Since my last blood tests I have seen a new edo who said I was converting ok but I should reduce my levo from 100mcg to 75 /100 on alternate days.My symptons have just got worse cannot stay on my feet for more than 30 mins feel rubbish,planta faciilitus.? and really heavy legs,cracking joints and pain, so hot at night bad sleep max 3hrs keep waking up,foggy brain cant concentrate,.my test results in sept were,
TSH 0.786 mIU/L 0.27 - 4.20
free thyroxine 22.500 pmoI/L 12.00 - 22.00
FT3 4.36 pmoI/L 3.10 - 6.80
thyroglobulin antibody ^10 IU/mL 0.00 - 115.00
thyroid peroxidase antibodies 12.4 IU/mL 0.00 - 34.00
any help appreciated.
FT4: 22.500 (12.00 - 22.00) - 105% of range
FT3: 4.36 (3.10 - 6.80) - 34% of range
Look where you are compared with the range, that's how you know if you re converting well. FT4 and FT3 should be in balance, and when optimally medicated most people need them to be in the upper part of their ranges.
Your FT4 is over range, your FT3 is very low in range, you are not converting well and would benefit from a lower dose of Levo and the addition of T3.
Another way of knowing how well you convert is to look at the FT4:FT3 ratio. When converting well this would be around 3:1 but no more than 4:1. Yours is 22.5 : 4.36 = 5.16 : 1 so again shows poor conversion.
It would also help to know your current nutrient levels, these all need to be optimal for any thyroid hormone to work properly. You need:
Vit D - 125nmol/L
B12 - top of range
Folate - at least half way through range
Ferritin - half way through range (minimum 70)
Yes nutrients are ok took your advice on those but will check when next tested before xmas.I did wonder why this endo said I was converting ok when I am not?
I did wonder why this endo said I was converting ok when I am not?
I think the sad fact is that as most are diabetes specialists then they are pretty clueless when it comes to thyroid
Hi Please can you tell me how to get list of T3 friendly endos
Who do I contact .thanks
Email Thyroid UK for list of recommended thyroid specialists
please email Dionne at
This endo clearly is only looking in a crystal ball and hasn't got a clue
Your conversion is poor
You likely need addition of small dose of T3
Are you on strictly gluten free diet? Or tried it?
Because he's not very good at maths ...