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fornessa profile image
33 Replies

T3

Could anyone tell me how to purchase t3 online from a reputable firm.

Doctor won't do a t3 test as results are in range. On thyroxine 50mcg for many years and weight going on quickly Doctor just said try slimming world.

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fornessa profile image
fornessa
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33 Replies
Clutter profile image
Clutter

Welcome to the forum, Fornessa.

What are your TSH and FT4 results and ranges? Being in range doesn't mean you are optimally dosed, where in range your results are matters.

You shouldn't take T3 without knowing what your FT3 level is. If your GP won't test you will need to order your own thyroid test. thyroiduk.org.uk site is down until tomorrow but when it is up and running again click on About Testing on the left hand side and select Private Testing to find private lab sites. Alternatively check the forum for Medichecks #ThyroidThursday discount posts tomorrow.

fornessa profile image
fornessa in reply to Clutter

Many thanks Clutter I will log on tomorrow and get tested for t3. Thanks again.

Clutter profile image
Clutter in reply to fornessa

Fornessa,

Post your results in a new post and members will advise whether you need T3 and, if so, where to source it.

Eddie83 profile image
Eddie83

Do you have results for TSH and FT4 you could post here? 50mcg isn't a very high dose. How does 50 compare to your T4 full-replacement dose (which can be estimated by multiplying your weight in kg by 1.7)? Of course T4->T3 conversion doesn't improve with age, but it would be helpful to know where you are in the TSH and FT4 ranges, since the average doc doesn't know what the difference is between range top and range bottom.

fornessa profile image
fornessa

Hi Eddie

Serum free t4 level18.6. pmol/L

(10.6-23.2 U) Range

Serum TSH level 3.84 mu/L. Range(0.3-4.2 U)

Came back satisfactory.

I don't know how to read this can you help? My friend told me if not converting to T3 I will never lose weight.Doctor does not do T3 test and said my thyroid is fine. I'm 53 .

Clutter profile image
Clutter in reply to fornessa

Fornessa,

The results aren't at all satisfactory. You are undermedicated. The goal of Levothyroxine is to restore the patient to euthyroid status. For most patients that will be when TSH is 0.3 - 1.0 with FT4 in the upper range. FT4 needs to be in the upper range in order that sufficient T3 is converted. Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email enquiries@thyroiduk.org if you would like a copy of the Pulse article to show your GP.

fornessa profile image
fornessa

Hi clutter.

I tried the link, unable to click on. What should I do now? so I'm definitely undermedicated.? What shall I Do.

carnation profile image
carnation in reply to fornessa

Don't worry! Thyroid UK Website is down for maintenance, try in the morning fornessa.

Get another GP if he won't address your symptoms. (PS the thyroid U.K. Site has been down for a day or so, having problems it seems). 50 mcg is a "starter dose" - it is usually raised in increments every 6-8 weeks with new labs for each stage to observe our levels. When you next are due for bloodwork remember to fast before (water ok) and have it done as early as possible. And no dosage for 24 hours before test). X Rusty

fornessa profile image
fornessa

Thanks Rusty. Much appreciated.

fornessa profile image
fornessa

Hi Clutter

My sister has all the symptoms of underactive thyroid, but is within the range, so not put on thyroxine. Can she be underactive with these results

T4 is 14.8 and is TSH .1.86. Shehas thinning hair ,

My sister also has symptoms of underactive thyroid. But is within the range and not put on thyroxin

SlowDragon profile image
SlowDragonAdministrator

You also need to test thyroid antibodies to know if cause is Hashimotos (autoimmune thyroid disease )

Very common to have low Vitamin-D, folate, B12 and ferritin

If GP unhelpful then private testing may be necessary

Blue Horizon Thyroid plus eleven or Medichecks Thyroid plus ultra vitamin will test all these

All thyroid tests should be done as early as possible in morning and fasting, do not take Levo in 24 hours prior to test, delay and take straight after blood tests

When you get results come back with new post

If you have Hashimotos then you may need to look at gluten free diet

fornessa profile image
fornessa

Hi Clutter.Should I go to doctor to get my thyroxine increased as I'm o 50mcg for years.T4-18.6. TSH 3.84. If doctor says no, should I get private t3 done and add those to the 50mcg. Can't lose weight

fornessa profile image
fornessa in reply to fornessa

Hi.If my T4 is 18.6 TSH 3.84 does that mean I'm definitely not producing T3. What is the optimal range for T3? If I add T3 to my 50mcg will that work or do I need to increase thyroxine to get to that stage.

Clutter profile image
Clutter in reply to fornessa

Fornessa,

You will be producing T3 but without a FT3 test you won't know how much. You can order private thyroid tests via thyroiduk.org.uk/tuk/testin...

Clutter profile image
Clutter in reply to fornessa

Fornessa,

Yes, ask your doctor to increase Levothyroxine dose. Read the article I posted yesterday and email TUK for a copy of the Pulse article. If doctor doesn't agree to increase dose you should see another doctor.

fornessa profile image
fornessa in reply to Clutter

Many thanks Clutter.I appreciate that.

fornessa profile image
fornessa in reply to fornessa

Hi Clutter!I'm on 50mcg.Should I ask for 75 or 100 mcg. When I take the increase,when shall I go back for blood test to see if it has increased.

Clutter profile image
Clutter in reply to fornessa

Fornessa,

Ask for 75mcg and retest 6-8 weeks after you increase dose.

fornessa profile image
fornessa in reply to Clutter

Thanks!

fornessa profile image
fornessa in reply to Clutter

Hi Clutter

You advised me to go to Doctor to get an increase of thyroxine.I had been on 50 mcg for the last 20 years.with never an increase.It was going to take three weeks for an appointment with doctor,and as I had spare thyroxine over I self medicated .

Split a tablet in half and took 75mcg for the last 6 weeks.

I never knew until I joined this wonderful forum that you had to go first thing for blood draw and no medication the night before and on a empty stomach.All my other tests was the opposite of this.Doctor doesn't know I have increased dosage. Got my blood tests back from Doctor.Tsh 4.01 . T4 18.9. Range pmol/. (0.3-4.2) (10.6-23.2)

Previous prior results TSH 3.84. T4 18.6They have went up.I got a letter from the doctor this morning requesting a phone back. I phoned thinking she wanted me to increase my dosage, but she said everything was fine and TSH was near top of range but fine. I told her I was advised by Thyroid Uk that TSH should be under 1 to be optimal. She said she would've happy to increase. Then she said come back in 4 weeks time to have your blood tested , just in case you go over. That doesn't make sense.When I got the last blood done I got her to test for antibodies as I never knew anything about Hash's untilI I read this forum 505. So I have Hash's all this time as well. Doesn't that mean that my thyroid is destroyed as Ihave been hypo for over 20 years? Should I just continue with the 75 even though I have been on that does for6 weeks and see what happens? And then ask her for another increase

Many thanks .

Clutter profile image
Clutter in reply to fornessa

Fornessa,

So your GP has increased dose from 50mcg to 75mcg. Why didn't you tell her you had already increased dose and that the TSH 4.01 was based on 75mcg not 50mcg? Your dose needs increasing to 100mcg.

Hashimoto's causes 90% of hypothyroidism. As you were only recently taking 50mcg Levothyroxine it seems you had quite a lot of thyroid function left but it is declining quite quickly now.

Thyroid peroxidase antibodies are positive for autoimmune thyroid disease (Hashimoto's). There is no cure for Hashimoto's which causes 90% of hypothyroidism. Levothyroxine treatment is for the low thyroid levels it causes. Many people have found that 100% gluten-free diet is helpful in reducing Hashi flares, symptoms and eventually antibodies.

chriskresser.com/the-gluten...

thyroiduk.org.uk/tuk/about_...

fornessa profile image
fornessa in reply to Clutter

Thanks Clutter for the quick reply. She didn't give me time to explain,she seemed to want of the phone quick,This was before her surgery started. I still have a few thyroxine left ,so will try 100mcg and make appointment to see her face to face and explain.She definitely said will have to check your blood next time in case it's over! Should I she have not said lower as increase is meant to reduce Tsh ? Is there any reason why my TSH went up on the increase,or was it because I got bloods done early morning and without medication? And the next result will be the true result.Thanks Clutter its an on going process.

Clutter profile image
Clutter in reply to fornessa

Fornessa,

TSH rises when FT4 and FT3 are too low. You need a dose increase to raise FT4 and FT3 and reduce TSH. Bloods should always be checked 6-8 weeks after a dose adjustment. Your GP is worried that the dose increase will raise your FT4 and FT3 too much and reduce your TSH too much. I think she's worrying unnecessarily.

fornessa profile image
fornessa in reply to Clutter

Thanks Clutter. it's a learning curve. This Forum has been brilliant and informative.learnt more on this forum in the last few months,than previous years.

fornessa profile image
fornessa in reply to Clutter

Hi Clutter

Went to another Gp this morning and asked to get thyroxine increased to 100mcg as I wanted to get TSH to below 1 as advised by thyroid U k Nhs choice She tut tutted No No No !definitely not. it's dangerous especially on older people.Bones ,Heart,everything speeds up. Welll I argued my case and she said as I was still young enough, she would increase me to 100mcg hesitantly.I have to go back in 8 weeks time to get blood tested..She said if it gets to low she will reduce. I know there is no way on this earth she will increase to a higher dose if my next results come back lower than under 4, and she will definitely decrease if under 1.

Clutter profile image
Clutter in reply to fornessa

Fornessa,

100mcg may be sufficient. There is no need for her to reduce dose if TSH is >0.3.

fornessa profile image
fornessa in reply to Clutter

Hi Clutter

Got my results from Medicheck this morning.

TSH 0.847 (0.27-4.2) m/uLL

T4. 20.7 (12-22) pmol/L

T3 5.27 (3.1-6.8)pmol/L

Total T4 137.00 (59-154) nmol

Vitamin levels mostly optimal Tpoab528 TGAB 352.00. Been on a gluten free diet, no change in Antibodies for Hash's. Feeling lots better.Will these results help me lose weight.clutter do you see if I need to improve on these results, or is this as far as I can go.Many Many Thanks

Clutter profile image
Clutter in reply to fornessa

Fornessa,

You appear to be optimally dosed so I can't see why you shouldn't lose weight if you exercise and keep an eye on calories.

TSH is mildly suppressed, FT4 is high in range and FT3 is just shy of the upper third of range.

fornessa profile image
fornessa in reply to Clutter

Many thanks Clutter

It's due to this forum that I have got these optimal results.

Always have been on 50 mcg now 100mcg.

Is there anyway I can improve T3 further?

Does good results lag behind bio chemistry,and I will keep on improving.

Clutter profile image
Clutter in reply to fornessa

Fornessa,

Increasing Levothyroxine dose will raise FT4 and FT3.

You could expect further improvement in symptoms over the next couple of months on your current dose.

fornessa profile image
fornessa

Oh Clutter

Thank you so very very much.

That's news to my ears.

I have 4 boxes of 25 mcg left over from when I was on 75 mcg.

Would you recommend I add an extra one 25mcg a week, or just leave it as it is?

Clutter profile image
Clutter in reply to fornessa

Fornessa,

I really can't see 25mcg Levothyroxine per week doing anything at all. If you are symptomatic try 25mcg alternate days which is equivalent to 12.5mcg daily.

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