Do I need to be on T3 medication?

[dannyboy86]

TSH 2.63 (0.35-4.50mlu/l)

B12 424 (180 -2000)

T4 16.4 (11-24pmol)

T3 4.3 (3.90-6.80pmol

Main symptoms are major major fatigue, tired when I open my eyes in the morning and spend my entire day resisting the temptation to fall on the floor and sleep

[Clutter]

Dannyboy86,

TSH 2.58 indicates your thyroid is beginning to struggle but FT4 and FT3 are normal for someone not taking thyroid replacement. FT3 4.3 isn't low and it isn't true that FT3 needs to be top of range. You could supplement 200mcg selenium which is good thyroid support.

B12 424 was unlikely to be deficient. If you have the symptoms in b12deficiency.info/signs-an... go to healthunlocked.com/pasoc for advice.

As those results are a year old you should ask for thyroid levels to be retested. It would be a good idea to ask for ferritin, vitamin D, B12 and folate to be tested at the same time.

[dannyboy86 in reply to Clutter]

Majority of people I speak to say t3 needs to be in top 3rd of range?

Also as my thyroid is moth eaten would you recommend I start thyroid treatment immediately?

[dannyboy86 in reply to dannyboy86]

FT3 is at 14% of the scale currently????

[Clutter in reply to dannyboy86]

Dannyboy86,

FT3 of many people taking T3 or NDT may need to be in the top 3rd of range but not everyone. I'm fine with FT3 4.5. FT3 of people taking Levothyroxine or not taking replacement is unlikely to be in the top 3rd of range.

If your thyroid is "moth eaten" it is still functioning well. NHS won't prescribe Levothyroxine until your TSH is >4.5 or FT4 <11.0.

[dannyboy86 in reply to Clutter]

Ok yes thats fine but my T3 is at 14% of the range and I suffer from terrible Low T3 symptoms

[dannyboy86]

I really dont know where to go next clutter, the fatigue I am suffering is so deliberating

My mum and sister are both hypothyroid, Im desperate and really want to see if there is a difference that can be made from boosting my T3

[Clutter in reply to dannyboy86]

Dannyboy86,

I don't think you'll get thyroid treatment from NHS or a private doctor with those results but results may have changed in a year so you should ask for another thyroid test.

[dannyboy86]

Guys do you not think I have a conversion problem ,T4 is mid range and T3 is in the bottom 15%????

[Puska in reply to dannyboy86]

I thought T3 /t4 at a ratio 1:4 is acceptable.

[SeasideSusie Remembering in reply to dannyboy86]

dannyboy86 Why not test the following

Vit D

B12

Folate

Ferritin

Fatigue can be a symptom of low nutrients, ferritin needs to be at least 70 (preferably half way through range) for thyroid hormone to work and conversion to take place - and that is our own thyroid hormone as well as replacement.

You could do a Blue Horizon Thyroid plus Eleven or Medichecks Thyroid Check Ultravit which will do a full thyroid panel, including both types of antibodies, plus those vitamins and minerals.

Things could have changed since your last thyroid test.

[dannyboy86 in reply to SeasideSusie]

my b12 was 424

The others came back normal

[SeasideSusie Remembering in reply to dannyboy86]

dannyboy86 If you are talking about last year's results they are no use now. You need up to date results. Please arrange new tests and post the results, with reference ranges (very important), for further comment.

[ITYFIALMCTT]

In addition to SeasideSusie 's advice, I notice on another post you mention plaque psoriasis and joint pains. Is it possible that you're in the early stages of psoriatic arthritis (PsA) of which fatigue and joint pains are common symptoms (perhaps swelling round the joints as well)?

PsA can either be very obvious or take a while to 'ripen' - it's not unusual for it to be negative for all of the rheumatoid arthritis factors in blood work but maybe to show high CRP or ESR numbers (both of which are inflammation markers).

It's not unusual for metabolic syndrome to be associated with some forms of inflammatory arthritis (of which there are >100 varieties).

[dannyboy86]

Im thinking as I have a fatty liver diagnosed by ultrasound - that this is harming my conversion t4 > t3

I also have an inflamed thyroid confirmed by ultrasound