Im taking 1.5 grains ndt and although I feel better ( not great) im concerned because my t4 and t3 are lower than when I started . I haven't felt worse - fatigue is better but haven't been able to lose weight at all . I'm going up to 2 grains this week but worried I can't tolerate much more - heart has been pounding lately my tsh 6 before meds with t4 around 16 and t3 4.4.
Now I'm at t-sh 1.6 , t4 around 11 and t3 4.2.
Thoughts ??? I'm beginning to doubt that I should have started meds at all
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Shsc
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Well, it's not surprising that your FT4 is lower as you're taking NDT. That's what happens. And the difference in your FT3 is so slight as to be insignificant - were both tests done at the same time of day? Because FT3 levels do vary throughout the day. And, are they even the same range?
Your FT3 looks to be still too low to lose weight - although difficult to say for sure without the range. But, you most certainly should have started on 'meds', with a TSH of 6. That is hypo.
No I do not have hashimotos thankfully. I've started supplementing with vit b and d about 6 weeks ago , also Zinc and recently selenium. Did not have levels done though.
My last visit the dr wanted to check ferritin so I will do those soon .
B12 test not going to show much as once supplementing test is pretty irrelevant and B vitamins are water soluble. If you are taking more than you need then it’s just expensive pee!
Thank you ! I know the ferritin level is important but can't find a good reference explaining why ? Could it help with the pounding feeling im having ? Or is that just cortisol - which I am testing this week via saliva as well. Thanks this forum is great for responsiveness
Yes the levels were done same time each time . The range for T3 is 3.5 to 6.5 so I know I'm still low. Just concerned that an extra half grain isn't going to get me much higher
Half a grain is too much to increase by. Increases for NDT should be 1/4 grain every too weeks. The golden rule for all hormones : start low and increase slowly. Increasing by too much at a time is just going to make you miss your sweet spot, and having to start all over again.
I'm pretty sure that one grain is 60 mg with any NDT. So, you must have half grain tablets. Yes, that would make a difference, because half a half grain tablet is a quarter grain.
THIs guide is good for helping reach you optimum NDT dose and should alleviate some of your worries and hopefully get you to the best dose to feel well
Im increasingly worried that my dose is lower than what my thyroid was doing alone. ERFA 2 grains is like one of armour. My T4 keeps dropping almost out of range and T3 is barely where it was. Really think I'm doing more harm than good here ! Why would drs make you think you can take a little to help you out?? I stupid for jumping on the meds so fast! Feeling super anxious about this tonight 😔
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my tsh 6 before meds with t4 around 16 and t3 4.4. 
Taking high levels of NDT and still feeling ill
NDT substitute and thyroid levels
How do i start to add T3 to NDT safely please
2nd test since starting NDT , thoughts would be appreciated 
