Hello - I am seeing my GP next week and am hoping for a referral to an endocrinologist based on my recent Medichecks results, listed below. But I am concerned that he will only look at TSH & F4 and just want to lower levothyroxine.
I would greatly appreciate any advice, comments or resources with regard to the out of range results that would help me put my case forward without antagonising him. (No other choice of GP).
History: I had RAI 27 years ago. I have been on 100 mcg Levothyroxine for 18 years with occasional GP requested trials of 25 mcg higher or lower.
For the past few years hypothyroid symptoms, especially fatigue, have worsened to the point of non-functionality.
My temperature on waking is usually around 36.2 and pulse around 61.
I eat organic meat, vegetables, a little fruit and am strictly gluten / sugar / grain and processed food free.
My recent Medichecks tests showed good or high levels of cortisol and all the thyroid vitamins & minerals except for Vitamin D, which I am supplementing.
Thyroid results with ranges:
Below range: Tsh 0.013 (0.27 - 4.20); rT3 43 (10.00 - 24.00); FT3/rT3 ratio 5.56 (15.01 - 75.00)
In range: T3 3.67 (3.10 - 6.80); Thyroglobulin antibody < (0.00 - 115.00)
Above range: FreeT4 26.30 (12.00 - 22.00); rT3 thyroid peroxidase antibodies 40 (0.00 - 34.00); CRP 5.14 (0.00 - 5.00)
Thank you for your help!