I finally saw an endocrinologist yesterday since I got diagnosed with hypothyroidism in mid-Dec. 2017. Based on the lab work dated Jan 27, 2018, as below:
T3 2.41 pg/mL (2.5 - 4.4)
FT4 1.33 ng/dL (0.93 -1.70)
TSH 3rd Generation 1.81 mUI/mL (0.27 - 4.2)
AB (Anti-thyroglobulin) 10UI (< 115 IU/mL)
TPO 13UI/mL (< 34 IU/mL)
Reverse T3 (standing up) 0,45 ng/ml (0.09 - 0.35)
0.69 nmol/l (0.14 - 0.54)
Ferritin 1.3 mcg/L (30.00 - 400.00)
Folates 19.4 nmol/L (8.83 - 60.8 nmol/L
Vit B12 389 (145 - 569)
Vit D Total (D2 + D3) 31.7 ng/ml (30 - 60 ng/ml
Hemoglobin 12.7 g/dL (11.7 - 16)
CRP <1 mg/l (< 5.0)
Iron 21.1 mcmol/L (6.6 - 26)
Seeing this, she advised me to continue on taking L-Thyroxin Henning 125 and refused in giving me Cynomel or any other Liothyronine meds. Her reason, "I only check on the TSH level and that's all I care and your TSH level is "good" when I pointed out about how low my FT3 then as well as my Vit.D.
I received a new lab work today which was ordered by the endocrinologist as below:
Sodium .......................... 142 mmol/L (136 à 145 )
Potassium ....................................... 4,7 mmol/l (3,5 à 5,1)
Chlore ............................................ 105 mmol/l (98 à 107
Thyroid:
3 TL 3.55 pg/mL (2.5-4.4)
4 L 2.65 ng/dL (0.93 - 1.70)
TSH < 0.014 µUI/mL (0.27 à 4.2 1,81)
The above tests are the only things the endocrinologist willing to test. As she stated again, that she only cares about the TSH. Thus, That's all I get tested this time. She promised to give me "Euthyral" It's a med that has liothyronine and levothyroxine in one. Does anybody have any experience with this med?
When I brought up the importance of Folate, b12, Vit D3, K2 she just brushed me off thus refusing on prescribing the new test with those elements. With the new lab result, do you think this "Euthyral" (T3 20µg, T4 100µg) med will help me feel like a human again?
Any help and advice are very appreciated! TIA!
Jacqueline