Suppressed TSH

[Pixielula]

Hi guys, does anyone know of any papers for suppressed TSH when on liothyronine. My GP’s are freaking out as my THS is suppressed, I had a call to say it looks as though I am over medicated. I had a very long conversation with one of the GPs and explained I had been on liothyronine for over 10 years and my TSH has been suppressed ever since but I have an appointment with the practice pharmacist on the 22nd and wanted to take some kind of evidence with me. Stating that liothyronine causes or can cause a suppressed TSH, for some reason the pharmacist is now responsible for my health....

[Smogmonster]

You could take along the PIL from your lio and point out where it explicutly states that one of the uses of liothyronine is as a tsh supppressant.

[Pixielula in reply to Smogmonster]

I have never read it, will have a look when I get home, thanks

[penny]

If you take T3, as do I, then your tsh will be suppressed. Mine is unmeasurable as I’m on a high dose of T3 - between 175 and 200mcg. I go on how I feel but then I self-medicate and don’t involve the GP. It is, in my and others’ opinion, that treating by tsh alone is a big mistake, as is using the tsh to diagnose. What about all your other Ts?

[Pixielula in reply to penny]

T3 3.2 t4 8.4 for some reason in wales they don’t put reference ranges on the printouts. I take 60mcg a day, and have just read the PIL leaflets for morningside and Teva and they have nothing about being used for lowering TSH....

[Smogmonster in reply to Pixielula]

I apologise, it appears that part of the PIL information has changed, probably around the.time the dosage information changed to the stupid dissolve method.

It did used to say under section 1: To suppress Tsh [in tca patients].

I am on a quest to find a historical mention somewhere now.

[Pixielula in reply to Smogmonster]

If you find it can you send it to me, likewise I will send it to you......

[SilverAvocado in reply to Pixielula]

If the reference range for T3 is anything like mine, that's quite a low freeT3. The range I have is 3.1-6.8! Thats for pmol/L, if yours is different units the range will be very different, but if it's the same units it will be somewhere along the same lines as mine.

[Fran739]

I’ve just had the same thing said this morning from the endocrinologist!!

[boru]

mdedge.com/ccjm/article/952...

Mentions that’s T3 medications suppresses tsh