Help with dosing please: I am taking 125 mcg Levo... - Thyroid UK

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Help with dosing please

Sallyn profile image
5 Replies

I am taking 125 mcg Levo and have been stable on this dose for a year. Vit and minerals all ok. Have Hashimoto's and am on a strictly gluten free diet since 6 weeks.

I started t3 in August last year with 6,25 mcg. Results áfter 4 weeks on that dose was:

Tsh < 0,005 (0,35-5,5)

Ft4 15,5 (10-19,8)

Ft3 4,9 (3,5-5,5)

I was feeling pretty good on this dose as far I can remember but was only on it for 4 weeks. Then I increased T3 to 12.5 since I thought I might feel better. Results after 5 weeks on 12.5 t3 125 t4 was:

Tsh < 0,005 (0,35-5,5)

Ft4 17,5 (10-19,8)

Ft3 5,2 (3,5-5,5)

Since I wasn't feeling well (extremely tired in the afternoon for example.) I increased T3 to 18.75. Results on 18.75 t3 and 125 T4 was:

Tsh < 0,005 (0,35-5,5)

Ft4 20 (12-22)

Ft3 6,0 (3,1-6,8)

I'm feeling over medicated now. Irritated and hot flushes. Easily stressed.

What do you advice me to do? Reduce to 12.5 t3 or 6.25? I suspect that I wasn't feeling too well on 6.25 either since I increased dose but if I look at my notes it seems that I feel more irritated on 12.5 than 6,25.. I haven't written it down as a symptom even once on the lower dose. So:

Shall I reduce to 12.5 and see how it goes or reduce to 6.25 and hope that will be the sweet spot?

Extremely grateful if someone could advice me.

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Sallyn
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5 Replies
Clutter profile image
Clutter

Sallyn,

You aren't biochemically overmedicated as FT4 and FT3 are within range but if you *feel* overmedicated skip thyroid meds for 2-3 days to let the higher levels wash out and reduce T3 dose to 12.5mcg.

Sallyn profile image
Sallyn in reply to Clutter

Thank you! Do you think if I'm not feeling better say after 2 weeks that I can lower to 6,25mcg T3?

Clutter profile image
Clutter in reply to Sallyn

Sallyn,

Yes, that'll be fine.

Silver_Fairy profile image
Silver_Fairy

Maybe lower your Levo by 25mcg instead?

Sallyn profile image
Sallyn in reply to Silver_Fairy

Why? Would that be better do you think?

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