Blood and Adrenal results please advise

[Cup-cake7]

Hello

Please may experts please advise me? Most grateful to this wonderful site

I've had adrenal and bloods taken again by Medichecks. btw they took a week to get there by ordinary return

my main symptoms are now anxiety and brain fog, really badly, fatigue, joint pain and muscle pain in groin and leg but this may cross over with wear and tear, although orthopaedics say that they wouldn't touch it ( that may be another story but scan and x ray don't show evidence of the pain I experience to stand up )

My gut feeling is I need to support adrenals, unsure what with though?

To look at progesterone levels but advice on this welcome please?

and possibly to introduce t3 but unsure if need to take t4 with it?

Adrenals 4 saliva testing

Waking 18.9 14 - 21 Ok

Midday 11.6 4 -9 High

4pm 6.2 2.50 - 7 Ok

Bedtime 9.3 O.80 - 4.50 HIGH

BLOODS Dec 17

TSH 4.07

Free thyroxine 18.6. 12. - 22

Total thyroxine. 119. 59 - 154

Free t3 4.49 😱 3.10 - 6.80

Thyroid antibodies 46.70 0 - 115 Gluten free yeah!!!!

Perox antibodies 11.1 0.00 - 34

B12 Have overdosed 245 25.10 - 165

Folate 6.69 2.91 - 50

Vit d Much better 91.2 50 - 200

Ferratin 91.1 13 - 150 Is this high enough?

Basically, have I to get the tsh down to a one via Levo? I really struggle even in 50, anxiety is screaming at me and tinitus roaring

Is this normal, do you push through it or is it indicator it doesn't suit?

Do I have to get the levo up to 150 ish to see if I convert the t3 better?

Would it hurt to put in a bit of t3? Thinking this may ease the passage

If so, how much levo should I take, or is this when you take ndt instead? I've never fancied pigs hormone in truth I'd rather have synthetic if it works

Do pigs get hypo anyway????? Hence taking hypo ndt

Lots of thanks and hugs

J

[Cup-cake7]

O dear, I did space it all out well

[Cup-cake7]

Again. Bloods

Tsh 4.01. 🌸 .27 - 4.20

Free thyroxine. 18.6. 🌸 12 - 22

Total thyr. 119. 🌸 59 - 154

Free t3. 4.49. 🌸 3.10 - 6.80

Antibodies all in ranges I've been gf!

[Clutter]

Jeppy,

You are undermedicated to have TSH 4.07. Ask your GP to increase dose. Dose increases are in 25mcg increments so dose should be increased to 75mcg. You need to be optimally dosed before you can determine whether or not conversion is good.

The goal of Levothyroxine is to restore the patient to euthyroid status. For most patients that will be when TSH is 0.27 - 1.0 with FT4 in the upper range. FT4 needs to be in the upper range in order that sufficient T3 is converted. Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email [e-mail] if you would like a copy of the Pulse article to show your GP.

If you are supplementing B12 that will be why active B12 is high. You can reduce dose to 2 or 3 times 1,000mcg a week as a maintenance dose.

Folate is low in range. You can raise folate by supplementing 400mcg folic acid or methylfolate for 3 or 4 months.

VitD is good but you'll need to continue taking 1,000iu daily until March to maintain levels. Make sure you take vitD 4 hours away from Levothyroxine.

Ferritin 91 is good.

I can't advise on the high cortisol results. If you don't get more replies to your post write a new post asking how to deal with high cortisol.

[Cup-cake7]

Hi

Gp won't up my levo clutter for sure, none of them will and seen four docs in practice

They say I'm 'normal' clutter, which is to be expected with their view point and therefore leaves me short of levo if I up dose?

How do others go on with this other than buy it online?

Oh Isn't my t4 ok . I thought it was as just about into the top third?

I am confused so please help me here, why then haven't I a higher t3 when there is plenty of t4 around? why then at this stage isn't it seen as conversion problem?

As I've been away from 50 mg for a week how shall I up this please ? I know it's wrong but the anxiety is dyer on it and the tinitus roaring and when I stopped somto five bloods I dropped to 25

thankyou for vitamin advice, at least I know I am now absorbing better with gut healing and to anyone with antibodies mine are now back in range after eight months of gluten free

[Cup-cake7]

Ps

I'm seeing doctor this afternoon as think I may have shingles

[Cup-cake7]

Look forward to hearing back re questions

No the doctor wouldn't increase dose ( obviously lol)