Please help me with myNDT Dose I'm over medicating

[Pearl1981]

it seems I'm way over medicated on 4.5 grains and the reason I'm exhausted is my ferritin?

Please share some of your ideas with me

I've been taking thiroyd for a long time, briefly switch to TRMAN for 6 days, wasn't good for me. Back on thiroyd-

Results

Free T4 1.31 (0.58 - 1.12)

Free T3 5.04 (2.3 - 3.9)

Ferritin 35. 6 (11-250)

Vitamin B12 725 (134 -590)

Vitamin D3 54.26 (30-100)

Can't believe vitamin D is low its baking hot here and I'm tanned all year round.

Can't believe my blood sugar 3 month is 5.9% when the cut off is 6%. I'm already on 2000mg metformin I must have boarderline diabetes

[SlowDragon Administrator]

What are the units of measurement for vitamin D?

What country are you in?

If measured in ng/ml that's pretty good, it converts to around 128 nmol

endmemo.com/medical/unitcon...

If it's nmol then, yes needs improving

No folate test?

Ferritin, you can help improve by eating liver or liver pate once a week

Presumably you have Hashimoto's? Also called autoimmune thyroid disease diagnosed by high thyroid antibodies.

If you have Hashimoto's, are you on strictly gluten free diet?

[Pearl1981 in reply to SlowDragon]

Yes vitamin d is ng/ml

I'm having trouble with the gluten free diet I'll be honest with you due to hating meat products and lack of time : after three children I seem to have very little time to do anything for.m myself. I'm trying . I'm not sure if it's hashi. It started very young and I was around 5.5

TSH at age 23 and then TSH went very high at around age 26 after my first child, somewhere like 7 or 16 I can't remember . No one said hashimlto. My antibodies have come back negative last time. My mother and maternal grandma all have hypothyroidism

[SlowDragon Administrator in reply to Pearl1981]

If you don't eat much meat, then ion probably need iron supplements prescribed. GP should test iron levels first

[Marz]

Metformin depletes B12 - have you been tested ?

[Pearl1981 in reply to Marz]

Yes apparently I have too much . Been supplementing

[greygoose]

Well, you are over-medicated. And that could make you just as tired as being under-medicated.

[Pearl1981 in reply to greygoose]

Thanks for your reply grey goose

I'm going to reduce by half a grain then test again in six weeks then reduce again if need be.

[greygoose in reply to Pearl1981]

Half a grain is too much. 1/4 grain would be better. You don't want to reduce too fast anymore than you want to increase too fast.

[Pearl1981]

Cutting those tablets in half was awfully difficult and annoying anyway

[Angel_of_the_North]

Vit D isn't low if you are in the US (looks as though you are for free T4 range and units) - they use different units (ng/mL) and over 40 is Fine. In the UK, they use nmol/L which is why you'll see that levels should be at least high 90s.

[jgelliss]

Pearl1981

My sympathy for your symptoms . High levels of T3 yours is already over range can have a negative impact with our Glucose levels .

As greygoose suggested already lowering your NDT by 1/4g at a time is the way to go . SlowDragon suggestion going Total Gluten Free Diet is Spot On .

Best wishes on your next steps .