Help requested with Hashimoto's Hypothyroid latest blood test results

[CCJC]

Hi, I have had hypothyroid for over 30 years and have been on Synthroid alone until this past few months. I am currently on 75 mcg Synthroid and have been also taking 5mcg Cytomel for a few months. After my blood tests in April, I increased the dose of Cytomel to 10 mcg. I have had no change in symptoms or energy levels but my blood tests have improved slightly.

My Anti-TPO is now at 17 (Reference <34) (last 2 tests were 19 and 20).

TSH is .25 (Reference .35-5.0) Last 3 tests were 0.29, 0.61, 0.91)

Free T4 is 13 (Reference 12-22) Last 3 tests were 14, 16, 18

Free T3 is 3.2 (Reference is 3.4-5.9) Last 4 tests were 3.5, 3.5, 4.3, 3.3

My energy levels seem at an all time low and I have gained 5 lbs mostly around my waist since this time last year, even though I eat very healthily and exercise daily.

My doctor wants to just increase my Synthroid but I want to start feeling well again and actually having energy to do things! Any advice would be appreciated.

Thanks.

[greygoose]

Increasing your Synthroid won't help if you can't convert it. You obviously need more T3. Why is he so reluctant to increase it? Your FT3 is under-range!

[CCJC in reply to greygoose]

Thank you. So would I go up 5 mcg at a time? and get tested every so many weeks before increasing some more?

[greygoose in reply to CCJC]

5 mcg every two weeks until you get to 20 mcg. Then, hold for six weeks and retest.

[JacquieCB]

What are your vit D and iron and b12 levels?

[CCJC in reply to JacquieCB]

Is Ferritin Iron? If so, my Ferritin level is 58 (Range is 12-289), Hemoglobin is 123 (Range is 120-160), B12 is 872, (Range is >220), Vitamin D25 is 82. I don't know the range though.

I am taking Vitamin D3 supplements (20,000 IU a day recommended by Dr. Chidi Ngwaba of UK) and Vitamin B12 (1,000 a day).

[JacquieCB in reply to CCJC]

Seaside Susie and Slow Dragon can help with UK lab results.

[CCJC in reply to JacquieCB]

I live in Canada so UK lab results won't help me much

[JacquieCB in reply to CCJC]

It looks like your iron is low and your vit d. Ferritin is iron.

[CCJC in reply to JacquieCB]

I thought that my Vitamin D level was okay. In Canada the suggested level is above 50 and optimal is 70-90, so isn't 82 okay?

[JacquieCB in reply to CCJC]

You already knew the answer and to your Vit D.