Test results advice please

[LMH1]

I am asking for this advice on behalf of a friends daughter who is studying on the USA

She has her blood results come back. She is concerned as she was feeling well but is now feeling very tired again.

Can you look at the results and give some advice please as to if they are ok. I am not experienced in this area but I think they seem too low?

Reveres T3. 8 8-25ng/dl

Free T4. 1.0. 0.9-2.2

Total T3. 69. 76-181ng/dl

Total T4. 4.7. 5.1-11. 9 mcg/dl

TSH. 0.35. 0.40-4.50

FRee T3 2.3 2.3-4.2 pg/ml

She is currently taking 1 grain of nature thyroid per day.

Thank you in advance

[SeasideSusie Remembering]

Total T4/T3 tests aren't useful, they don't tell us anything much. It needs to be Free T4/T3. But taking NDT tends to lower TSH and Free T4 anyway, so it's the Free T3 result that's important.

FRee T3 2.3 2.3-4.2 pg/ml

Considering she's taking 1 grain NDT then her Free T3 is bottom of range. NDT contains T3 so her FT3 should be higher, this result suggests she needs to increase her dose of NDT. When optimally medicated one might expect FT3 to be in the upper part of the range, possibly the upper quarter if that's where she feels well.

How long has she been on 1 grain NDT? She could increase gradually, 1/4 of a grain at a time, possibly 1/2 a grain for the first increase considering how low her T3 is.

What about her vitamins and minerals. She should be advised to test

Vit D

B12

Folate

Ferritin

[LMH1 in reply to SeasideSusie]

Thank you Seaside Suzie. She's been on it about a year. I will send her your response.

[Angel_of_the_North]

She needs a dose increase. Free T3 much too low.

[LMH1 in reply to Angel_of_the_North]

Thank you

[LMH1]

Thank you