I am fatigued and want to sleep every 3-4 hours. I am a Hashimotos sufferer and was diagnosed 4 years ago. I have been on T4 Levo ever since. I have increased from 100 msg to 125 mcg due to increased TSH from 0.5 to 3.2 (range 0.27-4.2) under Endo advice 6 weeks ago.
My blood test results 6 weeks ago were Free T3 3.9 (2.8-6.8), Free T4 12.5 (12-22), Total T3 1.6 (1.3-3.1), Total T4 78 (59-154), AB TG 9 (0-4.1), AB TPO 146 (0-5.6), Iron 26 (6-35), Ferritin 51 (30-400), Folic Acid 24 (8.8-50), Vit B12 543 (211-946), VIt D3 96 (sufficiency is 75-250). D2 under 2.7, Total testosterone 11.7 (6.6-25.7).
I had prostate surgery 3 months ago and am suffering from the cold. I thought i had achieved a balanced T4 Levo mono-medication and had controlled my TSH at 0.5 but I am more fatigued than ever. I have dull headaches and weekly migraine auras (first day back at work after weekend). I am morose, irritable, and uninterested in anything. Any thoughts or comments on the right treatment will be greatly appreciated.
Hi Adam, we must have spoken before as I got an alert to your post. The first thing that sticks out is your free T4 is too low, are you going to get new bloods since your increase to 125mcg?
Your free t3 is low as well but that is not suprising as your T4 is low. Looking at your free T4 of 12.5 and knowing you were on 100mcg T4 on those results we could estimate that if you were to take 150mcg T4 your level would reach approx 18.75 which is where you should be aiming for on T4 only.
Personally, t4 on it's own only worked for me for about a year before things went south, I then added t3 and then felt very good. Currently on 100mcg t4 and 25mcg t3.
Thanks yhickfoe. I appreciate your comments. Yes you kindly responded to my earlier post about these test results. I have since obtained the FT3 and FT4 figures but have also continued to go downhill hence my follow-up post.
I think I will increase my T4 Levo to 150 mcg which is where I was before and follow up with vitamins snd iron rich foods as per other kind comments on this forum.
I currently work in Middle East so not sure if I could get T3 here. I’m retiring soon to low-cost Thailand -partly because of my fatigue but I’m nearing retirement age anyway - so am hoping I could get T3 there and investigate a combo-treatment under an Endo if I can find a suitable one there.
Great to hear that a combo treatment works for you. Is it difficult for you to manage a combo treatment?