Normal tsh but low t4 and t3 what am I doing wrong ????

[Ari3]

Hi there .i wanted to ask you what causes normal TSH and low t4 and low t3? I don’t know what Iam doing right or wrong in here . Iam starting to feel worse and worse 😭 my latest tsh 0.57(0.27-4.2) t4 9.5(12.0-22.00) t3 4 ( 3.1-6.8. ) I am suffering from brain fog very very huge pain in my head when Iam shaking my head left and right all my brain inside is in pain ) I also have eye socket pain and eyelids are droopy. Tinnitus is getting worse and worse drives me crazy .i sleep just 5-6 hrs . I also have white cell count which is high and don’t know what’s causing it . I live in constant brain fog and in brain pain eye pain for good couple of month. What am I doing wrong ? Here are couple of test results;

Iron 16.9 unilever/L(5.8-34.5)

Ferritin 52.65ug/L( 15-150)

Vitamin D 141 nmol (>50)

Folate 18.8 ug/L (3.3-19.3)

Antibodies has decreased from 268 to 181.

Am I not absorbing medication or what is going on here I can’t understand tsh is normal but t4 and t3 is just crap.iam on 1 grain ndt and 25mcg t3.both I take split doses twice a day at 7 am and 14pm . I don’t know what else I can do ? Please I need ur help and advice 😪

[SlowDragon Administrator]

On any dose of T3 or NDT the TSH result will tend to be very low or suppressed

The fact your isn't very low, together with low Ft4 and low FT3 suggests you need dose increase

Some of us do better with FT4 well within range. In which case you might need to add some Levothyroxine. Perhaps 25mcg Levothyroxine

Some can't tolerate Levothyroxine, in which case you might need to increase your NDT

Either way......retesting in 6-8 weeks after dose increase

[asidist]

hi ari3, i know biotin in supplements (found in b complex, hair skin & nail, lots of others) can interfere with lab results - it makes tsh appear lower than actual and t4 and t3 higher than actual, so it needs to be cut out at least 3 days prior (though i’d do 5) to thyroid blood work.

it does seem like you might need at minimum more t4 in any case (i know very little about ndt and proper blood results - basing this just on the fact that it’s clearly below range) but thought i’d mention the biotin issue just in case

i’m sorry you’re feeling so terrible, btw - i hope you’re able to figure it out

[Ari3 in reply to asidist]

Hi there thank u for ur reply . I wanted to ask you Iam using b complex yes but there is small amount of biotin like 300mcg I think does it also make results to screw up? Should I stop it and than do bloods ?

Thank you Iam in such kiss at the minute really

[asidist in reply to Ari3]

it sounds like that amount shouldn’t matter much actually, esp because your results suggest you’re likely undermedicated regardless, but for better accuracy you might still want to stop taking the b complex a few days before your next test!

ospdocs.com/resources/uploa...

edit: i think i remember reading that iron can interfere with some blood tests too and should be stopped at least 24 hours priors, though i can’t remember if it affects thyroid tests. i personally have just stopped taking all supplements a few days ahead of bloodwork

good luck!

[Ari3]

Iam using stainless steel in cooking .the water is with fluoride I think .iam not taking antidepressants no .

[helvella]

Most, possibly all, water suppliers in the UK make information about water supply, including fluoride levels, readily available online. I simply have to go to the company's site, enter my postcode and get the analysis.

The report below has a list of "ever-fluoridated" area near the end:

assets.publishing.service.g...

[helvella]

The water suppliers DO tell you the amount of fluoride in the water wherever it comes from. They provide a pretty comprehensive analysis of the water supplied.

That link ALSO tells you which areas have ever been fluoridated and there is plenty more information about which areas are fluoridated. For example:

dwi.gov.uk/consumers/advice...

And I have no idea where you get the idea that "natural" fluoride is OK? How does the body detect whether a fluoride ion came from the well or was added in a treatment works? There is plenty of evidence that high "natural" fluoride is not good for health.

nature.com/articles/s41598-...

[helvella]

I feel you are confusing the fluorine atoms covalently bonded in organic molecules (that is, molecules based on carbon - often in chains) with fluoride which is ionically bonded.

As I say, I point my finger at ALL forms of fluoride (ionically bonded) and do not believe that the body is able to distinguish the source in any way. More than a pretty low level of fluoride is very well-known to be a cause of fluorosis. I firmly believe that it is the quantity rather than the source. The quote text below identifies what are very natural sources of fluoride with horrendous consequences.

In India, most in Nalgonda (Telangana), the most common cause of fluorosis is fluoride-laden drinking water which is sourced as groundwater from deep-bore wells. Over half of groundwater sources in India have fluoride above recommended levels.

Fluorosis can also occur as a result of volcanic activity. The 1783 eruption of the Laki volcano in Iceland is estimated to have killed about 22% of the Icelandic population, and 60% of livestock, as a result of fluorosis and sulfur dioxide gases. The 1693 eruption of Hekla also led to fatalities of livestock under similar conditions.

en.wikipedia.org/wiki/Skele...

Are you able to find a single bit of halfway decent evidence that "natural" is OK but added is not?

Covalently bonded fluorine is another subject.