Hypo or Hyper?

[maireadp]

hi- i had graves disease for 5 years, had RAI in 2017 and after 2 months went HYPO.. took 125mg eltroxin and stablised to normal... recent bloods show I am hyper again.. TSH .18 T4 24.6 ... my feet are very painful as though i broke bones and my hands are numb in the night time, have upset tummy most days, dry eyes and only sleeping 5 hours a night for last 4 months. suddenly extremely tired and teary and my doctor has given me a week off work and is running antibody checks and arthritis checks... anyone else here that had RAI and ended up hyper again? appreciate any advice.. thanks

[bantam12]

Probably overmedicated rather than hyper although you do need a T3 test result.

[greygoose]

Those results don't exactly say 'hyper'. I would think over-medicated, too - or at least, too much T4. But, the question is, are you converting it to T3? Did your doctor reduce your dose?

[maireadp in reply to greygoose]

Hi I’m alternating between 100 and 125 eltroxin day to day for 6 weeks on the advise of my endocrinologist- I should have antibody results end of this week so I’ll have a better ideas what’s happening. symtoms I have indicate hypo but bloods don’t look right. thanks for your advice

[greygoose in reply to maireadp]

Well, you haven't had the right bloods! You need an FT3 to know if you're over-medicated (hyper).

My guess is that you have a conversion problem. Your FT4 is probably high - although you still haven't given us the range! - but you're not converting it into T3. Low T3 will cause hypo symptoms. T4 doesn't cause symptoms. Nor does TSH. So, it doesn't really matter what they say. If your FT3 is still low, you are hypo. No argument.