Newly diagnosed help with results please

[Sophi9]

Hi I am newly diagnosed. I take 50mcg levo from 25mcg levo. This increase was made 3 weeks ago. I was told I have hypothyroid in May 2018. I don't feel any different on this. I am 28 years old. The doctor said it would take a long time for levels to improve, my latest results went from overt hypothyroid to normal on just the 25mcg but an increase was agreed as I still felt awful. I now feel like my symptoms are in my head and I begrudge going to doctors for anything related to my symptoms. I am at a loose end about why I continue to feel unwell and that's why I have come here. Advice appreciated. All bloods done fasting, early morning and leaving 24 hours between Levo and blood draw as I have been advised by nurse to have fasting bloods. I also have B12 deficiency, folate anaemia and iron anaemia and D deficiency.

Thanks

When diagnosed

TSH 23 (0.2 - 4.2)

FREE T4 10.1 (12 - 22)

Current results

TSH 4 (0.2 - 4.2)

FREE T4 12.7 (12 - 22)

FREE T3 3.1 (3.1 - 6.8)

TPO ANTIBODY >1100 (<34)

FERRITIN 16 (15 - 150)

FOLATE 2.1 (2.5 - 19.5)

VITAMIN D 44.2

(<25 severely deficient

25 - 50 deficiency

50 - 75 suboptimal

>75 adequate)

VITAMIN B12 223 (190 - 900)

(Vitamin B12 injections to be started next month

Referred to haematology for consistently low ferritin

Vitamin D taking 800iu since January 2017)

[jimh111]

You are still under-medicated. You will feel better when your free T4 is around 20, this will bring your free T3 to around mid-interval. Your TSH will probably need to be around 1.0 or less. It will take many months to recover.

[Flecmac in reply to jimh111]

Sorry to interrupt.

In Feb this year my FT4 was 13.6 (10-20) and my FT3 was 4.8 (3.5-6.5) this was on 25mcg levo.

When I increased to 50mcg my T4 went up to very top at 20 with TSH 0.6 (0.5-4.4) lab wouldn’t do T3 but with previous results it could be close to top of the range rather than mid range as you say.

It’s all very confusing.

[jimh111 in reply to Flecmac]

fT3 tends to go mid-interval until fT4 goes high, so your fT3 is likely to be around 5.0. The body tries to keep fT3 levels stable.

[Flecmac in reply to jimh111]

Thanks. So looks like at 50mcg I might be in the right place?

[Jazzw in reply to Flecmac]

Maybe - for now. But over time you may need more.

[jimh111 in reply to Jazzw]

Agreed!

[Flecmac in reply to jimh111]

Thanks.

[Flecmac in reply to Jazzw]

Thanks.