New member with a query

[Arty_J]

Hello. If I have bloods done for thyroid which came back abnormal but were done 4 weeks after a dose change do I go ahead and change my dose? Diagnosed hypothyroid in 2005 taking low dose levothyroxine 50mcg. Symptoms are puffy eyes, goitre, feeling cold, coldness to skin, constipation, fatigue. Thanks

[Clutter]

Welcome to the forum, Arty_J.

Perhaps you could post the results and ranges? Hard to determine whether results are abnormally high or low without them.

[Arty_J in reply to Clutter]

TSH 0.02 (0.2 - 4.2)

Free T4 22.5 (12 - 22)

Taking 175mcg levothyroxine

[Clutter in reply to Arty_J]

Arty_J,

I wouldn't reduce dose unless you feel overmedicated. You are mildly biochemically overmedicated to have FT4 over range but it's really not worth worrying about unless, as I said, you feel overmedicated.

[Arty_J in reply to Clutter]

Thanks no I still feel hypothyroid, also free T3 3.1 (3.1 - 6.8)

[Clutter in reply to Arty_J]

Arty_J,

You definitely don't want to reduce dose else FT3 will drop below range. You are a poor converter and would benefit from some Liothyronine (T3) added to a reduced dose of Levothyroxine to raise FT3. Ask your GP to refer you to an endocrinologist (NHS) if she is unable to prescribe T3 without an endo recommendation.

[Marz]

Have you had the following tested - B12 - Folate - Ferritin - VitD ?? All need to be OPTIMAL for good conversion from T4 into the active hormone T3 ....

[Arty_J in reply to Marz]

Yes in another post I think