TSH test - is it needed?

[Chickenlady2009]

I'm located in USA.

These are my two questions:

Should i ask for TSH to be tested, too? what about B12 and folate?

Should I increase my Vitamin D before my blood test on June 15?

Background:

I saw my GP about a month ago as I was becoming increasingly weak and fatigued.

Medications and supplements were:

levothyroxin 62.5 mcg daily since Dec 2017 ( i have been on different doses since 2016)

vitamin D 8000iu daily since Dec 2017 (test in December 30 (30-100)

iron biglycinate 50MG daily since Dec 2017 (test in December 16 (10-232)

a bunch of expensive supplements a holistic doctor was selling me to heal my leaky gut and heal my liver, since March.

Blood test showed elevated liver enzymes (but not hepatitis) , so Dr. reduced my Vitamin D to 4000IU once a week. She also told me to stop other supplements the holistic doctor prescribed.

Other blood test results 4/27/2018 were:

Vit D 1,25 DiOH 49 (18-72)

TSH 3rd Gen 1.25 (0.4-4.50)

T3 Free 2.5 (2.3-4.2)

T 4 Free 1.4 (0.8-1.8)

Iron 56 (40-190)

IBC 316 (250-450)

Iron % sat 18 (11-50%)

Doctor increased my Levothroxin to 75mcg and instructed to come back in 4 weeks for a blood test.

I emailed Dr to ask what the blood test was for: elevated liver enzymes or thyroid? I suggested we waited 6 weeks to test T3 and T4, Vit D,25 hydroxy, and ferritin.

She responded by sending me a prescription for a blood test to test:

Hepatic function panel, free T3, Free T4, Ferritin, Vitamin D. (I had to go into the office to make them change it to Vitamin D 25-hydroxy from 1,25 diOH).

Right now i am so fatigued and weak and am aware of my pulse. I feel that i need to lie down-all day and all night. I think it was a mistake to reduce my Vitamin D.

I greatly appreciate anyone's feed back on my questions-

Should i ask for TSH to be tested, too? what about B12 and folate?

Should I increase my Vitamin D before my blood test on June 15?

I'm going to post another question asking if anyone can recommend an Endo in my area.

Thanks again.

[greygoose]

As you have the good luck to have your FT4 and FT3 tested, I wouldn't bother with the TSH. It doesn't give you any extra information.

I'm afraid I can't answer your question about vit D. Sorry.

[Chickenlady2009 in reply to greygoose]

thanks for your speedy response.