Hi I recently posted on here about how I was feeling and about a pending doctors appointment and received some very good advice. The appointment is tomorrow (finally) but I did have a blood test via Medichecks and the results are below:
I don't understand these at all I'm afraid so need help greygoose you there?? seasidesusie?? I conversed with you both previously. The doctor said that I may be overdosing my Levothyroxine at 125mg but I simply don't have the symptoms of an overactive thyroid (I know what that feels like), I swing entirely the other way (my profile gives a detailed description of how I'm feeling). Can someone please, please help me decipher the above and shed some light, be appreciated.
Your doctor said that because your TSH is very low. They don't understand about TSH levels, and how they're not much use once you're on thyroid hormone replacement.
You are not over-medicated because your Frees are still in-range - we really don't care about the TSH.
Your FT4 is well in-range - although probably doesn't want to go any higher. Your FT3 would be good for some people, but possibly not high enough for you - we're all different. But, if your FT4 goes any higher, it could have a negative effect on your conversion. If you wanted an increase, I would suggest trying 125 on one day, and 150 the next. See how that goes. But 150 every day might be a bit too much.
Thanks greygoose. Sorry just one question. Do you think that perhaps its because I don't take any vitamins, I've had low D vitamin and low iron in the past and maybe I need to do something about that and my diet? I'm happy the results are good, but I think I should feel much better than I do most days.
Thanks greygoose, yes, sorry for that it was just good to hear they were not totally abnormal. How does one get the T3 up then? Because clearly judging by this forum the doctors don't dish that out on a regular basis.
It's prescription only at the chemist, you would have to buy it on-line. Write a new post and ask people to PM you their trusted sources and advice on how to take it.
It's a great pity you did not also get vitamin D, folate, ferritin and B12 tested at same time
Low vitamins are extremely common and affect Thyroid
What was last vitamin D and ferritin tests
How much vitamin D are you taking and has it been retested since supplementing
Ferritin, same question
B12 and folate need testing
Your results do not show over medication, your FT4 and FT3 are both within range. Your FT3 may be slightly low for you
Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,
"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.
In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.
Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.
This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal
You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor please email Dionne at
tukadmin@thyroiduk.org
Professor Toft recent article saying, T3 may be necessary for many
Thanks for this SlowDragon, on the Medichecks website under thyroid the top strap indicates a test for all those, but I should have read the complete description, I went for the Thyroid Check Plus, which I assumed would include those, but clearly it doesn't. Like I say, I'm going to the doctors tomorrow and I'll ask if the vitamin levels can be checked, which shouldn't be too much of an ask should it. How does one get the T3 up (sorry I'm annoyed I don't know anything about a blasted condition I've had for 17 years!!).
Many people who don't do well on just Levothyroxine turn out to have this variation
If self supplementing T3, rather than via an endo you will need to retest bloods privately regularly, certainly after each dose increase and obviously be able to get more T3 on regular basis
SlowDragon that's all incredibly helpful for me thanks very much. App with Dr this morning at 11am. I do have the list of endo's as I saw that on the website prior to this support group, I'm in Kent and there are a couple on there so I will politely ask for a referral. So interesting about the DI02 gene test. I probably wouldn't self administer any T3 anyway I not conversant enough with my condition to do that and that would worry me too much. Thanks again.
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Need help with my blood test results please! 
Blood test results - Help Please!
Please help decipher my blood test results, many thanks 
Help with blood test results please
