Dosing advice please.

[Clara9]

My latest results on 112,5 mcg t4 and 12,5 mcg t3 is

Tsh 0.008 (0.27_4.2)

Free T3 5.9 (3.1-6.8)

Free T4 20.3 (12-22)

Total t4 88.8 (59-154)

Been in this dose for 6 weeks. I'm still tired in the afternoon and have palps. Would it make sense to decrease t4 by 25 and add 6.25 T3? Or better to leave as it is?

Thanks!

[Jazzw]

Those results look good - I’d veer away from altering dosages for now.

What do you know about your Vit B12, Vit D and ferritin levels? Nutritional deficiencies could be causing the symptoms you describe and are very common in those with hypothyroidism.

[Clara9 in reply to Jazzw]

All are Middle or top of range. Thanks

Do you think its a bad idea to swap some 25t4 for 6.25t3?