Help with labs PLEASE and GP comments on T3 rep... - Thyroid UK

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Help with labs PLEASE and GP comments on T3 replacement? Hopeless!

okaykay profile image
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TSH 2.66 mu/ml (.7-5.2) was 3.72 uLU/Ml (.27-4.2)

Free T4 1.5 was 1.3ng/dL (0.9-1.7)

Free T3 2.89 was 2.77pg/ml (2.57-4.43)

Reverse T3 = 20

My results didn’t move much with increased from 50 mcg to 75mcg so my doctor increased to 100mcg. He is leery on T3 because I’m 5’9 and my weight is at 105pds. I look awful. I feel better but definitely not normal. He says T3 would cause more weight loss. I’m stumped and hopeless. 😞I eat but where is it going?

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okaykay
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SlowDragon profile image
SlowDragonAdministrator

Your FT3 is terrible. You likely have low stomach acid and malabsorption

Retesting after 6-8 weeks on 100mcg. Likely to need further increase (s) and/or addition of small dose of T3

Getting TSH around one or just under, FT4 towards top of range and vitamins all optimal

Do you supplement selenium, vitamin C or zinc?

Also as you are on high dose vitamin D, plus magnesium also read up on vitamin K2 Mk7

articles.mercola.com/sites/...

Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,

"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.

In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.

Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.

This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."

You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor

 please email Dionne at

tukadmin@thyroiduk.org

Plus list of recommended thyroid specialists

Professor Toft recent article saying, T3 may be necessary for many otherwise we need high FT4 and suppressed TSH in order to have high enough FT3

rcpe.ac.uk/sites/default/fi...

greygoose profile image
greygoose

I replied on your first post. :)

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