Hi everyone, I wanted to ask if anyone has some insight as to why my results are always terrible. I have a combination of hyper and hypo symptoms. I take enough vit d, b12, folate etc all in the healthy range. I was on 75mcg T4 (levo) and 20mcg (T3). My endo reduced the levo to 50mcg and I feel like I am going to die of fatigue more than anything else. It has been about 4 months since this change. Here are the results of private testing that I had done that prompted the doc to reduce the T4. The comments from the doctor from the pathologist room made the follow comment, which my endo dismissed. "The thyroid stimulating hormone (TSH) level is low, which is normally suggestive of hyperthyroidism (overactive thyroid gland). However, the free T4 and T3 levels are also low, which raises the possibility of hypopituitarism (underactive pituitary gland, which would lead to an underactive thyroid gland instead) - further testing would be advisable if this is suspected. In those taking the T3 form of thyroxine (liothyronine), thyroid function tests sometimes yield confusing results. If this applies to you, it is feasible that you are taking insufficient medication. Whatever the scenario, it would be a good idea to discuss these results with your usual doctor at your earliest convenience."
Any thoughts on this would be greatly appreciated.