Recent results

[Newbyface]

hi

Can anyone give me an opinion on my current blood results please

Tsh 0.56 range 0.3-6.0

Free T4 15.4 range 10.4- 24.5

Free T3 4.2 range 3.0 - 7.1

Thankyou x

[SeasideSusie Remembering]

Newbyface

How much Levo are you taking?

How do you feel?

Your FT4 and FT3 are quite low in range.

Are you addressing the Hashi's as suggested in reply to a previous post of yours

healthunlocked.com/thyroidu...

and are your nutrient levels optimal

Vit D - 125nmol/L

B12 - top of range

Folate - at least half way through range

Ferritin - half way through the range

[Newbyface in reply to SeasideSusie]

Hi

I’m taking 100mcg daily

I feel tired most of the time although I work 50 hour weeks

Thanks for the reply

[SeasideSusie Remembering in reply to Newbyface]

Newbyface

Tsh 0.56 range 0.3-6.0

Free T4 15.4 range 10.4- 24.5

Free T3 4.2 range 3.0 - 7.1

You are undermedicated on 100mcg Levo.

The aim of a treated hypo patient generally is for TSH to be 1 or below or wherever it needs to be for FT4 and FT3 to be in the upper part of their respective reference ranges when on Levo if that is where you feel well.

You should ask your GP, based on your FT4 and FT3 being so low in range, to increase your Levo immediately b 25mcg, retest in 6 weeks, another increase, if necessary, retest 6 weeks later, etc, until your levels are good and you feel well.

To support your request, here is some information to discuss with your GP:

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 – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."

You can obtain a copy of the article by emailing Dionne at [e-mail] print it and highlight question 6 to show your doctor.

Also refer your GP to NHS Leeds Teaching Hospital interpretation of thyroid function tests:

pathology.leedsth.nhs.uk/pa...

scroll down to

Thyroxine Replacement Therapy in Primary Hypothyroidism

and in the box you will see

Replacement Therapy

TSH Level ...... This Indicates

0.2 - 2.0 miu/L ...... Sufficient Replacement

> 2.0 miu/L ...... Likely under Replacement

However, for thyroid hormone replacement to work properly, you need optimal levels of vitamins and minerals as mentioned above. It would be a good idea to get yours tested, post results on here and we can suggest any supplements which may be necessary.

[Newbyface in reply to SeasideSusie]

Thankyou so much for this advice!

[radd]

Newbyface,

In your previous post you appeared concerned with your TSH level.

Is your doctor dosing you re your TSH level because your thyroid hormone levels are actually quite low.

How do you feel ?

[Newbyface in reply to radd]

Yes that’s what I’m worried about

Tsh is fine though but I feel tired most of the time

Thanks for the reply

[radd in reply to Newbyface]

Newbyface,

The TSH is a pituitary hormone that many doctors mistakenly dose by, that will not tell if you have enough thyroid hormone to achieve well being, are not converting enough T4 into T3 or converting too much T4 into RT3. It will not tell if your thyroid is being attacked by antibodies or you suffer from receptor resistance or adrenal insufficiency.

Your thyroid hormone levels are low and as you “feel tired most of the time” you could probably do with an increase in thyroid meds. Many members require thyroid hormones higher than yours to achieve a euthyroid status and the possible resulting low TSH is ok as long as thyroid hormones don’t go above range.

Great advice from SeasideSusie above.