Hi all,
I would very much appreciate your help in interpreting my latest lab results, see below.
I decided to have FT3 and rT3 and other values checked in a private lab because my endo didn't do so. Reason is remaining hypo symptoms. My levo has been increased from 0.137 to 0.15 per day since mid December and I feel it is a bit of an improvement,noticable since about a week now, but not enough to reduce symptoms (lack of energy, constipation, weight gain, cold, hairloss, dry eyes, dry skin, raynaud-like symptoms, joint and muscle pains/aches). Besides the levo I use 10 mcg Cytomel in the morning and 10 mcg in the evening.
Other reason for this check is that I am not sure what symptoms are being caused by thyroid, or by being in (peri)menopause, or by low grade inflammation.
I checked copper to check zinc/copper balance.
I left 24 hrs between last dose of both medications and the blood draws. I know for cytomel 12 hrs would be enough but because of slow digestion I decided 24 hrs.
I now especially wonder, although FT3 looks fine, if I should have my levo reduced and my cytomel increased, because of the T3/rT3 ratio. Any ideas?
I would be happy to hear what your interpretations and suggestions are.
Thanks!
Lab results of blood draw on 2019.01.07:
FT3 2.63-5.71 pmol/L 4.27
RT3 0.14-0.54 nmol/L 0.28
T3 0.98-2.33 nmol/L 1.22
Ratio T3/RT3 > 6.00 4.3
Copper in RBC 10.20-27.10 umol/L 9.3
Ceruloplasmin 160.00-450.00 mg/L 235.00
Oestradiol postmenopausal < 0.136 nmol/L 1.17
Progesteron postmenopausal < 2.32 nmol/L < 0.64
High-sensitive CRP < 1 mg/L = low risk
1-3 mg/L = medium risk
> 3 mg/L = high risk 1.41
Earlier (latest) lab results of blood draw on 2018-11-23 via endocrinologist
TSH 0.4-4 mU/l <0.02
FT4 10.0-24.0 pmol/l 15.1
T3 1.20-3.40 nmol/l 1.79
Estradiol 40-120 pmol/l 194
FSH U/l (no range) 30.9
LH U/l (no rage) 19.9
Prolactine 80-500 mU/l 166
Vitamine D >50 nmol/l >175
Ferritine 10.0-175.0 µg/l 39.8
Zinc 11.48-19.89 13.31
IgA 0.70-4.00 2.92
Anti-tTG IgA 0-7 0.9
Cortisol 145-660 519
Vit B12 NREF 160-630 646
MMA in blood 0-430 107
Parathormone 1.9-7.9 6.1