHS didn't routinely test T3, and redid my TSH. No fT4 though.
I'm on 150mcg levothyroxine Daily and take 210mg ferrous fumarate bd.
I eventually went to medichecks and ordered their thyroid ultravit T3 panel. Here are my results:
THYROID STIMULATING HORMONE 2.95 mIU/L (0.27 - 4.20
)
FREE THYROXINE *22.1 pmol/L (12-22)
TOTAL THYROXINE(T4) 135.7 nmol/L
(59-154)
FREE T3
4.45 pmol/L (3.10-6.80)
REVERSE T3 *34 ng/dL
(10-24)
T3 RATIO *8.52 (15.01-75.00)
THYROGLOBULIN ANTIBODY *513.400 IU/mL (0.00 - 115.00
)
THYROID PEROXIDASE ANTIBODIES *399.7 IU/mL (0.00-34.00)
VITAMIN B12 395.6 pmol/L
( 140.00 - 724.00
)
FOLATE (SERUM) 11.02 ug/L
25 (2.91-50.00)
OH VITAMIN D 50.27 nmol/L (50.00-200.00)
As an aside: My ferritin was 26 back in January 2017, so a helpful GP (about the 4th one I saw, who finally listened to me) allowed me to start on ferrous fumarate even though I was still technically within normal range (don't even get me started!!) my ferritin had increased to 55 in June, so I'm hoping that it might help the hair loss as well.
Interestingly, my ferritin came back as 143.8 when it was 55 only 2 weeks earlier... the only thing I did was cut out dairy and gluten in case it was slowing iron absorption.... I would welcome advice on this too if you are still awake reading this!
My question is how do interpret these results? Do I have a case to argue to try T3 replacement? Or a referral to endocrinologist? My GP just suggested I increase my thyroxine again to reduce the TSH to under 2. I've started a vitamin D3 supplement, as I saw that can also cause similar symptoms.
Is there any way to reduce my RT3?
Just any advice, really, would be appreciated! I've been in floods of tears since my GP told me that they don't prescribe T3....which is not a normal reaction for me and just goes to show my delicate mood balance these days!
Going round and round in circles! Also, please PM me if you can tell me where I can buy T3 if I can't get it prescribed as I would like to try it and see if it would help my symptoms.
Thanks xx