Hi, I am a bit concerned about my wife. She is 32 years old and was diagnosed with Hashimotos in 2012 and was started on Levothyroxine, however she did not feel a benefit on this 4 years further down the line and she was started on T3 as her consultant at the time said her free T3 was always at the bottom of the range which makes her a poor converter. She was happier, not as cold, had more stamina and concentration and her consultant had managed to get her stabilised on seemingly not very much of Levothyroxine (75mcg) and T3 (12.5mcg) at all.
Since my wife had this taken away her results are back to fluctuating again despite her having bloods done at the same time of day (early morning apart from October one which was done at 5pm but still fasting and leaving off medication) leaving off Levothyroxine for 24 hours, leaving off T3 for 12 hours and fasting. Goodness knows what her latest results would be had she have had them done early morning and whilst she told me she knew she felt bad she didn't realise she was as bad as the October results have shown her to be!
Her symptoms are mainly puffy eyes, thyroid lobe on her right swollen and protruding from her neck, hoarseness, difficulty swallowing, pain in front of neck/throat, hard stool, hair loss, anxiety, breathlessness, fatigue, vague aches in her body, flaky nails, random ringing in her ears, dizziness, painful and heavy periods. She had 3 ultrasounds done on her thyroid, one in 2012 showing it enlarged and "bulky", one in 2014 coming up as normal but with salivary glands swollen and one in 2015 showing the thyroid as enlarged. She has told me by the time she would go for a follow-up ultrasound the swelling would have gone down like it did back in 2014 and doesn't want to waste the GP's or sonographer's time.
Her new endocrine consultant and GP recently told her the amount of medication she was previously on was making her ill but is it likely the case that her consultant and GP are making her ill with the dose changing?
Also a naturopath mentioned at a thyroid meeting that TSH takes 6 weeks to respond but my wife's had results done about 4 weeks apart at one time and her TSH went from normal to sky high, so she is not sure what she is to believe anymore since her TSH has responded within a shorter time than this.
Thanks for any help.
Jan 2017 (175mcg Levothyroxine and 12.5mcg T3)
TSH - 1.56 mIU/L (0.2 - 4.2)
Free T4 - 15.9 pmo/L (12.0 - 22.0 pmol/L)
Free T3 - 4.5 pmol/L (3.10 - 6.80 pmol/L)
Thyroid peroxidase antibodies - 103.5 IU/mL (<34 IU/mL)
Thyroglobulin antibodies - 358.3 IU/mL (<115 IU/mL)
Jun 2017 (200mcg Levothyroxine and 12.5mcg T3)
TSH - <0.02 mIU/L (0.27 - 4.20 mIU/L)
Free T4 - 33.5 pmol/L (12.0 - 22.0 pmol/L)
Free T3 - 11.2 pmol/L (3.10 - 6.80 pmol/L)
Aug 2017 (150mcg Levothyroxine)
TSH - 0.03 mIU/L (0.27 - 4.20 mIU/L)
Free T4 - 20.3 pmol/L (12.0 - 22.0 pmol/L)
Free T3 - 4.2 pmol/L (3.10 - 6.80 pmol/L)
Oct 2017 (100mcg Levothyroxine)
TSH - 6.10 mIU/L (0.27 - 4.20 mIU/L)
Free T4 - 13.8 pmol/L (12.0 - 22.0 pmol/L)
Free T3 - 4.0 pmol/L (3.10 - 6.80 pmol/L)