I have my first NDT blood results after 6 weeks on Thyroid-S. 2 grains - 1 grain in the morning. 1 in the evening. Last med taken in the evening(9pm) before the test (9am).
I was worried especially about antibodies as know they can get set off by NDT in Hashis. But they remained stable at 57 for TG and 258 for TPO, the same level they’ve been since February (I check every month).
Thyroid panel results, last results in brackets
TSH 0.02 (0.10) / 0.4-3.8
T4 10.1 (14.6) / 10-22
T3 4.9 (2.9) / 2.5-6.5
This is the highest T3 I had in my life! 😃 so excited. Based on the above, how much further can I increase? 1/4 or can I go straight for 1/2?
Other:
D3 42 (49) / 50-150 - I take 7k a day with K2 and magnesium supplements
Ferritin 76 (78) / 15-200
B12 356 (373) / 138-800
Serum Folate 24 (28) / 16-71
Serum Zinc 14.3 (10.2) / 10.7-17.7
Thank you ☺️
Written by
AnnaSo
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I’m much better but still very very swollen and fatigued 😞 however brain for gone, better digestion and elimination, happier 🤗
My new GP is lovely and said EBV (I had reactivation recently) and low Vitamin D cold be the reason for the fatigue. The swelling due to thyroid but will take time he said.
Taking account of your clinical symptoms and as they are relieved you can raise NDT by 1/4 tablet every two weeks. Blood tests aren't so important - only a guide when on NDT or T3/T4 or T3 only. Blood tests were invented for the use of levothyoroxine (T4 only).
Others will respond how to increase the following:-
D3 42 (49) / 50-150 - I take 7k a day with K2 and magnesium supplements
I should also have stated that you should take your pulse/temp several times a day when increasing and if either goes too high, drop to previous dose and that should be your optimum dose.
In order to feel some control and to give you real guidance as to raising NDT, it is always a good idea to keep a daily log/journal. List your dosage, body temp/heart rate and how you are feeling. Take temps about 3 pm or so. Between 3 - 4 - 5 is when body temp is highest. Be sure to list symptoms as well.
It is recommended by some that Free T 4 should be mid-range and Free T 3 should be in the upper 1/4 of range. TSH should be less than 1.0. Judging by that (and with no body temps or heart rate to go by), you do have room to increase some more.
As you have Hashimoto's are you on strictly gluten free diet?
This can help lower antibodies, improve vitamin levels and reduce symptoms, especially mucin
Vitamin D is terrible
Do you use vitamin d mouth spray? This can give good results as avoids poor gut function
Are you supplementing any B vitamins?
A good quality daily vitamin B complex may be of benefit, one with folate in not folic acid
If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before any blood tests, as biotin can falsely affect test results
Yes I have been gluten free since 2009. Not sure if it’s making any difference, it never helped with neither antibodies, weight or nutrients levels but I’m persistent.
I use an oil capsule Vitamin D but I only just started few weeks ago (two brand I tried previously gave me very bad side effects so I stayed away from as was worried) and I am not very good at remembering to take it every day. The same with B complex 😕 but will try harder now on. It’s just there are so many to take 😫
Yes I was on 150 Levo. Currently on 3 grains and feeling great. It’s all personal though so you have to slowly work out what dose suits you. It took a lot of patience.
I never went with conversion to Levo I just kept adding quarter by quarter until I started to feel well long term. It is true what others might have said here, that after an increase you might feel better for a week or two and then rubbish again. If that’s the case, it means you need another increase. I went 1/4 every week or two. It worked well for me, but some might need to take it slower.
If you still fee hypo on two grains I’d say you might need to go higher. To be honest if two grains were right for you would feel right too. No point torturing yourself.
According to the blood tests my T3 is slightly too high (8.3 at 2.5-6.5 scale) but I feel well, no palps, my awful swelling (check my previous posts) that was haunting my for yeaaaaars went away, so did the brain fog and body aches and I feel like a human again. So if it takes slightly elevated T3 to get there I’m happy with that 🙂 after all it’s only a test and I’m not dosing for the number but for my wellbeing 🙂
Thank you AnnaSo. I will increase from 2.25 grains to 2.5 grains in a few days as I'm obviously not quite there. I remember a thumping heart just before ever being diagnosed with hypothyroidism so it seems I need a touch more.
Just another idea: getting a dose right on NDT can be difficult if you are iron or cortisol deficient (check thyroid madness website for details). Have you ever had it checked?
My iron was very low and I needed two IVs to get to some decent level. No tablets, no injections worked but IV.
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Blood Results 
Recent blood test results
Results on NDT
Results help and starting NDT
First test results since starting NDT
