Having completely given up on my GP who unfortunately won't even refer me to a specialist I am going it alone. This is an excellent website !! But I'm still a little confused as to which path to take.
I have a range of symptoms e.g. always cold, difficult to lose weight etc and my bloods indicate that I have a high reverse T3 with a low ratio (see bloods of relevance below).
I do have leaky gut and a couple of autoimmune diseases which I control very well by diet. I know when I've eaten something I shouldn't because I have an instant flare up.
I have also had a scalp biopsy which shows I have 'female pattern hairloss' however, I have researched this and thyroid could mimic this also. My thinning whilst worse at front and crown has also become diffuse all over recently.
My bloods are as follows:
Thyroid function range
TSH 2.28 0.27-4.28
T4 Total 80.2 64.5-142.0
Free T4 14.64 12-22
Free T3 4.20 3.1-6.8
Reverse T3 21 10-24
Reverse T3 ratio 13.02 >20
Ant-Thyroidperoxidase 8.8 <34
Anti-Thyroglobuli anbs 12.1 <115
FSH 12.3 3.5-12.5
LH 7.5 follicular 2.4 - 12.6
mid 14 - 95.6
luteal 1 - 11.4
I do have normal periods etc I'm unable to recall at which stage in the cycle I was tested.
17-beta oestradiol 77
Based on my RT3 ratio I believe I am hypo at the cellular level.
I'd love to know more, which T3 meds to take, how to source them (I couldn't afford £240 per month, so paying privately is not an option), whether you can use T3 to 'kick start' or if you need to take it forever.
Huge appreciation for any nugget of advice at all.