Hello! Firstly just want to say thank you for reaching out to help!
I had a Total Thyroidectomy due to a large goitre back in 2014.
Since then I've been on the very exhausting mission of trying to get my thyroid levels sorted and within optimum range.
For years my GP was dosing me at 150 of T4 per day, on 150 I felt very hypo, she would only test my TSH and T4 (never free T3), she was completely useless to say the least, this went on for 3 years - Yes, 3 YEARS OF HELL!
I've now found a Endo who is well know for thinking out the box has worked me up to 175 of T4 per day, My results on 175 a day are as follows
[TSH 0.04 (0.55-4.78)]
[FT3 5.6 (4.0-7.0)]
[FT4 23 (10-25)]
I Spoke with my Endo the other day and he says i have two choices,
1 - up my T4 to 187.5 and that should up my FT3 to ~[6.3 (4.0-7.0)] the upper 33% range which is what I want
2 - Reduce my T4 dose to 125 and introduce 12.5 T3 split in two doses (6.25) throughout the day. im happy to try this option but dont want to be hypo again!
I'm worried that if i went for option 1 and up my T4 dose i would be touching the realms of over medicating T4? Does having a high pool of T4 have negative effects? I know it can potentially turn to more Rt3 but should i be worried?
Please note, ive never had my Rt3 checked so not sure if it high or within range.
Is it ok to have suppressed TSH of 0.02 with HIGH FT4 around 25 or 26 out of(10-25) if it means my FT3 is in a good range?
Also its probably worth to mention that I was also diagnosed with SIBO, which seems to be under control now with medication.
Thanks for the help!