If you feel better, that's all that matters, but you will only be able to tell if your conversion has improved by going back to T4 only for six weeks, and then testing your FT4 and FT3 together. But, frankly, I rather doubt it. Do you have high antibodies?
Doesn't matter about your antibodies going down. If they were ever high, it means you have Hashi's. And Hashi's doesn't go away, no matter what the antibodies do. Even if they disappeared completely, you would still have Hashi's. And Hashi's people tend to be poor converters, and there's not much you can do about it, I'm afraid.
Well, the point is, when you have Hashi's, levels go up and down. As the thyroid is destroyed by the immune system, excess hormone is dumped into the blood stream, so your FT4/3 rise. But, then they go down again. So, eventually, you will doubtless need to increase your T3 again.
Well, that's the problem all Hashi's people have. But, it does help to understand why if you know you have Hashi's, which is why I asked. It's not that your conversion has improved, it's just that you have more T3 in your system, due to a Hashi's 'hyper' swing.
Knowing you have Hashi's, you should be aware that these swings are going to happen, and act accordingly. And, you know that it's not possible to find the 'correct' dose, because levels are going to fluctuate and you just have to go with the flow, and not obsess about it, or freak out when you find your levels have changed. That's the point.
I have read that if nutrient levels are low (Iron, Ferritin, B12, D and Folate particularly) then the body struggles to convert FT4 to FT3. Addressing any deficiencies would, I assume, improve conversion. Some people don't convert because of the D102 gene, so that would be permanent.
You could read this: thyroiduk.org.uk/tuk/testin.... I think it doesn't mean you need T3 only, but that a compination of T3 and T4 might suit you better than T4 alone.
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.