Are these results actually good, and therefore symptoms not as a result of thyroid?

[Caliendria]

I have an earlier post, have several auto immune including hashimotos and several other conditions. My tsh has been low since uping my dose of levo to 112.5daily.. But I am still suffering chronic fatigue and exhaustion at slightest little thing... I sleep 10-12 hours a day and am still not refreshed and still want more sleep, still getting occasional heart palpitations and resting heart rate rises from the normal 68 ish to over 110.... I have had 9 early miscarriages /chemical pregnancies over the last 2 years and gained weight which I can't loose... And although cycles have always been same of ovulation day 12-13 and period start day 27 with, 5dsys of bleeding, but the last cycle did not ovulate til day 22 and day 29 start bleeding old blood for 9 days.... This cycle I am on day 19 still no ovulation so hormones must be out of whack right? .i have other symptoms but they can be explained by my other conditions

Here are latest results

Can you shed any light on whether t3&t4 are actually OK..(I know just because lab says normal doesn't mean OK if you are high or low end of ref range) . Does this mean my symptoms are likely nothing to do with thyroid?... Tsh... 0.1 (0.3-5.5), free t3.. 5.2 (3.1-6.8), free t4... 24..(10-22)...

Tia

[Caliendria]

Also, does it mean anything if my tsh fluctuates a bit, ie it was 0.35 a few months ago.. A couple of weeks ago it was 0.98 and exactly one week later it is 0.1....same time of day, before taking any medication and vitamins...

[greygoose]

First of all, how much levo are you taking? I've glanced through your past posts, but can't find the number. Your FT4 is quite a bit over-range, whereas your FT3 is not much over mid-range. So, you do have a conversion problem. Have you discussed T3 with your doctors?

I would say that your FT3 needs to be higher, if you still have symptoms, but keep increasing the levo is not really the answer. You do need T3 added to a reduced dose of levo, if you can get it. So, in answer to your question, I would say that your symptoms are caused by not enough T3 in your system.

TSH is bound to fluctuate. You have Hashi's, so all levels are going to fluctuate. But, do you always do your tests under the same conditions: early morning and fasting? TSH is highest early in the morning and drops throughout the day. So, if you take the blood at 5 pm, it's going to be lower than at 8 am - quite by how much, is impossible to say, but can mean the difference between getting an increase in dose or getting a decrease. Doctors only tend to look at the TSH. But, it's not the TSH causing symptoms. The TSH itself doesn't directly affect how you feel.

[Caliendria in reply to greygoose]

I did put all the info in posts but because they are long posts it's easy to miss.. On 112.5 levothyroxine.. Blood tests always done morning around same time before any meds and I don't eat until an hour after taking levo as so many things affect levo so always fasting for blood tests.. I think because t3 says normal range I don't think my GP will agree to writing private script for t3... If it was low I know she would do a script for private as she was prepared to do that for the blood test if the lab wouldn't run the t3 test..

[greygoose in reply to Caliendria]

Yes, that's another obstacle to good health, isn't it. A GP's lack of understanding of blood test results and ranges. With a range of 3.1 to 6.8, you could not possibly feel the same with a result of 3.2 as you would at 6.7. But, for them, it's all the same. Plus, the ranges aren't that reliable, anyway, due to the way they are conceived. In the sample population that was used to decide the range, how many people were undiagnosed hypo or hyper? No-one knows because of the terrible way in which thyroid problems are diagnosed. But, seems obvious to me that if you don't feel well with your present levels, then the levels should be higher (or lower, but not in this case). It's just that they will not take symptoms into consideration, have no knowledge of hypo symptoms, and if they decide that you should be well with your present levels, then any remaining symptoms must be due to 'something else'!

A year ago, I would have suggested you buy your own, but that has become such a problem that, these days, I daren't suggest it anymore. But, that would probably be the solution to your problems.