Latest bloods

[crw2ddd]

Hi all,

Here are the latest results from my recent bloods and it's very confusing to me. I've got low t3 and but my tsh is ideal. I don't feel well though.

Tsh 0.55 iUU/mL (.450-4.500) {3.79 6 weeks ago}

T3 Free: 1.9 pg/mL Range (2.0-4.4). {3.0 6 weeks ago}

Reverse T3 36 (6-24)

Thyrotropin antibody <0.5 IU/mL (0.00-1.75)

TSI <0.10 iu/mL (0.00-0.55)

Free T4 1.42 ng/dL (0.82-1.77) {1.62 6 weeks ago}

TPO 190 IU/mL

Thyroglobulin antibody 1.0 IU/mL (0.00- 0.9)

I currently take 75 Synthroid brand name split into two doses; one at 6:30 am and one at 2:30 pm. If I don't do this and take the whole dose in the morning, then I get severe muscle aches and joint pain and chills by the evening. I take a compounded slow release T3 between 9 and 11 am of 4 mcg. I feel it wearing off around 5-6 pm with low energy, irritated eyes and nerve pain in my hands.

From these results my doctor had decided to try keeping me on 75 mcg Synthroid and adding 30 mg armour. I will take half of each in the morning and half in the afternoon. Maybe gradually increasing the armour and replacing the Synthroid? Does this seem reasonable? She also recommends that I take Omega 3s selenium and glutathione and is open to Micronutrient testing and gut testing, but of course it'll be out of pocket.

[Kalicocat]

You might need less levothyroxine based on your reverse T3. You are like me, exact symptoms and T4/T3 ratios. 100mcg levo caused excruciating pain and low T3. Although I get low T3 every winter no matter what dose I am on. Happened when I was on 50mcg per day as well. You may want to try reducing to 50 mcg levo to see what happens. I go back and forth on whether I should stop all of it (currently at 75mcg levo and 6mcg T3 since it's getting warmer outside) and start from scratch.

[crw2ddd in reply to Kalicocat]

Thanks for your response. I also feel like adding more t4 seems counterproductive since adding 30 mg armour daily is essentially upping me to 100 mg t4 and 4.5 T3. If I'm converting a large portion of the t4 into reverse T3 it seems like adding more t4 might make me feel even worse. I have some 50 Synthroid and I might just take that with the armour instead of the 75

[Heloise in reply to crw2ddd]

I agree with your instincts, cr. Especially seeing that very high reverse T3 number. I have to say that Synthroid affected me the same way with horrid pains especially the major back muscles. This was long ago and I never had a reverse T3 test. To tell you the truth those muscles haven't totally recovered. It's been a long search to find out exactly what happens when your muscles are trying to adapt to synthetic T4. After a few years I switched to Armour but added T3. I've also ONLY used T3 when it was available. I'm not sure I would follow your doctor's recommendation. There are some people who should only take T3 according to some functional doctors.