Hi all, I'm from the U.S. but find info here great so wonder if you could advise what I should do next.
Main question is, should I take T3 (5 mcg.) only to flush out RT3?
Or take the T3 in addition to my old T4 levothyroxine, and if so, 75 mcg. of the T4 or just take 37.5 mcg (1/2 tab)? This was first time ever adding in T3 but appears the time-release was not getting absorbed since my T3 level actually went lower & TSH went up - do you agree?; and I'm not converting well.
After below results, dr. just doubled the dose to T3 25/T4 110 (I wanted just T3 or less T4, but he said you "have to" have T4..). Felt worse on that so stopped it. Saw a different doc who prescribed T3 but I do wish it was 10 mcg. I have no heart/jittery issues with the T3, feel good.
Jan. 5, 2018 [after 6 weeks on T3 12 mcg./T4 50 mcg. time-release]
FT3 - 2.32 L (2.5 - 4.30 pg/mL)
he said not necessary to test RT3 again...
FT4 - 1.0 (0.8 - 1.8 ng/dL)
TSH - 11.74 H (0.27 - 3.50 mIU/L) (super high for me!)
Sept. 11, 2017 - these labs were based on 75 mcg. levothyroxine
FT3 - 2.41 L (2.5 - 4.30 pg/mL)
RT3 - 20.41 (9.0 - 27.0 ng/dL )
FT4 - 1.1 (0.6 - 1.4 ng/dL) [Aug. 9, 2017 (different lab)]
TSH - 2.39 (0.34 - 5.60 mIU/L) [Aug. 9, 2017 (different lab)]
TgAB - 1.76 H (0 - 0.5)
TPO - 12.14 (0-100)
Ferritin 40 ng/mL (13-150) (blood irons were good tho - not getting to tissues?)
B12 - > 2000 pg/mL (243-894) H
RBC Folate - 1,018 (> 366 ng.mL) H
Vit. D - 55.7 (30-100 ng/mL) (Aug. 9)
Background is I went hypo about a year after menopause. Have been on 75 mcg. levothyroxine since (2005). Didn't totally resolve all symptoms (constipation, dry skin, hair, eyes, tight finger tendons, didn't lose weight easily) but like many of us, I just dealt with it. I don't feel fatigued or cold.
Last April they removed 3 supposedly overactive parathyroid glands, felt great after the surgery (I now believe it was the massive amounts of calcium they had me take), but downhill since. July was super bad, I was losing muscle but started gaining weight which is unusual in summer, could not pee (muscle?), brain fog in afternoon. I had stopped the B12 shots before the surgery thinking I wouldn't need them anymore, but finally got one in July and peed 17 times that day. I believe they were helping my thryoid - they also contain methionone, choline, inositol. anyway, something happened over the summer, not sure what. I've recovered muscle but the weight gain is a big difference.
I don't seem to absorb nutrients? - is this why my blood levels are so high? I have upped my digestive enzymes & betaine, take all the co-factors, zinc, selenium, D. don't eat gluten, eat mostly whole foods although very little!
My D level doesn't seem to go up much either even though in the summer I am in the sun 6+ hours a day and never put sunscreen on my legs. Or some kind of nutrient carrier problem?
The new dr. wants to find out the reason I'm not converting before giving me more T3. Wants to do a hair mineral test, but I don't have enough hair yet!
I do wonder if there is something wrong with my liver.
Anybody has a source of T3 in the U.S. without prescription, let me know.
I'm getting closer to help, just want to move things along. It's like an endless cycle - thyroid levels not optimal so other things in body not working and thus thyroid levels get worse etc.
Thanks for listening and any other advice.