Latest results advice please?

[Emits]

Latest results on 112.5 mcg levo and 6.25 mcg lions. Last dose levo 24h t3 15h before test.

Tsh 0.03

Ft3 4.9 (3.5-6.5)

Ft4 15.5 (10-19.8)

On higher dose 112.5 mcg levo and 18.75 mcg lio.

Tsh 0.03

Ft3 6.7 (3.5-6.5)

Ft4 16.7 (10-19.8)

After Endo told me to reduce lio.

I have started to gain weight again (I was loosing some on higher dose) and feel worse again, itchy scalp again and irritated.

What do you suggest, up levo or lio? Would 12.5 levo be enough? Would make it easier to take same amount every day.

[SeasideSusie Remembering]

Emits

When did you take your last dose of T3 when you had this test:

On higher dose 112.5 mcg levo and 18.75 mcg lio.

Tsh 0.03

Ft3 6.7 (3.5-6.5)

Ft4 16.7 (10-19.8)

It would have been better if your endo had suggested you reduce your T3 to 12.5 rather than 6.25mcg. You were only very slightly over range for FT3 so didn't need such a big reduction.

If it was me I'd increase the T3 to 12.5mcg and leave Levo dose as it is.

Would make it easier to take same amount every day.

Same amount of what?

[Emits in reply to SeasideSusie]

Thank you. I edited the post. I took last dose of t3 3mcg 15h before test.

Do you think upping the levo by 12.5 could be sufficient?

[SeasideSusie Remembering in reply to Emits]

So your FT3 result wasn't influenced by taking T3 too close to the blood draw, so reducing to 12.5mcg would have been the best thing which would have reduced your FT3 a bit, not by the large amount that it did with reducing to 6.25mcg.

As your results were good, except for the very slightly over range FT3, on 112.5mcg Levo plus 18.75mcg T3, I wouldn't increase Levo, I would increase T3 to 12.5mcg (please note, that is what I would do if it was me, it's not medical advice).

[SlowDragon Administrator]

Are you sure your vitamin levels are optimal. Vitamin D, folate, ferritin and B12

Personally I get terrible itchy scalp when T4 is too low.

Had it when I was first diagnosed over twenty years ago. It only stopped when Levo was increased to 125mcg. When started T3, Levo was reduced to 100mcg. Itchy scalp and other symptoms returned. Now increased T4 back to 125mcg, symptoms all gone.

[Emits in reply to SlowDragon]

I haven't got the latest results for vitamins yet. Ferritin is 90, is that OK?

Thank you for pointing that out. It makes total sense to me as when my ft4 was 13 my scalp was horrible.

Would it be too much to increase levo by 12.5 and t3 with 3 mcg?

[SlowDragon Administrator in reply to Emits]

Personally I try to only ever change one thing at a time.

I would probably increase T4 first.

Need range on ferritin

Definitely get others tested too

[Emits in reply to SlowDragon]

I already have been taking the extra 3mcg t3 for 2 weeks. Haven't improved symptoms.

Range is 10-291

How much t3 do you take?