T3 blood results

[Slappiduck]

Hello,

I have an endo appt tonight. These are my bloods on 10mcg T3 + 125mcg levo

TSH 0.02 ( 0.55-4.78)

T3 4 ( 3.5-6.5)

T4 results pending

B12 - 497 (211-900)

Any thoughts on the results?

Thanks

Pre T3 in Feb 2018

TSH 0.3 ( 0.55-4.78)

T3 3 (3.5-6.5)

[SeasideSusie Remembering]

Slappiduck

FT3 is still very low. Are you symptomatic? If so an increase in T3 would help. Plenty of room for an increase, and those of us on a combination of Levo and T3 are better when FT3 is higher in range.

[Slappiduck in reply to SeasideSusie]

I am. Things have improved slightly, my skin is not so dry and bowels improved.I am still tired, irritable, grumpy, short tempered ( was mid diagnosed as PND!) and have literally just weaned off the Sertraline.

Oddly enough my weight seems to have increased since starting 🤔.

[SeasideSusie Remembering in reply to Slappiduck]

Slappiduck

In that case I would say an increase in T3 is needed, 5mcg for now, retest 6-8 weeks later.

[Slappiduck in reply to SeasideSusie]

I shall ask then

[SlowDragon Administrator]

You need FT4 results

Also need vitamin D and folate testing

Ferritin was too low on other post and B12 is not brilliant either

[Slappiduck]

My Vit D was 90 😬😬 as I’ve just done a 10 week loading regime and then 1600units a day for 8 weeks. Ferritin was 61 this time

[Slappiduck]

Endo has said to increase the T3 by 5mcg so take 10mcg AM and 5mcg later in the day. And reduced the levo to 100mcg. Review in 8 weeks with updated bloods.

[SlowDragon Administrator in reply to Slappiduck]

Not sure I would reduce T4, until seen actual FT4 results.

You could take 5mcg 3 x per day. Perhaps trying last dose T3 at bedtime, it can help improve sleep. Though not everyone finds that.

You will most likely need ongoing maintenance dose of vitamin D or levels will drop again

Have you had folate tested?

[Slappiduck in reply to SlowDragon]

Folate is 7.23 ( 3.38-23.9)

Stil no T4 results, not sure if they’ve done it frankly.

What is the ideal ? Mid range for ferritin, folate,b12

[SlowDragon Administrator in reply to Slappiduck]

Mid range for ferritin, towards top of range for folate and B12

So folate is on low side as well as B12

Taking a good daily vitamin B complex, one with folate in would possibly be of benefit. Eg Igennus Super B complex. (Full dose of Igennus is two tablets per day, but perhaps start with just one. Vitamin B best taken in morning, especially to start with. Can sometimes make you feel a bit wired initially

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

[Slappiduck in reply to SlowDragon]

Thank you SlowDragon. I’m not taking any supplements currently. Do I need to avoid taking my thyroid meds at the same time?

[SlowDragon Administrator in reply to Slappiduck]

Yes Levothyroxine must always be taken on its own. Always on empty stomach and Nothing apart from water for at least an hour after

Supplements at least 2 hours away

Some - vitamin D, iron, magnesium and hRT at least 4 hours away

[Slappiduck in reply to SlowDragon]

Thank you