As you'll see from my profile, I have never been diagnosed with hypothyroidism, but was diagnosed with ME in 1989. For the past year I have been seeing a (well known) naturopath who has helped me get to the root of some of my health difficulties.
At the initial consultation he suggested that although my thyroid levels were in range they were not optimal and he advised Nutri Thyroid (and Nutri Adrenal - I have low in-range cortisol in the morning and high in-range cortisol in the evening, so the wrong way round!).
When Nutri Thyroid became unavailable he suggested I tried Tyro Gold. I did ask for advice about this from the forum as I was concerned it might be too strong and I was advised not to take it.
I have since been retested (privately) for TFTs, with the following results:
TSH 1.310 mIU/L (0.27-4.2)
FT3 3.86 pmol/L (3.74-6.11)
FT4 14.9 pmol/L (11.5-19.6)
I presented these at my appointment last week and was surprised at the response - the naturopath is saying that the FT4 is fine and that given that FT3 testing is unreliable there is no use taking this into account.
Ignoring what he is saying, I'm finding it difficult to compute the fact that the FT3 is on the floor (within the 95% interval?) yet the FT4 is reasonable. It doesn't make sense.
Yet, the naturopath is still wanting me to take either Thyro Gold or Nutri Thyroid (now it is back in stock), which is illogical, given his comments, and confusing.
I should point out that the TSH is the lowest it has ever been (a surprise to me) as not that long ago it was 3.8 (upper range 4.2). NB the test was carried out at 3pm as the clinic is only open in the afternoon. In fact, the TSH has been all over the place for years:
16 Aug 05: 2.56 mU/L (0.35 - 6mU/L)
29 Aug 06: 3.01 mU/L (0.35 - 6mU/L)
06 Nov 07: 1.96 mU/L (0.35 - 6mU/L)
21 Jul 09: 2.48 mU/L (0.35 - 6mU/L)
11 May 11: 3.28 mU/L (0.35 - 6mU/L)
16 Sep 13: 2.47 mU/L (0.35 - 6mU/L)
09 May 14: 3.36 mU/L (0.35 - 6mU/L)
27 Feb 15: 2.53 mU/L (0.35 - 6mU/L)
11 Dec 15: 3.84 mU/L (0.27 - 4.2mU/L)
05 Dec 16: 3.12 mU/L (0.27 - 4.2mU/L)
25 Aug 17: 2.03 mu/L (0.27 - 4.2mu/L)
The naturopath is also suggesting I have a trial of (bio-identical) progesterone cream, even though I'm post-menopausal. I have been reading about pregnenolone but don't know if it would stimulate oestrogen (I have polycystic liver and can't have any oestrogen either through HRT or via phyto-oestrogens/caffeine).
I would be grateful if anyone could shed some light on any of this.