Thyroid UK
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Need Help With TSH being too high

I just received my blood results for my thyroid and my t4 is1.08 my t3 is 92 and my TSH is 8.82, my iron is normal and my Vitamin D is normal range, will my doctor increase my levothyroxine, I take 37.5 mcg right now, do I need t3 medication?? I tried Nature Thyroid and Armour, could not tolerate them, shaky and jittery. Can someone help me or give me advice on what to do?? My TSH has been high for sometime, I do not understand why my doc did not test free t3.

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Your doctor most certainly should increase your dose because your TSH is much too high - should be one or under when taking thyroid hormone replacement. Your present dose isn't even a starter dose! You should have been started on 50 mcg unless you are very old, very young or have a heart condition.

I cannot comment on your T4 and T3 because you haven't put the ranges. But it looks like the T3 is a TT3, which is the wrong test. You need to have the FT3 tested if you want to know how well you convert.

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Yes, I know my t4 is low, I had blood work done in September and my reverse t3 was 12, I'm not sure what that means, I think that means it is low, so he put me on t3 compound, I had a very bad reaction to this medication, jittery, shaky, I also tried Nature-thyroid, and Armour, I had trouble with this as well. I'm wondering if I can take a different kind of T3, cytomel?? not sure what that is, I believe it is a t4 t3 combo. Anyway my Total Iron Capacity was 309 and my Iron total was 93. My Vitamin D was 54. My vitamin D OH 2 was <4, not sure what that means either, but that perticular doctor put me on B12 shots. I have a new doctor that didn't test me this time for B12. My new doctor did not test for reverse T3, I picked this new doctor because she is a DO, the doctor that tested me back in September put me on all kinds of steroids, my face broke out with pimples and I was a basket case, so I tried to find someone who knows both ends of the spectrum. Its been a frustrating journey for me. So i decided to join this forum for some help. Thank you for your feed back.

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Once again, it's impossible to make any intelligent remarks on your results, because you haven't put any ranges. The ranges are essential for understanding the results.

Cytomel is just T3, not a combo. But, as I said, no idea if you need to take T3 because of lack of ranges.

You don't need to test for rT3, it won't give you much useful information. I don't really think you need steroids.

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For full evaluation you ideally need TSH, FT4, FT3, TT4, TPO and TG antibodies, plus vitamin D, folate, ferritin and B12 tested

All thyroid tests should be done as early as possible in morning and fasting and don't take Levo in the 24 hours prior to test, delay and take straight after. This gives highest TSH, lowest FT4 and most consistent results

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Back in September I had those test done, and this crazy doctor in Michigan put me on three different steroids, I was a complete mess, so I found a doctor here in the Maryland are where I live, I singled her out because she is a DO, I just had my blood work done and I can't believe she did not test my reverse T3, B12 or Vitamin D. I am very disappointed. Back in September my TPO was high, I have Hashimotos disease, have for 10 years, I am 50 now, I have been very tired. Back in September my reverse T3 was 12, free T3 2.6 and my T4 1.2 TSH was 2.65 Total Iron Capacity 93 Thyroid Antibodies 1, I just had blood work done at the end of December. My new doctor only tested my T4 1.08 T3 92, TSH 8.820 My Iron was the same, she did not test my Vitamin D, however I have been taking Bio-D Forte, 4 drops per day, I stopped the B12 shots, because the doctor from Michigan put me on Estrodiol injectable and I had a very bad reaction. Sent all the steroids back as well. I am feeling a bit better, but tired.

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