recent bloods whats happening now ?

[Popsta]

TSH 6.740 (0.270-4.200)

Free T3 3.0 (3.1-6.8)

Total T3 1.2 (1.3-3.1)

total T4 93 (59-154)

Reverse T3 18 (10-24)

TSH Receptor Antibodies <0.4 (0.0-0.4)

Vid D 81.8 no range

B12 501 (197-771)

Ferritin 25.8 (130-150)

Folate serum 8.7 (3.9-26.8)

Zinc serum 15.3 (11-24)

Selenium 1.3 (0.89-1.65)

Magnesium 0.96 (0.70-1.00)

Any ideas please ?

[SlowDragon Administrator]

How much Levothyroxine are you taking ?

You are very under medicated. You will need dose increase and retesting after 6-8 weeks

TSH should be around one and FT4 towards top of range and FT3 at least half way in range

Your FT3 is below range

There's no FT4 test?

Ferritin is dire. Needs to be at least 70

You either have to eat liver or take iron tablets

Are you on B12 injections?

Folate is low, a good B complex would help

Assuming you are in UK Vitamin D is a bit low, around 100nmol is better

Not sure why you had TSH receptor antibodies test. That is to test for Graves' disease (hyperthyroidism)

You need TPO and TG antibodies tested for Hashimoto's

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse 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)."

You can obtain a copy of the articles from Thyroid UK email [e-mail]. print it and highlight question 6 to show your doctor.

[Popsta in reply to SlowDragon]

Free T4 14.81 (12.0-22.0) sorry

[Angel_of_the_North]

You are now hypo and need levothyroxine. The antibodies tested were for Graves, so I'm assuming you were previously hyper.