Incurable hypothyrothisem

[Koosha]

This is my last lab test dr sayes its ok but im not at all i have all hashimots symptoms im so sensetive to coldness with low energy cold sweat at sleeping and all others symptoms

[Nanaedake]

Your vitamin D is insufficient. How is your doctor treating this? What about folate, ferritin and B12? Have you had these tested? If not, then I would get those done too and make sure you get treatment for vitamin D insufficiency.

[greygoose]

Not surprised you don't feel well, your FT3 is right at the bottom of the range. But your doctor is only looking at the TSH. He obviously doesn't know very much about thyroid.

[Koosha in reply to greygoose]

I took t3 tablet for 2 months and my t3 had increased but my problems didnt change and then i left taking t3 tablet

[greygoose in reply to Koosha]

2 months is not very long. How much were you taking?

[Koosha in reply to greygoose]

I was taking 25mcg t3 and 100mcg lovotyroxin daily now im taking 175mcg lovotiroxin daily

[greygoose in reply to Koosha]

Your FT4 is very low for someone on 175 mcg. How do you take your levo?

[Koosha in reply to greygoose]

Morning before breakfast with much amount of water

[greygoose in reply to Koosha]

And leaving an hour before eating or drinking anything other than water; two hours before taking other supplements and medication; four hours before taking iron, calcium, vit D or estrogen?

[Koosha in reply to greygoose]

Yes realy i do all

[greygoose in reply to Koosha]

You probably have low stomach acid, then.

[Koosha]

About 2 months i remember not more

[shaws Administrator in reply to Koosha]

What dose of T3 were you taking?

[Koosha in reply to shaws]

25mcg t3 and 100mcg t4 daily i was taking

[diogenes Remembering]

Good heavens! The tests you've been given except for TSH are literally so old and out of date that their meaning is very equivocal. No-one does T3 uptake nowadays, and not usually total T4 and T3. However one can say that the T3 value is low in range (the marginally low TSH does not matter) and your T4 isn't exactly high. If you are not on T4 then you seem to be suffering a "downturn" in Hashimoto's symptoms. If you are on T4 it's not enough. The T4 should be high in range or just above, and T3 in the upper half of its range. Never mind the TSH for now.

[Koosha in reply to diogenes]

What do u mean? If im taking just t4 should i add my doasage? or i should add t3 to my daily consumotion

[diogenes Remembering in reply to Koosha]

No, if you raise your T4 dose, the T3 should follow if you are a reasonable converter.

[Koosha in reply to diogenes]

What if im not a good convertor or my optimal t3 is near the bottom range??

[Koosha in reply to diogenes]

Is there any way to understsnd my converting condition (am l converting well)??

[diogenes Remembering]

With the inadequate tests you've been given I can't tell. What should be done is free T4 and free T3, not total T4, T3 uptake and total T3. That's the problem of old fashioned inadequate tests being done. The totals are very dependent on how much thyroid hormone binding protein you have in your blood because you can get all sorts of free T4 and free T3 depending on what the protein levels are. T3 uptake is now discredited as a test so that doesn't help either. Your doctors need to get up to date.

[Koosha in reply to diogenes]

I will send another lab test of another dr prescription

[Koosha in reply to Koosha]

Tsh o.1( range0.27-4.20)

Freet3 5.9(rang 4.0-8.3)

Free t4 1.9 ( o.93-1.71)

[diogenes Remembering]

That's better. Free T4 slightly over range on T4 - good, free T3 perhaps could rise a little. TSH OK. Free T3 around 7 on that scale seems to be a useful goal.

[Koosha in reply to diogenes]

What s ur idea should i add my t4 or t3. Does this test show my converting condition???

[diogenes Remembering in reply to Koosha]

Your ratio seems OK if you are only T4 only. So conversion doesn't seem to be a problem only dosage.

[Koosha in reply to diogenes]

But im not good at all for example now i want to sleep at middle of summer i shoud wear thick clouths and my bee use blanket is it normal??

[Koosha in reply to Koosha]

May be

[diogenes Remembering]

It's a matter of trial and error of changing dose and see how you feel. There's no precise formula for getting better.

[Koosha in reply to diogenes]

Tnx a lot