Latest test results for comments

[Chrys]

Medication:

T4 50mcg

T3 15Mcg (taken in 3 doses)

Patient well being: 5 out of 10

Date of test : 25-10-2018

TSH 0.382 0.27- 4.20 Private test

TSH 0.28 0.38 - 5.33 NHS test

Both drawn at the same time.

Free T4 11.4 12.00 - 22.00

Free T3 6.88 3.10 - 6.80

Subsequent to this test, T4 was stopped by GP.

patient well-being is now between 7 -8.

[Aurealis]

T3 is too high. This can impair concentration and memory. How long was dose stable for prior to test? And how close to test was previous dose of T3?

Improvement could be due to reduction in dose when T3 is too high OR to removal of T4. To be honest I suspect the former, as T4 will take many weeks to reduce, although you don’t give timescale. I’ve made a more detailed response to your other post.

How are you measuring well being?

[Chrys in reply to Aurealis]

Stable dosage: T4 stopped for 6 days prior to test. Patient's well being was already improved by that time, and continues. Measured by observation and questions. We have been married for 56 years, so are well aware of how each other feels.

[HughH]

T3 is the active thyroid hormone which controls the metabolism and therefore the symptoms. The Free T3 is just above the top part of the normal range.

It is a pity that you did not have a Free T3 result when taking T4 to see what the Free T3 was at that time - it could have been higher, explaining the improvement in health on stopping the T4..

[Chrys in reply to HughH]

Previous test 9-9-18 while on T4 50mcg, T3 15mcg

Patient wellbeing 4-6

TSH 4.08

Free T4 7.6 (12-22)

Free T3 4.06 (3.1-6.8)

Rev T3 9.8 (10-24)

Rev T3 ratio(???) 26.97 (15-75)

[HughH in reply to Chrys]

T3 is the active thyroid hormone and with a Free T3 of 6.88 (just above range) gave a patient well-being between 7-8.

Previously a Free T3 of 4.06 (well below the mid-point of the range) gave a Patient wellbeing 4-6.

This indicates that the patient felt better with the higher Free T3.

You should compare Free T3 with patient wellbeing for future tests and this will guide you about increasing or decreasing meds.

[Aurealis in reply to HughH]

I agree, but there will be an optimum amount of T3, it’s not the case that more is better. In addition to wellbeing, measurement of vital signs (heartbeat, temperature, blood pressure) can be really useful. Think it’s usually done midway between split doses. See book by Paul Robinson ‘Recovering with T3’ and associated Facebook group T3 Support - it’s not necessary to buy the book to join the group. There’s lots of expertise and experience with T3 only there, if that’s the way you’re going. It can get quite confusing and sometimes only records of vital signs point the way (because high T3 sometimes masquerades as low T3 and your well being questions may not always be enough). But good luck to you both x

[Chrys in reply to Aurealis]

I have been keeping early morning temp, pulse, and blood oxygen for the past 3 weeks.

[Aurealis in reply to Chrys]

That’s good news even if it doesn’t seem helpful yet. T3 onlyies use these measurements to adjust sizes of split doses, but perhaps you already know that.

[Aurealis]

Fascinating that the two tsh tests taken at the same blood draw indicate totally different things, overtreatment or not- overtreated. I always ignore mine anyway