I was hoping she would recommend T4 - T3 or at least help me understand if my T4 level is sufficient to covert to T 3. She said she had a patient who was previously on a combination T4/T3 but the company has stopped making it due to lack of people been prescribed it.
I seen a Endocrinologist recently please see results of Thyroid scan and bloods done. I am still on alternating dose 100mcg 4 days and 88mcg 3 days. Other meds Cholestrol tablets and vitamin D. I have come off Het recently.
The pains in my hands elbows hips and knees have returned ?
Endo wants to do blood Cortisol test 1st thing in am and then repeat an hour later also wants to check something called Parathormone. She said B12 Folic acid iron is all fine.
Any thoughts recommendations would greatly appreciate I will go Wednesday glair this Cortisol test.
Please see results below. Happy weekend everyone.
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MIckeyrow
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Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,
"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.
In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.
Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.
This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."
You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor
Calcium levels are high. This is because calcium rises as vitamin D improves. You might benefit from adding vitamin K2 Mk7- this helps direct the extra calcium into the bones, rather than stay in blood and increase risk of clogging up arteries
Also read up on importance of magnesium supplements when taking vitamin D
Thank you Slow Dragon. I asked for 100mcg and Doctor said no I will be overdosed ! They only test annually for levels. I think I will have to ask if anyone knows of a proactive engaged Doctor in South East Uk it may be best for me to see a Uk doctor as a private patient. I really struggle to understand that they don’t want to increase the medication. Thanks again Slow Dragon.
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Should I do a cortisol test privately?
Very slightly raised cortisol. Should I show gp or wait for endo?
My Endo thinks I'm fine but I don't feel fine...
I don't feel right but doctor says blood tests are fine
T3 guidance required 
