I moved to Portugal last year from Canada where I had been taking Erfa with pretty good results. I had been taking 2 grains (two pills) daily and my TSH result in March 2017 was 1.38 with a range of 0.32-4.00 mlU/L. The only other test of interest my doctor performed at that time was B12 which was 361 with a range of 138-652.
Fast forward to Portugal where I was prescribed Levothyroxine at my (pre NDT dose) of 125 mg. Unfortunately T3 and NDT are not available in Portugal so when I didn’t feel well on the Levothyroxine I purchased Thiroyd and resumed my 2 grains per day for 8 weeks before getting tested.
My tests were taken at 9am on an empty stomach. I didn’t take my Thiroyd dose the night before which means I was approximately 36 hours without medication. The results came back as follows:
TSH 3.53 range 0.350-5.500
FT4 0.87 range 0.80-1.76
FT3 2.40 range 2.30-4.20
B12 367.0 range 211.0-911.0
Ferritin 242.2 range 10.0-291.0
Calcium 8.7 range 8.7-10.4
Vítamin D 36.8 range <10 deficient, 10-30 insufficient, 30-100 sufficient, >10 toxic
TBG 12.3 range 14.0-31.0
I wanted to get folate and antibodies tested but it was just too expensive so I’ll hopefully get these tested when I am in London later this year.
My question to the very knowledgeable folks on this forum is: should I increase my Thiroyd by half a grain and retest when I can or should I consider a combination of levothyroxine and Thiroyd? I guess I could also consider locating a supply of T3 and trying this either on its own or with Levothyroxine but I would rather work with the medication I have on hand first before trying this third option.
Any advice would be greatly appreciated.