Since the only change will be in the FT3 level, which has a short half-life, the serum FT4 and FT3 levels (and TSH, if indicated) can be measured 48-72 hrs after the splitting of the doses if the patient had been on the hormone for 4-6 weeks before the splitting of the doses. This is because the Free T4 hormone is the one that takes a number of weeks to build up to its steady-state serum-level.
Surely this means that I don't need to wait 6 weeks to have a blood test if I only increase my Tiromel (t3) since, as it says in the text quoted, it's fast acting and the reason to wait 6 weeks is because t4 has a week half life.
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lisan1
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The main point, I believe and am not medically qualified, is that blood tests don't inform us of how well the dose/hormones is working.
It is how our body reacts to the doses and if symptoms are being relieved so that we have none, and feel our health is now normal - that's what is the most important fact and the dose which suits the person.
The blood tests were invented and introduced along with levothyroxine - T4 only. So if we add in or take some additional hormones i.e. T3 or NDT results cannot be comparable with taking levothyroine alone.
I am not medically qualified but that's my viewpoint. For instance I take T3 only, therefore T4 will be negligible as I take none and T3 would show higher than when on T4.
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