Help please bloodtests

[Clara9]

Latest results on 125mcg t4 and 12.5t3

Tsh *<0.005 mIU/L 0.27 - 4.20

FREE THYROXINE *23.3 pmol/L 12.00 - 22.00 TOTAL THYROXINE(T4) 118.0 nmol/L 59.00 - 154.00

FREE T3 6.17 pmol/L 3.10 - 6.80

Could you advice me what to do? Take 112,5 mcg t4? Latest results on that was ft4 15 (10-19.8) how do I decrease this fastest by skipping levo tomorrow and resume 112.5 after that? If I decrease should I increase t3 a bit or keep it the same? Or would it be better to take 100mcg levothyroxine and increase t3 to 18.75 or 15?

Any thoughts are welcome.

All vit and min are optional and I do have hashis.

[Clutter]

Clara9,

You are a little overmedicated to have TSH so suppressed and FT4 over range. I would reduce Levothyroxine dose to 100mcg and stick with 12.5mcg T3.

[Clara9 in reply to Clutter]

Thank you. Do you think I shall reduce to 100 even though my result for ft4 on 112.5mcg was only 15 (10-19.8)? Isn't it likely to cause a low ft4 then? And if I want to keep 112.5 shall I take less for a day or 2 to get levels down quicker?

This is so hard I think.

Just got my antibodies back too that shows I have hashis. Feeling sad because of that. Is it enough to go gluten free? I've read a book about autoimmune diet that said take away all grains, diary, eggs and a lot more. It just seems too much. 😔

[Clutter in reply to Clara9]

Clara9,

You don't need high T4 when you are taking T3 direct and having it over range may mean it converts to rT3 instead of T3.

Gluten-free is helpful but I don't believe in eschewing all grains, dairy and eggs etc. unless the foods upset you. I really don't believe very restrictive diets can be helpful.

[Clara9 in reply to Clutter]

Thank you ever so much!

If I reduce to 100mcg levo do you think I will have enough t3 or will it also be too low? I understand that you can't possibly know this but maybe you'll have a clue how much a 25mcg decrease in levo will decrease my ft3 levels..

[Clutter in reply to Clara9]

Clara9,

I've no idea whether FT3 will drop when FT4 drops into range. If FT3 drops too much you can add some more T3.

[Clara9 in reply to Clutter]

Thank you.

[cwill]

Do you have gut issues? If yes then you may need to consider a comprehensive review, but if you have no major gut symptoms then I agree with Clutter to start with gluten elimination and see how you do.

[Clara9 in reply to cwill]

Thank you! I don't have gut issues.

[cwill in reply to Clara9]

Then going gluten free is going to be enough of a challenge. I had major gut issues and was stuck on an elimination diet, whilst seriously ill. Moving to AIP elimination allowed me more foods and highlighted some food intolerances. Do your own research via AIP websites, Dr Amy Myers, Dr Izabella Wentz, Dr Tom OBryan, and Dr David Perlmutter etc so that you understand what you omit and why. Good luck.

[greygoose]

How long did you leave between your last dose of levo, and your last dose of T3, and the blood draw?

[Clara9 in reply to greygoose]

I left 24h for levo and 12h for t3.

What do you think?