Please, need help ! FT3 over the range...?1?

[Pufinette]

Hello everybody, hello experts !!!

I was diagnosed with hypothyroidism and started Nature-Throid 32.5 mg in September 2017; I am better, but still with pains, sometimes severe shoulders pain/muscles, very low temperature in my feet, tired, no night sleep, gained a lot of weight, weakness of arms, legs, restless legs, forgetfulness, nocturnal cramping, lightheadedness, dizziness going up, aphasia, skin hyperpigmentation. I also developed an oedema on the left leg, under the knee, left side; is it possible to have myxedema ?!?

I take daily:

Nature-Throid 32.5 mg (3/morning + 3 1/2 in afternoon).

Selenium, Magnesium, D3/5000+K2, Calcium, complex B;

I do not take B12 anymore.

The dr. said to add more Nature-Throid...

Please, can somebody explain my results of March 30, and please advise...

TSH 0.4-4.5 0.01 2016(1.90-1.97); 2017(1.37;2,19;0.59); Sept 2017: 0.03

T4 4.5-12 9.5 2016:6.2; 2017:8.3;

T3 76-181 158 2016(68-82)

FT4 0.8-1.8 1.3 2016(1.0,0.9,1.2) 2017(1.1; Sept: 1.0)

FT3 2.3-4.2 4.6 2016:2.2; 2017: 2.9

RT3 8-25 14 2016:15; 2017(10; Sept:12)

Thyroglobulin AB <or= 1 IU/ml 6 Sept 2017: 5 before was 1

Thyroid Peroxidase AB <9 IU/ml 1 Sept 2017: 2 before was 1

Iron 46-160 82 2016:71; 2017:79

Ferritin 20-288 90 2016:191; 2017: 95-103

Folate >5.4 15.6 2016:24; 2017: 18.9

25 Hydroxy Vit D 30-100 59.1

Iodine 52-109 67

B12 200-1100 1417

Selenium 63-160 147

Zink 60-130 74

Magnesium 1.5-2.5 2.0

DHEA Sulfate 12-133 38

Cortisol saliva AM 1.8-3.8 3.98 104.73 %

noon 0.3-1.4 0.53 37.85 %

evening 0.1-1.1 0.59 53.63 %

night 0.1-0.8 0.16 20.00 %

Creatine kinase 0.0-5.3 1.1

C-reactive protein 0.1-0.3 0.04

I thank you very, very much !!!

PS: thank you again !

[greygoose]

Sweetie, I'm so sorry but it is so difficult to read results like that. I can't make head nor tail of them. And I can't make out if you've put any ranges. We always need the ranges to interpret results.

It's best if you can put them like this :

Date

TSH result (range)

FT4 result (range)

FT3 result (range)

etc. Then we'll be better able to help you. Sorry.

[Pufinette in reply to greygoose]

Hi !!!!

Sorry !

It is the range, and the result, as:

TSH (0.4-4.5) 0.01 and after are the results from 2016, 2017

Please, if you still can’t see it, I will write again, as you said.

Thank you

[greygoose in reply to Pufinette]

Yes, please.

[Pufinette in reply to greygoose]

TSH. 0.01. (0.4-4.5)

T4. 9.5. (4.5-12)

T3. 158. (76-181)

FT4. 1.3. (0.8-1.8)

FT3. 4.6. (2.3-4.2)

RT3. 14. (8-25)

Thyroglobulin. 6. <or = 1

TPO. 1. < 9

Iron. 82. (46-160)

Ferritin. 90. (20-288)

Folate. 15.6 >5.4.

25 Hydroxi vit D. 59.1. (30-100)

Iodine. 67. (52-109)

B12. 1417. (200-1100)

Selenium. 147. (63-160)

Zink. 74. (60-130)

Magnesium. 2.0. (1.5-2.5)

DHEA sulfate. 38. (12-133)

Cortisol AM 3.98. (1.8-3.8)

Cortisol noon. 0.53. (0.3-1.4)

Cortisol evening. 0.59. (0.1-1.1)

Cortisol night. 0.16. (0.1-0.8)

Creating kenase. 1.1. (0.0-5.3)

C-reactive protein. 0.04. (0.1-0.3)

Thank you very much !

[greygoose in reply to Pufinette]

You didn't put a date on those results, and I thought you had more than one set of results.

Anyway, two obvious questions that have already been ask : How do you feel? And did you leave a 12 hour gap between your last dose of NDT and the blood draw? I'm guessing you didn't, because you're on such a small dose and you have so many symptoms. It's only slightly over-range, so if you felt well, I would say ignore it and carry on with that dose.

As to your oedema, it could possibly be myxoedema, yes. But, there's a slight chance that it could also be a pad of fat caused by low testosterone. But, in any case, I wouldn't worry about it because it should sort itself out when your thyroid hormones are optimised. We just need to know if you left that oh-so-important 12 hour gap.

[Jodypody]

FT3 slightly over but did you take your medication on the day of testing?

[SlowDragon Administrator]

Did you leave 12 hours between taking Thyroid medication and test ?

[Pufinette]

Hi !

The last test was done at 8 AM, March 30 and had 18 hours window from the last taken dosage of Nature-Throid, or any another medication.

I do not feel good, as I mentioned on the previous message:

“Please need help, FT3 over the range”, (yesterday).

How much I should increase ?

Should I add T3, and in this case: how much, or should I take only T3 ?

Why FT3 is high and RT3 is increasing ?

Problem with conversion ? Or I have adrenal fatigue? The cortisol and DHEA are low. Please advise,

Thank you

[greygoose in reply to Pufinette]

There's nothing wrong with your rT3. It's well within range. It's fluctuations are meaningless because it's a pretty meaningless test. As to conversion, you can't tell once you are on NDT, because it contains T3 and the body keeps the FT4 low. Your cortisol isn't particularly low. So, I don't think you have adrenal fatigue. And I don't think you need to add in T3. But, you could always try T3 only if you wanted to, just to see if it helps.

Your vit D, on the other hand, is pretty low. Have you tried increasing that? Maybe take a little zinc. Apart from that, I can't see anything wrong.

[Pufinette in reply to greygoose]

I take now nat tyroid 3x 32.5 mg/morning + same in afternoon, and I don’t feel is enough;

- how much of T3 I should add, OR

- how much of T3 alone?

I take daily D3/5000; how much I should increase, please ? I start to take Zink too.

Thank you very much !

[Pufinette in reply to greygoose]

Please, should I not be worrying that FT3 is over the range ?!?

[greygoose in reply to Pufinette]

Yes, I think you should. I don't think you should add T3 to your NatureThroid. I don't understand your dose. Can you put it into grains, please? Is that 1.5 grains? Did you take a dose before the test?

Leave your vit D dose as it is, too, and give it time to work.

[Pufinette in reply to greygoose]

32.5 mg must be 1/2 grain; so, I can say that I take total of 3 grains. Should I add 1/2 grain ?, or 1 grain ?

Vit D3/5000, I take from at least 6 months...maybe is not enough ?!? It should be ...

Should I add more ?

Thank you !!!

[Pufinette in reply to greygoose]

I didn’t have any before 1 day

[greygoose in reply to Pufinette]

OK, so your FT3 is actually higher than that, then. You really should try reducing 1/4 grain. You're over-medicated.

[Pufinette]

I appreciate very much your help, also apologies to keep you so late !

I will reduse ; is it possible that the severe pains are from not sufficient D3 ? Should I add ?

[greygoose in reply to Pufinette]

Just reduce the NatureThroid for the time being.

[Pufinette]

Thank you !