Latest Results- GP wants to see me.

[fordefocus]

Good Afternoon All,

I have post thyroidectomy hypothyroidism and 2/3 months ago hit an all time low - I put this down partly to a change to Teva brand levothyroxine tablets but most likely undertreatment. My TSH 6 weeks ago was above reference range and a lot of my vitamins/minerals (D,B12, Folate etc) were also at the low end of their ranges. My levothyroxine dose was raised to 175mcg daily.

Compared to 6 weeks ago I feel like I've made a big improvement, not 100% but I feel a bit more alive- you all know what I mean. I've added B12, D and K2 supplements so far but would like to concentrate on my Thyroid levels at the moment as my GP has requested to see me.

Obviously my TSH level has flagged up below range and I have an appointment tomorrow to address this. I expect my doctor will want to lower my dose to correct my TSH level.

They have tested T3 to check conversion for the first time and they are as follows-

TSH - 0.07 miu/L (0.35-4.94)

FT4 - 20 pmol/L (9-20)

FT3 - 4.7 pmol/L (2.4-5.7)

After all of my research and reading - especially on here, I believe that these results are infact ideal and show good conversion, reflected by my improvement in symptoms and general wellbeing.

Please correct me if I am wrong but I believe that I need to continue this dose. I expect to see the doctor tomorrow and have to persuade and plead for him not to lower my dose.

Any advice or further interpretations would be very welcome.

[bantam12]

Those results are fine, if you feel good then don't change anything 🤗

[SlowDragon Administrator]

He can only advise. You don't have to agree.

Result looks fine.

Was this test done as early as possible in morning and fasting and no Levo 24 hours before the test?

[fordefocus in reply to SlowDragon]

Yes, was careful about that, I'm going to ensure all variables like that are the same every time now. Thank you

[Nanaedake]

I agree, results look good. People who take levothyroxine after thyroid cancer treatment are expected to have a TSH in this range. Your FT3 and FT4 are within the range and not above and if you feel well then stay there. If the doc is dithering, suggest he test again in 3 or 4 months and if you've gone above range with FT3 then you will adjust the dose but even so I would not adjust by more than 12.5 mcg and then retest.

[Angel_of_the_North]

Well, it's not good conversion as your FT4 is at 100% of the range and your FT3 is around 69% but it is a good result and if you feel well, it's a great result. Don't change anything. Many people on levo alone need over range FT4 and suppressed TSH in order to make enough FT3 to feel well.

[fordefocus in reply to Angel_of_the_North]

Good point, I think perhaps whilst I'm working to bring all my vitamin/mineral levels up past their mid points I can ask to stay at this dose where I feel good and see if they have any impact on conversion next time I'm tested. Would you agree?

[Angel_of_the_North in reply to fordefocus]

You might want to take a copy of the Dr Toft Pulse article (from [e-mail]) to support your position. And if your Free T3 is over range next time you are tested (and I doubt it as it is well under), you could look at a dose change then.

[fordefocus in reply to Angel_of_the_North]

Already printed and ready, thanks for the advice.