T4/T3 conversion getting better: Hi all 🌸 I have... - Thyroid UK

Thyroid UK

141,244 members•166,489 posts

T4/T3 conversion getting better

Elisabetho profile image
Elisabetho
•14 Replies

Hi all 🌸

I have been on 20 mcg T3, in addition to 150 mcg T4, due to a problem with converting from T4 to T3.

After being on the Amy Myers’ auto immune diet for one month, I have reduced to 5 mcg just before bed.

I am curious if anyone else has had a similar experience. I thought conversion was a permanent problem.

Written by
Elisabetho profile image
Elisabetho
To view profiles and participate in discussions please or .
Read more about...
14 Replies
•
greygoose profile image
greygoose

Do you mean you've reduced T3 from 20 mcg to 5 mcg? In one go? Why did you feel you needed to do that? Did you get a blood test before reducing?

Elisabetho profile image
Elisabetho• in reply togreygoose

No, first I reduced to 15, then 10 and now 5.

I have been feeling over medicated. High body temperature, problems sleeping, racing pulse, anxiety. I only now feel normal.

No, I have not had any blood tests done - am due for some next week.

greygoose profile image
greygoose• in reply toElisabetho

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?

Elisabetho profile image
Elisabetho• in reply togreygoose

My antibodies have been going down slowly, but I didn’t get the TPO test last time. I will ask for it next time.

greygoose profile image
greygoose• in reply toElisabetho

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.

Elisabetho profile image
Elisabetho• in reply togreygoose

Thanks greygoose. It makes sense, but I guess I will just have to continue on the 5 mcg and increase when needed.

greygoose profile image
greygoose• in reply toElisabetho

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. :)

Elisabetho profile image
Elisabetho• in reply togreygoose

Yes, it does fluctuate, that’s why its so difficult to find the «correct» dose.

greygoose profile image
greygoose• in reply toElisabetho

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. :)

eeng profile image
eeng

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.

Ari3 profile image
Ari3• in reply toeeng

DI02 gene one faulty not both does it mean that I must be only on t3 ?

eeng profile image
eeng• in reply toAri3

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.

Ari3 profile image
Ari3• in reply toeeng

Can’t open file says error

eeng profile image
eeng• in reply toAri3

go to thyroiduk.org.uk, click on 'about testing' on the left hand panel, choose

DIO2 (Deiodinase 2 Gene) Gene Test. I don't know why copying and pasting the link didn't work.

Not what you're looking for?

You may also like...

thyroid hormone resistance? not getting better on t4 alone or t4/t3

Hi! 22 year old male. At diagnosis (classical hypo symptoms) TSH was 11, free t4 was mid range, and...
ochon profile image
•

T4 to T3 conversion issue

Two months ago I have been finally prescribe T3 privately What a difference it has made to me. For...
McPammy profile image
•

T4+T3 dosing help!

I have central hypothyroidism. I have tried T4 only (failed) , T3 only ( better but too difficult...
Tansin22 profile image
•

T4 Again or with T3?

Here are my results from a week ago: TSH 0.010 -Low – ref. range-0.450 UIU/mL Thyroxine (T4) 7.3...
GKeith profile image
•

T4 Conversion or not T4 conversion

I'm going to see my endo tomorrow. This is a guy who tests only TSH and FT3 & FT4. Luckily I also...
GKeith profile image
•

Moderation team

See all
Jaydee1507 profile image
Jaydee1507Administrator
PurpleNails profile image
PurpleNailsAdministrator
SlowDragon profile image
SlowDragonAdministrator

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.