Hello, I’m male 28 years old. 2 years ago I was hypothyroid and 50 mcg Euthyrox made me feel fantastic on daily basis, but I felt unstable, messed up with doses and ended up overdosed by T4.
Now I supplement thyroid hormone for the past 3 months. My symptoms – classic hypothyroid symptoms – gradually improved and resolved on 60-70%. Yet I still have low motivation and mood, some fluid retention and not so good metabolism. But often in evenings (only evenings) I get like second wind – feeling immediate and pleasant warm inside, becoming very energetic and active. Like my old-self, very normal. I can feel like this through the night till morning, but after I go sleep and wake up, the symptoms are with me again.
This good condition is still occasional and I don’t know, what causes it and why I can’t feel that good every time if my body is able to do it.
Latest bloods
SHBG 23 (14,5 – 48)
Testosteron 14 (8-29) – before thyroid treatment levels were like 10
Progesteron 0,7 (0,15 – 0,45)
Estradiol 120 (41 – 159)
DHEAs 6,77 (4,34 – 12,2)
Cortisol 478 (133 – 537)
What are your latest thyroid blood test results?
About 1,5 month ago on 1,5 of grain+12,5 mcg Euthyrox:
TSH 1,43
fT4 24 (it was like 90% of the range)
So no FT3 tested, unfortunately. That’s a pity. You just can’t tell whether you’re converting enough T4 to T3 without that result. My guess is you aren’t converting well.
However... your TSH is over 1.0 and 1.5 grains (plus 12μg Levo) isn’t a lot. An increase in NDT might be beneficial. I’d suggest raising a quarter or half a grain and seeing if that helps at all.
Yeah, in endocrynology specialized clinic in my city (Eastern Europe) they don't have a fT3 test. But from past experience results showed I didn't have problems with conversion. I do get hypothyroid-like symptoms when I am overdosed.
I use little less NDT now, because earlier I started to get signs of overstimulation (couldn't sleep at night, restless legs syndrome). My temps are OK, close to ideal. The problem is feeling sudden energy on evenings when my temps can go up to 36,9. I wonder if it is connected to cortisol/DHEA balance. Progesterone is too high and 2 years ago, when I felt fully well on thyroid hormone medication, my testosterone was in optimal range 20+
Yes, it does sound like you could be right about the cortisol. Unfortunately that’s not something I know a lot about.
That said, restless legs can sometimes be a sign of low magnesium or iron?
Thank you very much for helping. Yes, I can be low in magnesium. I think there were obvious symptoms of overstimulation, I also couldn't sleep until 6 am after taking evening dose.