Hi I am 30 years old and new to the community. My endo and I are having trouble stabilising my thyroid levels.
I was diagnosed with underactive thyroid in December 2012 with the below results
TSH 44.8 (0.2 - 4.2)
FT4 10.2 (12 - 22(
I was immediately started on Levothyroxine. Through the years I never felt completely better until August 2015 when my first endo put me on a trial of T3 after establishing a conversion issue on 175mcg levothyroxine:
TSH 1.20 (0.2 - 4.2)
FT4 19.3 (12 - 22)
FT3 4.1 (3.1 - 6.8)
She reduced my 175mcg levothyroxine to 75mcg and added in 10mcg T3. My levels then stabilised on 75mcg levothyroxine and 10mcg T3 in October 2015:
TSH <0.02 (0.2 - 4.2)
FT4 20.8 (12 - 22)
FT3 5.6 (3.1 - 6.8)
However after this time my levels then went underactive requiring monitoring every 6-8 weeks.
In June 2017 my care was taken over by a different endo who removed my T3 and reduced my levothyroxine from 175mcg to 150mcg. My bloods in September 2017 were
TSH 0.03 (0.2 - 4.2)
FT4 25.3 (12 - 22)
FT3 4.0 (3.1 - 6.8)
TPO antibody 904.5 (<34)
TG antibody 4000 (<115)
I told him I did not feel completely well despite him asking me to reduce so he agreed to keep my dose at 175mcg. My results in December 2017 were then
TSH 4.80 (0.2 - 4.2)
FT4 14.7 (12 - 22)
FT3 3.5 (3.1 - 6.8)
My endo called me after these results came through saying he can't understand how my levels can vary so much on the same dose. I take my levothyroxine on an empty stomach and I leave 1-2 hours before food and drink; all bloods done before 9am, fasting and leaving off levothyroxine for 24 hours and I take no other medications.
Bowels more sluggish than before, tiredness, toes constantly cold, pain in joints, dry skin, low concentration.
Is my endo missing something? Am I really just an anomaly as he suggests?
Any help would be appreciated, thank you.