Hi all, I posted last week specifically about a low ferritin result that I had and Saya85 suggested I post all of my thyroid results to see if anyone had any thoughts or advice.This was Saya85's comment:
'However I am quite interested in your thyroid results. I know when you’re taking t3 also that t4 results aren’t all that important... but given both your t3 and t4 are very low in range, and your tsh is so very low, with primary hypothyroidism you would expect the opposite. (Very high t4 levels and low tsh if you were overmedicated- hence reducing Levothyroxine). If your t3 is low you would expect your thyroid to be secreting a lot of tsh in order to stimulate thyroxine production.
It appears more like secondary or tertiary hypothyroidism (problem with pituitary or hypothalamus rather than thyroid) based on those results but maybe your original rest results would give a clearer picture. Do you have those from when you were first diagnosed?
I would post a new thread with your thyroid results first to see if other members can give you better advice.'
My results are as follows, diagnosis was in Jan 2015 following hemi thyroidectomy in Nov 2014
Jan 2015 TSH 6.91 T4 13.6 Anti TPO 10
Feb 2015 TSH 6 T4
Apr 2015 TSH 3.63 (didn't test T4 given TSH now in range)
Oct 2015 TSH 0.01 T4 15.9
Oct 2016 TSH 0.01 T4 1.10 at this time I was referred to endo, had been self medicating T3
Jan 2017 TSH 4.17 T4 12.20 (back on levo 100mcg, no T3)
Feb 2017 TSH 1.63 T4 17.40 T3 2.9 (on increase of levo to 150 mcg)
April 2017 TSH 1.65 T4 15.10 T3 7.10 (self medicating T3 again but after this prescribed 10mcg T3 and reduced to 125mcg T4)
July 2017 T3 3.1 (can't find results but remembered T3 was just in range)
Jan 2018 TSH 0.65 T4 12.4 T3 3.6 (T4 increased to 150mcg and after a year of seeing her, locum consultant suggsted she couldn't help any further and suggested I see someone else)
Feb 2018 TSH 0.05 T4 13.6 T3 4
Ranges are TSH 0.3-4.2, T4 12-22 T3 3.1-6.8
Saw new endo last week who reduced levo to 125mcg and increased T3 to 40mcg. Wants re-test in 8 weeks when if bloods ok he has suggested further T3 increase to 60mch with 100mcg levo. He requested other bloods which show ferritin is low at 19. I have spoken to GP today and I am having a full blood count test tomorrow and he has done a prescription for iron. He said my ferritin was 123 in 2015
Any thoughts please on whether I am slowly going in the right direction now that I am seeing a new endo who is willing to alter meds to change my T3/T4 rather than just look at my supressed TSH or on Saya85's comment regarding secondary or tertiary hypothyroidism?