My symptoms appear to be changing again so I decided to do bloods at over 2 weeks of 2.75 grain (was on 2.5 for 10 weeks and after 8 weeks I felt very low, depressed and out of energy).
TSH= 0.07
FT3=5.65 (range up to 5.7)
FT4=13.3 (9-19)
TT3=1.76 (0.89-2.44)
TT4=98 (63-151)
ATG=13 (<4)
ATPO=930 (<5)
Rt3=16 (10-24)
Magnesium=0.89 (0.65-1.05)
Iron=11.07 (9-30.04)
TIBC=48 (44-76)
Transferrin Sat=24% (15-50)
Transferrin = 2.31 (1.8-3.82)
Ferritin = 42 (5-204)
Folate = 10.3 (3-17.7)
B12 = 552 (187-883)
25-OH Vit D2 D3 = 84 (50-125)
Cortisol Blood = within range (not given by endo)
Cortisol Saliva: high high normal high
My symptoms are:
Fatigue, slight dizziness, fog, dry nose,dry eyes, dry skin, brittle dry hair, blurry vision, weight gain (59kgs to 65kgs within 3 months). Anxiety and depression spells.
My cortisol has been high since November, with slight improvement (latest saliva tesy was done after food...wondering if this could have affected it
My endo wants me back at 2.5, my rheumy suggested t3 only in the past, my gp goes by symptoms and thinks I'm hypo.
I am confused after all these months and would like my life back desperately.
2 weeks isn't long enough to tell whether 2.75 grains is an optimal dose. You need to allow 6-8 weeks for a dose to metabolise. I suspect you may end up overmedicated on 2.75 grains though as FT3 is already top of range.
Ferritin is optimal halfway through range and iron is low in range so you could supplement iron to raise them and that may improve energy. Take 1,000mg vitamin C with iron to aid absorption and minimise constipation. Take iron 4 hours away from NDT.
B12, folate and vitD are fine but I would continue supplementing to maintain levels.
If you have a dry mouth in addition to dry nose and dry eyes ask your GP or rheumy to check for Sjogrens.
I can't help with cortisol. If you don't get more replies write a new post asking for advice about cortisol levels and include your results and ranges.
Thyroid peroxidase antibodies are positive for autoimmune thyroid disease (Hashimoto's). There is no cure for Hashimoto's which causes 90% of hypothyroidism. Levothyroxine treatment is for the low thyroid levels it causes. Many people have found that 100% gluten-free diet is helpful in reducing Hashi flares, symptoms and eventually antibodies.
You aren't undermedicated so that isn't why you have weight gain. Be careful though because overmedication can cause weight gain. As I said, dry mouth, nose and eyes could be due to Sjogrens and you should speak to your rheumy about it. In the meantime use a preservative-free eye drops. Skin and hair can take years to recover and may remain permanently dry unfortunately.
No need to be ashamed. Not your fault your GP is an idiot and has caused this upset.
You are adequately dosed now so you shouldn't be gaining weight because of low thyroid. You may have to increase exercise and reduce calories to lose the weight you gained though.
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