hi guys I am hoping for alittle help and advice my results are as follow i am currently on 75mg thyroxine
tsh 0.45 miu/l range 0.3-5.5
serum free t4 17pmol/l range 12.0-22.00
serum free t3 4.6pmol/ range 3.1-6.8
because I have headaches cant sleep and have had a cough for about a year I still feel tired with brain fog
vanillamiller You could do with an increase in your Levo.
The aim of a treated hypo patient generally is for TSH to be 1 or below or wherever it is needed for FT4 and FT3 to be in the upper part of their respective reference ranges when on Levo. Your FT4 is 50% through it's range and your FT3 is 40% through it's range.
According to the BMA's booklet, "Understanding Thyroid Disorders", many people do not feel well unless their levels are at the bottom of the TSH range or below and at the top of the FT4 range or a little above.
Booklet written by Dr Anthony Toft, past president of the British Thyroid Association and leading endocrinologist. It is published by the British Medical Association for patients. Available from pharmacies and Amazon for about £4.95. It might be worth buying, highlighting the relevant section to show your GP and Endo in support of an increase in Levo.
Also,
Dr Toft states in Pulse Magazine (the doctors' magazine), "The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l. In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l. Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l. This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."
Email louise.roberts@thyroiduk.org for a copy, print it and highlight question 6 to show your GP and endo in support of an increase in Levo.
Also, vitamins and minerals need to be optimal for thyroid hormone to work properly, it would be a good idea to have the following tested
Vit D
B12
Folate
Ferritin
Plus supplementing with selenium l-selenomethionine helps conversion of T4 to T3.