Sorry in advance for the lengthy post and numerous results. Amazing how long it takes to see what is under your nose but that is how I feel now!
Had blood tests done in august 2016 which showed thyroid issues for the first time although I didnt understand the significance of the results! But have been monitoring things since. Medication wasn't started till January 2018 for some reason though now I know more I obviously missed the opportunity to remedy the issue earlier but cannot go back.
Some results shown below before thyroid medication:
(august 2016)
T3 free 3.07 pg/ml (2.70 to 5.30)
T4 free .84 ng/dl (.80 to 2.20)
TSH 5.82 mUI/L (0.47 to 4.68)
B12 591 pg/ml (239 to 931)
D3 32 ng/ml (sufficient 31-100)
Iron 58 ug/dl (50 - 170)
Ferritin 48 ug/dl (10-120)
17 April 2017 - still with no medication :
T4 free 0.76 ng/dl (.80 to 2.20)
TSH 2.14 mUI/L (0.47 to 4.68)
D3 19 ng/ml (insufficient 10-30)
B12 534 pg/ml (289-931)
AC Anti-peroxidase - more than 1300 Ul/ml - should be less than 60
AC Anti-tiroglobulina - 150 Ul/ml - should be less than 60
I had read enough at this time to ask about the anti-bodies and include them in the blood tests.
November 2017 - still with no medication though D3 and B12 injections were prescribed and taken.
T3 free 2.70 pg/ml (2.70 to 5.30)
T4 free .85 ng/dl (.80 to 2.20)
TSH 6.08 mUI/L (0.47 to 4.68)
B12 469 pg/ml (239 to 931)
D3 27 ng/ml (insufficient 10-30)
AC Anti-peroxidase - more than 1300 Ul/ml - should be less than 60
AC Anti-tiroglobulina - 134 Ul/ml - should be less than 60
December 2017 - was prescribed thyroxine 25 mcg. Started gluten free, dairy free eating from January 2018 until mid March when we were travelling and found it difficult to stick to.
27 February 2018 test results : Thyroxine medication increased to 50mcg
T3 free 2.98 pg/ml (2.70 to 5.30)
T4 free 1.05 ng/dl (.80 to 2.20)
Reverse T3 0.18 ng/ml (0.09 to 0.35)
TSH 4.69 mUI/L (0.47 to 4.68)
D3 44 ng/ml (sufficient 31-100)
AC Anti-peroxidase - more than 1300 Ul/ml - should be less than 60
AC Anti-tiroglobulina - 116.5 Ul/ml - should be less than 60
20 April 2018 test results - Thyroxine medication increased to 75mcg
TSH 3.21 mUI/L (0.47 to 4.68)
MOST RECENT RESULTS: 19 May 2018
T3 free 2.92 pg/ml (2.70 to 5.30)
T4 free 1.21 ng/dl (.80 to 2.20)
Reverse T3 0.15 ng/ml (0.09 to 0.35)
TSH 0.64 mUI/L (0.47 to 4.68)
D3 44 ng/ml (sufficient 31-100)
Following this consultation the doctor wishes me to reduce my dose of thyroxine to 75 mcg 3 days a week, and 50 mcg 4 days a week. I live in Portugal and she says she cannot prescribe T3 but if I can source it elsewhere is happy to monitor and advise me on the use of it. Do I need that? Should I reduce my dosage of T4?
I can see my TSH has improved significantly but having difficulty keeping my D3 levels up and nowhere near optimum.
Feeling a lot better but often exhausted and cannot find words to finish a sentence and am hoarse when I feel really tired.
Can I have your thoughts please? I would appreciate it very much.
thanks