Would really appreciate some thoughts before I go back to my endo. I just cried for half an hour when I received his email.
Bit of background - I was diagnosed as hypo last May (after feeling very unwell for many months but it wasn't until May that both my T4 and TSH were out of range). Put on levo after a few weeks/months started to feel better. I then started developing hyper symptoms in Dec, came off levo in Marchish as T4 and T3 way over range, and was diagnosed with Graves a few months ago (positive TSI test). I was placed on carbimazole 5mg a day. NB I have never tested positive for hashis antibodies (TG or TPO) and have had the test several times; I suspect I do have hashis as well as graves though.
The next test after being on carbi for 6-8 weeks was as follows:
TSH - 0.02 (0.27-4.2)
T4 - 12.1 (12-22)
T3 - 4.6 (3.1-6.8)
Carbi was reduced to 5mg every other day then next test @7weeks later (ranges as above):
TSH - 1.98
T4 -10.4
T3 - 3.9
Carbi was stopped as endo said graves no longer active and I may "have gone hypo again" and then next test @6 weeks later (ranges the same):
TSH - 1.44
T4 - 12.9
T3 not tested
In addition, I have had problems getting my ferritin up to a decent level since July 2016 when it was 8.9 (13-150). I got it up to 42 at one point but it dropped again to around 30ish for most of last year while on levo but felt OK on this level once my thyroid hormones optimised.
Since my thyroid levels have dropped my periods have got very heavy again, and my ferritin level has dropped to around 24.
I have been getting the following symptoms which started after going on carbi (so once my thyroid levels started dropping):
- Dizziness/balance issues
- Breathlessness
- Fatigue
- Poor concentration
- Dry skin
- Constipation
- Worsening of tinnitius/wooshing in ears
- Feeling cold
- Worsening of eczema
- Parasthesia
- Headaches
- Muscle pain/RSI
- Low mood
- Very heavy periods
- Palpitations
- Numerous bugs/bugs that won't go away.
Some of the above could be explained by low ferritin having done some research.
I was unable to go to work the week before last. Worked reduced hours last week and have been signed off sick again for two weeks. I am really struggling and was desperately hanging on for yesterday's blood test. On the basis of this test, I asked the endo if I could go back on levo. He said that my symptoms are unlikely to be thyroid related and had I spoken to my GP! I feel like I am back to where I was a year and half ago, having to play the game, waste NHS resources being referred to all and sundry while waiting for my thyroid hormones to go out of range.
I really feel very similar to the way I did around the time of diagnosis, am I wrong and this isn't my thyroid? This disease really makes you doubt your sanity.
What can I say to my endo? He's been pretty good up until now. Why is my TSH still so low when my T4 is also low? Before diagnosis my T4 was hovering around 11/12 for ages and I felt awful, it's only ever so slightly higher at 12.9 now and if I was on levo that would be way too low, so why is it OK now?
My TSH is much lower than it was back then - does it take a lot longer to catch up? I thought it took 6-8 weeks to respond to changes in meds?
Could all my symptoms be down to my low ferritin? My GP is fairly clued up and wants my ferritin to be at least 50, so I've gone back on the ferrous glycinate tonight as everything else I've tried is not working. Obviously that takes months and months to do anything though.
Please help I feel desperate. Results pre and on diagnosis below in case that's any help (all ranges the same):
27/07/2016:
TSH - 3.19 (0.27-4.2)
T4 - 11 (12-22)
T3 - 3.1-6.8 (3.1-6.8)
22/09/2016:
TSH - 3.38
T4 - 12
21/11/2016:
TSH - 4.15
T4 - 11.91
T3 - 3.75
29/03/2017:
TSH - 4.32
T4 - 11.67
T3 - 4.06
08/05/2017:
TSH - 4.8
T4 - 10.9
T3 - 4.7
Thank you!