NDT T3 over range

[Ashanat]

Hi all, Happy Friday!

I’m hoping for your views. I’ve been taking 3 grains NDT and 6.25 T3 for 6 months now and feeling pretty good. Pulse 70, low blood pressure (normal for me). No sweating, no tremor, no insomnia etc.

I took dose of all daily thyroid 12 hours before my test. Got medichecks results attached in pic, alongside vitamin results.

From reading up I understand I need to reduce my Ft3 to be in range. So the added 6.25 of T3 needs to go, as well as some NDT.

My questions are, how much of a dose reduction of NDT would your experience suggest, and at what rate to reduce?

Many thanks!

[greygoose]

Do you have Hashi's? If so, that high FT3 has probably nothing to do with your NDT/T3 dose.

[Ashanat in reply to greygoose]

Sorry, I forgot to say, no not hashis, fortunately.

[greygoose in reply to Ashanat]

OK, so you do need to reduce your FT3. But, if I were you, I would reduce by 1/4 NDT, rather than the T3, first. Because your FT4 is also on the high side. Stay on the reduced NDT for six weeks and then retest.

[Ashanat in reply to greygoose]

Thanks Greygoose, I was struggling to understand how much to reduce by, so you mean knock of 1/4 of 1 tablet NDT or 1/4 of the whole dose?

I find it hard to grasp how much dose reduction will impact points on the blood test generally.

Many thanks

[greygoose in reply to Ashanat]

There's no way you can know how much a reduction will impact the blood test. But, you shouldn't reduce more than a 1/4 grain at a time, wait six weeks and see what happens. Same with T3. It's all trial and error to find the right dose.

So, reduce 1/4 grain NDT, now, and see what your levels are in six weeks.

[Ashanat in reply to greygoose]

Great, I’ll try that then! Thanks and have a lovely weekend 😘

[greygoose in reply to Ashanat]

Thank you, you too!

[Hidden in reply to greygoose]

GG,

Could you elaborate on that? I'd be interested to find out more as I have Hashi's and my FT3 levels are all over the place; sometimes midrange, sometimes over range, on same dose of NDT.

[Hidden]

What was the reason you added T3 to your NDT?

[Ashanat in reply to Hidden]

Hi AS, it wasn’t that way around. I started off on Throxine plus T3, then in summer, after calculating the equivalent dose I switched to NDT plus the tiny bit of T3. This was my first blood test since then. So I’m on the route to get the dose right, feel good and be in range for T3.😁

[Hidden in reply to Ashanat]

Ok, I see. I thought maybe a doctor put you on T3 in addition to NDT...maybe the T3 in NDT is enough for you, along with the converted T4.

[Ashanat in reply to Hidden]

Maybe! It’s so hard to tell, but I’m learning that it’s a delicate balancing game and tweaking at this stage to get it optimal.

My vitamins are better now too, so that helps conversion - lots of bits to factor in!

[LAHs]

What sort of NDT are you on? If it is Armour 3 grains is a very large dose and should not need extra T3 on the side. I would just drop the extra T3 first then measure again, you might find that does it. If you drop the NDT at the same time you are introducing a conversion factor (of T4 to T3) into the equation which might mess up your conclusions from your tests. Just drop the extra T3 and see what you get.

[Ashanat in reply to LAHs]

Hi there, thanks for replying, I’m on thyroid-s. Funny you should say that, as I was pondering that approach yesterday as it feels more controlled for first step and without the unknowns of conversion. Thanks 😁