T3 needed

[Husy0102]

I have been taking levo for 9 years, my current dosage is 150mcg but I still don't feel better. Just wondering if it's time to consider adding T3 and seeing if it will help my symptoms? Thank you for reading

TSH 4.31 (0.27 - 4.20)

Free T4 16.7 (12 - 22)

Free T3 3.3 (3.1 - 6.8)

[Marz]

healthunlocked.com/thyroidu...

Reading through your last post and replies - there is absolutely no point in adding T3 until you have sorted out your absorption issues and raised your vitamins and minerals. Are you self-injecting ? - or do you have B12 injections with your GP ?

[Husy0102 in reply to Marz]

Thank you, I have B12 injections arranged through the GP. They are every 3 months.

[Marz in reply to Husy0102]

Do you have PA ?

[Husy0102 in reply to Marz]

I really have no idea if I have PA. I tried supplementing with B12 2000mg some time ago for a few months and the B12 level didn't rise at all.

[Marz in reply to Husy0102]

As you have Hashimotos it is possible you have Pernicious Anaemia - also auto-immune !

[Marz in reply to Husy0102]

So have you established whether or not you have PA / did you read up on it and wonder ?

[SeasideSusie Remembering]

Husy0102

Absolutely agree with Marz.

You must get all your ducks in a row first.

1) Address the Hashi's by adopting a strict gluten free diet and supplementing with selenium l-selenomethionine 200mcg daily, and keeping TSH suppressed can also help reduce antibodies.

You don't have to be coeliac for a gluten free diet to help.

Gluten/thyroid connection: chriskresser.com/the-gluten...

stopthethyroidmadness.com/h...

stopthethyroidmadness.com/h...

hypothyroidmom.com/hashimot...

thyroiduk.org.uk/tuk/about_...

2) Address any gut/absorption problems that is connected with the Hashi's - see SlowDragon 's information and links in her reply towards the end of this thread healthunlocked.com/thyroidu...

3) Optimise all your nutrients and the levels needed are

Vit D - 100-150nmol/L

B12 - top of range

Folate - at least half way through range

Ferritin - half way through range

4) Get your TSH down to 1 or below, only then can you know by your FT4 and FT3 results if you converting well enough or whether you need to add T3.

[diogenes Remembering]

TSH as high as that on 150 T4. Ratio FT4/FT3 is over 5/1. Good converter should be around 4/1 or better. Free T3 at rock bottom of range. Overall, a strong case for T3 supplementation to avert poor conversion.