I have been tired and had some back pain of late requiring pain killers.
TSH 0.006 (0.27-4.20)
Free Thyroxine 10.7 ( 12-22)
Total Thyroxine T4 68.9 (59-154)
Free T3 7.04 (3.10-6.8)
Thyroid Antibody <10 (0-115)
Thyroid Peroxidase antibodies 166 (0-34)
Active B12 174 (25.10-165)
Folate (serum) 15 (2.91-50)
Vitamin D 215 (50-200)
Crp - high sensitivity inflammation marker 2.19 (0-5)
Iron Status Ferritin 19.6 (13-150)
I'm going to stop the T3 and include a small amount of levothyroxine maybe up to 25mcg in the morning and have 1 NDT am and 1NDT at 12pm
I overdid the Vitamin D and will stop supplementing that. I'm unsure of the B12 as I thought the results can be skewed if you are supplementing. But again perhaps I take too much B12. I think the amount of folate I take can continue. I want to increase my ferritin levels despite them appearing normal. So I will continue to take iron supplements.
Any comments will be gratefully received.
Written by
Charliebrowne
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How long did you leave between last NDT and T3 doses before the blood test?
TSH is very suppressed and FT4 is below range because you are taking proportionally more T3 than T4. It's not a problem having low FT4 when FT3 is good. Your FT3 is mildly over range.
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.
B12 will be high when you are supplementing. You can reduce dose to a couple of times a week to maintain levels.
VitD is over range so you can stop supplementing. VitD levels apparently halve every 60 days when not supplementing and 100-150 is optimal.
Folate is optimal halfway through range. Eating more leafy green veg will boost folate.
Ferritin is optimal halfway through range. You can raise ferritin by eating more iron rich food, liver once a week is good, or by supplementing iron with 1,000mg vitamin C. If you supplement iron take it 4 hours away from Levothyroxine and retest in 4-6 months.
You were overmedicated to have FT3 over range 21 hours after last dose but reducing the T3 doses to 6,25mcg from 12.5mcg should be sufficient for FT3 to drop back into range.
Why are you intending to add 25mcg Levothyroxine to NDT?
I had read that some people feel better when their T4 is Higher. But I would be happy to try reducing T3 to 6.25mcg and keep 2 grains NDT.
I never felt well on levothyroxine alone but I wondered if keeping a small amount would prevent lows and drops that I feel if I forget my 12pm dose for an hour or two.
By definition when of any for of T3 then TSH will be suppressed, FT4 can fall in range but FT3 should be high in range but never over so first I think you should get FT3 in range.
I belong to the Facebook group, the vitamin D truth group. And Gwynda the pharmacist who advises on supplements, doesn’t think I’m even optimal on vitamin D yet, let alone having too much. She thinks optimal is 250 nmol. She also didn’t advise taking two doses of NDT. So this morning I took 2 grains and none since. It would be much more convenient if I just needed one dose early morning.
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