I am currently taking 50mcg of Tirosint (t4) 5 days a week and 75 mcg 2 days a week. Also, 1.5 mcg of sustained release t3 in the am and .075 mcg in the pm. I am following guidelines from Dr. Kenneth Blanchard's book.
I have tried t3 only, NDT, t4& cytomel over the last several years and have not been able to find symptomatic relief.
My biggest question is b12 level. The dr suggested I take 1mg of methyl- b12. I started on Monday and cannot keep my eyes open. Extreme fatigue / heavy feeling. When I started researching levels, I am finding them to be quite low and not sure if oral supplementation will help.
Interestingly enough, I went back through old labs. I had a low level in 2007 and was recommended shots. I do not recall getting the shots- probably blew it off. Five months after these labs I had my tubes tied and uterine ablation. I had never been put under anesthesia before and my health has NEVER been the same to date.
I was treated for Lyme disease in 2009 and b12 levels were addressed with injections. They have never been looked at since except me asking the dr to draw levels a week ago. Any feedback appreciated. Thanks
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Kcdb
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For B12 supplementation use sublingual methylcobalamin. Also take a good B complex with methylated forms of the B's to keep all the B's in balance. You could supplement 1000mcg of methylcobalamin daily and retest in 4/5 months to find out where levels are.
FT3 is low and below range. Are you taking any medicines that may block conversion? Have you tried taking between 100 and 200mcg of selenium to support conversion of T4 to T3?
Your thyroid results show you are under medicated (assuming you left 12 hours for T3 and 24 hours for T4 before test)
Your FT3 is under range
B12 too low. So either get injections and/or sublingual B12 lozenges
Good vitamin B complex too
If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before any blood tests, as biotin can falsely affect test results
Thanks for replying slow dragon . I’m not sure why I can’t find sweet spot with medication . I definitely feel worse on higher doses- the plan is to adjust slowly . Thank you for the links - will read
You are undermedicated to have TSH 2.05, FT4 only 25% through range and FT3 below range. I would increase Tirosint to 75mcg x 5 days and 100mcg x 2 days and retest in 6 weeks.
B12 is low in range. If you have symptoms in b12deficiency.info/signs-an... go to healthunlocked.com/pasoc for advice as they are the experts on B12 deficiency. Taking B12 will normally increase energy not cause fatigue.
Folate, selenium and zinc are within range (normal).
Thanks slow dragon. I supplement Vit d 5000 , magnesium 800 mg.
Typically, b vitamins cause anxiety for me. Ferritin is low - however I was able to bring it up from 19 to 52 in three weeks this time last year. Discontinued due to constipation . Also, changed drs and she didn’t bring up ferritin.
The hardest part of this health journey is being in charge! Thanks for your input
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