Hi
I had blood done at the eye hospital around a month ago now and I only got TSH and FT4 back. However I am due to have FT3 and the other thyroid blood redone next week.
Can anybody tell me if they can see if these are good or need improvement (I know I don’t have FT3 and it’s important but will have this end of next week)
TSH 0.89 range 0.2-4.5
FT4 18 range 9-21
FT3 to come end of next week.
Any advice appreciated thanks
The results you currently have are good. It all depends on FT3 being tested at the same time as TSH and FT4.
What thyroid meds are you currently taking?
Hi Susie
Those were a month ago but due to get new ones next Tuesday. I am on 88mcg T4 and 5mcg T3 which is split into two during the day. I was wondering if I was able to add more T3 I know it’s hard without having FT3 but I’m still feeling wiped out and poorly, so not quite sure what’s going on.
You'll need to wait until you have your new results before making any changes to doses. You have to wait 6 weeks after a dose change to retest.
Don't forget to leave 24 hours between last dose of Levo and blood draw, but only 8-12 hours for T3.
Ok thanks Susie, I will post new results next week and hopefully have better info to see ☺️
I forgot to say do you know if you switch your meds to nighttime before bed dosing (T4) if you’ve taken it that morning how do you start taking it at night? Thanks ☺️ I’ve heard people can do better taking the meds at night and I’ve not tried it just yet!
I've not done that so I don't actually know. I switched mine from waking to early hours of the morning when I visit the bathroom, so I only had to take mine a bit earlier.
I imagine that you could do one of two things - alter the time gradually by a few hours over 2 or 3 days until you reach bedtime dosing. Or take a morning dose on Day 1 then take Day 2's dose at bedtime then continue with bedtime dosing. That gives one dose in 24 hours.
Thanks yes that sounds good. I may try it and see if it can help the morning fatigue I am having, thanks for your help ☺️
Something I've found was that I tried to switch one time by skipping my morning dose and taking it at night instead. I ended up feeling undermedicated and very ill so I reverted back.
Later on when I've tried juggling things I've taken it as an extra dose, instead. So to switch to evening I'd take my morning dose as usual, and then take the evening dose as an extra on that one day.
If you work it out as an hourly average over the days or the week, using the first method you miss half a dose, and the 2nd method you add half a dose. At the time I first tried I was pretty undermedicated, so I think my body just reacted very badly to missing out. If a person is optimally dosed or perhaps on the overmedicated side it might not matter. These days I always do it the second way to err on the side of having a boost 
Its hard to really comment on the results without the freeT3, because you're taking T3. FreeT4 is a storage hormone, and your body turns that into T3 for your body to use. Because T3 is the active hormone, freeT3 is the most important of the three numbers in a thyroid panel. It is the one that most reflects symptoms.
When we're taking any T3, the freeT4 number becomes more and more unimportant, because we aren't dependant on the T4 we take to convert into T3.
The freeT4 is pretty high in range, which is good, then on T4-only you want this right at the top, but once you're on some T3 it becomes less important to get it all the way up. Your T3 dose is quite small, so you probably still need it up nice and high.
The TSH is fine. Overall TSH doesnt tell us very much. Once on thyroid replacement most people will need it very low to feel well, often below the range. The fact yours is still inside the range makes me think your freeT3 may not be high enough, but everyone is different so that isn't definite.
When you see the freeT3 you'll be looking for that to be in the upper part of the range. Am I right in thinking you've had a dose increase and are now taking 10mcg of T3? It was a bit confusing in your previous thread. If the freeT3 isn't nice and high you may need an increase to get you there. Symptoms are the most important part, so as you still have symptoms hopefully the blood test will confirm you are ready for an increase!
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