Tsh 0.139mlu/L (0.27-4.2)
T4 20.1pmol/L (12-22)
T3 4.69pmol/L (3.1-6.8) Tested privately in Feb 2017 result 4.00
Good morning
I’m seeing my doctor this week regarding my low t3. I know the brick wall I will face and I know he will say my t3 is in range and so ok. I do want to discuss with him though - he is my doctor. He has a copy of my recent Medicheck tests in advance. I’d rather work with him. Any suggestions how to approach him during this appointment please?
Juanita1957
What is it you're hoping for from this appointment? That he will say you need T3 prescribing? An endo has to initiate prescribing of T3, almost impossible for a new patient to get that at the moment. Also your results wont warrant an appointment with an endo so if your GP referred you the endo might refuse to see you.
But what you need to do first, before considering T3, is address the things that were pointed out to you in your previous reply.
healthunlocked.com/thyroidu...
Your ferritin is too low, it needs to be half way through range, a minimum of 70 for thyroid hormone to work and good conversion to take place.
Selenium helps with conversion.
Zinc helps with conversion (test first, also copper).
It was pointed out that your folate was low and a B Complex was suggested. Also that your Active B12 was a bit low. If that was less than 70 it would suggest testing for B12 deficiency, and at 89pmol/L (37.5-188) I'd want mine higher. The B Complex will take care of that as well as your folate as long as you get a good quality one such as Thorne Basic B or Igennus Super B.
Thank you. Yes I am addressing advice I've been given. I have been taking Thorne Basic B for a few weeks now anyway and have just restarted taking Selenium which I stopped because it had magnesium stearate in this particular one. Ive also just started taking an iron tablet.
The reason I am particularly concerned about t3 is because it’s hardly improved since Feb 2017 @ 4.00 (4.69 latest). So maybe I just can’t convert...? And the connection with dementia.
I only received my results last week so I am going to be asking more questions now.
Juanita1957
Your conversion isn't that bad. Your FT4:FT3 ratio is 4.28 : 1 and good conversion takes place when the ratio is between 3:1 and 4:1 so you're not far away. Optimising nutrient levels and selenium/zinc may help improve your conversion.
it’s hardly improved since Feb 2017 @ 4.00 (4.69 latest).
What's different now from Feb 2017? What was your FT4 then? Have you increased your Levo, if so when? When did you start supplementing, you were only asking about them a month ago and if that's when you started supplementing then it's not enough time to make a difference yet.
Thanks. Ive not seen that FT4/FT3 ratio before.
I wasn't concerned about T3 until I was advised mine is low on this forum. I wouldn't have known from my 'normal' results.
My private test in Feb 2017 was just for T3 as my doctor said it wasn't necessary. I was even less informed than I am now so I didn't have TSH and T4 done at the same time as I wouldn't have known the relevance.
Ive been on 75mg Levo almost from diagnosis in 2012. Supplements: I have been sporadic - on and off taking some Bs over the years. No magnesium, zinc, d, e or c. It's hard to think back over seven years but I always assumed I was ok as I was on T4. Now Im taking Selenium, Iron, B12 and a B complex (Thorne - as previously explained).
My diet has changed massively since beginning of December 2018. I ate far too much chocolate, sweets, biscuits, cakes, bread, cereal….. over two stone lost.
I have never smoked and very very rarely drink.
I am a worrier no doubt but then again the thyroid is hugely important.
It seems from advise and comments that T3 is very hard to acquire and that's my fear, that maybe I will need it and won't be able to get it.
Bottom line is I now think this will lead to dementia and Im really worried.
Also what are your views on mag stearate? It's in the Selenium I take.
Thank you for 'listening'.
Also what are your views on mag stearate? It's in the Selenium I take.
I prefer to take supplements with as few excipients as possible. Sometimes it's not possible to avoid them.
Here's an article about magnesium stearate draxe.com/magnesium-stearate/
All we can do is look for a supplement that doesn't contain the ingredients we would rather avoid.
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