A year and still not right!! T3 needed or not!?

[ThyroidObsessed]

So after 9 years of levels being stable on levo and being ok.. october a year ago tsh went up but ft4 was still high and not been mentally right since!.. these are my levels...

9/1/17 ft4 24.4 (11-23) TSH 8.1 (0.27- 4.5) no ft3 tested been on 100mcg of teva new formula

1/6/17 ft4 18.8 (11-23) TSH 15 (0.27- 4.5) ft3 3.66 (3.1- 6.8) on 75mcg actavis brand

21/7/17 ft4 17.9 (11- 23) TSH 6.5 (0.27- 4.5) FT3 3.63 (3.1- 6.8) on 75mcg actavis brand

31/8/17 ft4 27.9 (11.0- 23.0) TSH 2.5 (0.27- 4.5) FT3 4.77 (3.1- 6.8) On 100mcg of actavis brand

26/9/17 ft4 29.4 ( 11- 23) TSH 0.15 (0.27- 4.5) ft3 5.14 on 125mcg of actavis absolutely herrendous side effects on this dose

26/10/17 ft4 14.5 (11.0- 23.0) TSH 23.5 (0.27- 4.5) FT3 3.31 (3.1- 6.8) 4 weeks on 75mcg of mercurypharma

7/12/17 Ft4 20.3 (11.0-23.0) TSH 10.1 (0.27-4.5) FT3 4.03 (3.1-6.8) 6 weeks on 87.5mcgmercurypharma as suggested by endo still on this dose as ft4 goes over on 100mcg

It seems when i increase my levo my ft4 goes over range and i have herrendous side effects!

Please help

My endo is useless.. she just keeps changing dose up and down for a year!

All vitamins are high in range...

[Marz]

Have you considered adding T3 to your T4 dose ? FT3 very low in range

[ThyroidObsessed in reply to Marz]

My endo said i didnt need it!

So im too scared to buy it privately

[shaws Administrator]

Looking at your results - this stands out:-

26/9/17 ft4 29.4 ( 11- 23) TSH 0.15 (0.27- 4.5) ft3 5.14 on 125mcg of actavis absolutely herrendous side effects on this dose

Your T4 is high on the above result.

Were your blood tests always taken first thing on an empty stomach, fasting (you can drink water) and did you allow a gap of 24 hours between your last dose of levo and the test? If not your results could be skewed.

I think some T3 should be added to T4 and one of our Researchers and his team have found that many need T3 added to T4 and their health improves and their paper has been accepted.

If I were you and doctor wont prescribe T3 (now it has been banned due to exorbitant cost) you could source your own and add some to your T4.

The very best way to judge if a dose suits you is 'how we feel' and if awful something is very wrong.

[ThyroidObsessed in reply to shaws]

Yes always do the exact same thing on blood tests empty stomach in a morning no levo... my gp said he thinks i need a bit of t3 but he said he hasnt got the power to give it and that my endo would have to agree....

[shaws Administrator]

I never felt well on levo, in fact I felt far worse that before being diagnosed with a TSH of 100. I am well now but improved a lot when T3 was added to T4 but am now on T3 alone.

[ThyroidObsessed in reply to shaws]

I felt better when i was off levo and not taking anything for 2 weeks!!

[shaws Administrator in reply to ThyroidObsessed]

I think many people don't feel well on levothyroxine. I assume that most of them are on this forum.

[ThyroidObsessed in reply to shaws]

Yep im sure they are 😏

[SlowDragon Administrator]

What are your actual vitamin results?

Do you have Hashimoto's?

Have you ever tested Reverse T3? Would have to be private test, NHS doesn't do it (or understand it)

You react badly to most Levo. Trying addition of small dose T3 is probably next step

[ThyroidObsessed in reply to SlowDragon]

Yes i have hashis.. my vitamins are all at the top end of the range.. but i dont believe vitamins are the problem as iv always been fine before until my tsh went up...

[Angel_of_the_North]

Obviously poor conversion, so T3 is likely to help, but I'd also be wondering why TSH is going so high when FT4 isn't low and fT3 isn't appalling (looking at Dec results). Is there are TSH-producing tumour in the mix?

[ThyroidObsessed in reply to Angel_of_the_North]

I have actually been looking into this.. im going to see my doctor tuesday armed with all my research and gonna make them listen!.. i will not rest until im better so they will have sort me out!... do i need a mri to test for a TSH-producing tumour? ..