I'd be grateful for advice on my latest results, please. I was diagnosed with hypothryoidism (Hashi's) in September 2017, and over the following year with advice from this forum and repeated blood tests I was able to persuade my GP to gradually increase my levo until it got up to 100mcg - I started on that dose in August 2018. Through that time I also went strictly gluten free, and supplemented vitamins and minerals based on advice here.
Initially I felt good on the 100mcg, especially during the summer when I was able to take a holiday and really rest, and then my work was quieter for a few weeks. I actually had that elusive thing, energy, and felt like doing stuff! Wonderful. My NHS bloods in early October gave results as follows:
TSH 0.38 [0.27-4.2]
Free T4 17.9 [12.0-22.0]
My Medichecks bloods two days before the above gave the following:
TSH 0.495 [.27-4.2]
Free T4 19.2 [12.0-22.0]
Free T3 5.15 [3.1-6.8]
During the autumn I was exceptionally busy at work, including some overseas travel,and I wanted to be able to cope health-wise. Based on the above results I felt there was scope for more medication as my T4 (in the NHS results) was only just over half way through the range, but I knew there was no point asking my GP for more levo given my TSH was near the bottom of the range. So I started taking one Metavive I per day (equivalent to 1/4 grain NDT). I'm aware of the debates as to whether Metavive contains any active hormone, but thought it was worth a try. I didn't notice any great difference with it but was able to keep going through a busy patch so perhaps it helped. But I still felt that I was not as well as I wanted to be. Many of my symptoms had reduced (carpal tunnel syndrome gone, hair loss much less, not feeling cold any more, fatigue reduced, sleeping better). But I'd lost that lovely feeling of energy that I had for a week or two in the summer (was that a Hashi's flare, I now wonder?). I met a friend who lives overseas and found she used T3, and she was happy to give me some of hers to see if that helped, as she said it was what had made all the difference to her - and she certainly seems to have that spark that I'm missing. So since the start of November I've also been taking 5mcg T3. The T3 seemed to help a bit, and I got through a very busy Christmas period without crashing, but on coming back to work in January I had one good day and then for a few days now my old symptoms have been coming back - carpal tunnel pains, feeling that deep internal cold, brain fog, needing to nap in the day. So I thought my levels must have got worse again, thinking perhaps this was my thyroid function getting worse over time with the Hashi's. And I ran some Medichecks blood tests. To my surprise, the results I've had today are:
TSH 0.02 [.27-4.2]
Free T4 21.2 [12.0-22.0]
Free T3 6.92 [6.8]
Apart from the T3 being fractionally high, those look great - but I feel the worst I've felt for months! Have I overcooked things, and should I try reducing my meds? And if so, what do I reduce - take out the Metavive, or the T3? Or reduce levo? Levo does seem to help me but even with TSH below 1 my T4 was still only just above the middle of the range, so on its own it didn't seem to fully do the job.
I'd be grateful for any advice, before I start the next stage of trial and error!
By the way, October's vits and mins results via Medichecks were:
Active B12 128 [25.1-165]
Folate 14.83 [2.91-50]
Vitamin D 80.7 [50-200]
Ferritin 72.9 [13-150]
Since these I've started supplementing B12 in addition to what I was already taking (Ferrous Sulphate, Vit D and K2, Magnesium, Selenium, Vit B complex, Zinc, Vit C).
Thanks in anticipation.