Thyroid UK
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what do you think of these results last year

ft4 9pmol

ft3 2.7pmol

tsh 0.17miu/l

endo reckons its ok as i am on armour so why am i so tired cold grumpy, hairloss very very bad. no energy at all... i have 6x one quarter grain. no ranges here.

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Oh petals according to my reckoning the 6 quarter grains equals 1 1/2 grains. Roughly equates to 56mcg of T4 and 12mcg of T3.

Based on my lab ranges you are very under medicated and need an increase....likely several over a number of months with retesting 6-8 weeks after each increase to check thyroid hormone level.

Your Endo is clearly going by the TSH and not the actual thyroid hormone levels. A supressed TSH is normal in combination thyroid treatment. The endo should be looking at your actual thyroid hormone levels and ensuring they are in the top third or near the top of their ranges and you are symptom free. Am afraid many endos are not thyroid specialists but diabetes specialists. Treating by the TSH leads to under treatment.....even more so with a natural desicated Thyroid extract.

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thanks wavy lines he is a nice man but i wonderif he knows what he is doing! he says i am adequate! if i could get the t3 i would go back on the syn etic stuff at least i would know where i am- i have lost so much hair. and one of my friends has just said ( because i have cancelled an RAF dinner event we were going to---- she said ' well i see people all the time with hardly any hair and their scalps shows so why cant you do the same!!!!!!!

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i should be on 75 levo wavylines and 20 mcg t3 so no wonder i am nearly bald! i cant even work out the equivalent of grains to that amount of synethestic i think it must be about 8 grains?

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I was going to say the same. Top of the range for freeT3 is often around 6-7, for freeT4 something like 22. So yours are looking pretty low :(

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is ndt weaker than Synethetic,he has put 90mcg onprescription of armour-- i had to get naturethroid last time fromusa instead of armour as it had gone up so much and alsothere as a shortage of both

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They should work out quite similar mg of NDT to mcg of T4.

But everyone's body is different in how they absorb T4, T3, and all the other complicating factors, so equivalencies are always an estimate.

A grain of NDT is 65mg, and contains 38mcg of T4, and 9mcg of T3.

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Well your currently on 56mcg of t4 and 12mcg of t3 so hes definately lowered your dose.!!

2grains would give you 76 mcg of t4 and 16mcg of t3 so that would be closer.

Though based on your results you will need a higher dose ultimately than 2 grains.

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no wonder myhair has got worse and worse thanks wavylines. now trying to gethold of him,he works at 3 hospitals kent and london and his secretary has her days cut to 3days! our precious NHS has all but been obliterated, used abused and i would like to know how we got into this state, it was neverlike it while i was a child,teenager or adult-- what went wrong eh?

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Well basically the nhs is under funded & has been out sourced so large chunks have been carved off to private set ups. The rest is starved of funding & staffing.

Yoyr endo I think is trying to keep your TSH in range but this will not work as its already been proven that it leads to under treatment. He should focus on getting your actual thyroid hormone into the top third or even top of range. And of course take note of your signs/symptoms. So long as they stay in range you need not fear harm to your heart. This is what my nhs endo told me & wrote to my GP.

Have you ben moved off the liothyroxine due to cost?

Try to get hold of the lab ranges as they do vary from lab to lab & then post them next to your results.

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i am not sure he knows much- he says it is low because its ndt, ok so i wont buy it i wil go back on levo but still gotthe problem of the t3-- yes gp wont pay now , straange thatthe first edo askd gp to provide it- it hs been likethat for years. thi sbloody privatisation is peeing me off big time and the greed!

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When correctly on any T3 or NDT your TSH will be zero because the pituarity thyroid feedback loop is satisfied

Its t4 and more importantly T3 level that matters

You are woefully undermedicated ...my lot are on 4 or 5 grains of NDT

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my tsh is 0 .17 on ndt.

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Your still not on enough NDT ..TSH is totally irrelevant on T3 or NDT

My lot are all on NDT and all of them have a zero TSH

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really fed up/wavylines, if i should be on 75 mcg t4 and even then it may not be enough- and 20mcg t3 what size grain ndt should i have?

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It does not work like that ...you need to follow the correct protocol and work up slowly

You need to follow the guidelines that are on this forum

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i found this conversion chart and just cant get my head aroundit except it looks like i am very undermedicated.

medsask.usask.ca/documents/...

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