Advise needed: Hi everyone, Haven't been here in... - Thyroid UK

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Advise needed

Johnjoe123 profile image
7 Replies

Hi everyone,

Haven't been here in a while, broke my foot and have had surgery to repair damage! Just getting back to walking again! Since surgery have been feeling very hypo, so had bloods done two weeks ago!

B12 453 range 120-650

Folate 7.9 r 3.1-19.9

Ferritin 67 r 11-307

Tsh 0.57 r 0.35-4.94

Ft3 3.57 r 2.89-4.88

Ft4 13 r 8-22

HbA1c 39 r 20-42

I am currently taking eltroxin 100mg plus 10mg thybon! Have muscle pain, vertigo, fatigue! Any input would be appreciated thank you!

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Johnjoe123
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7 Replies

Your folate and ferritin seem low. Are you supplementing? If not I think you need to. Not sure about the thyroid results, though they could be better. I would probably feel hypo with those results, but we are all individuals.

In range is not optimal and we need optimal to feel well. And as your body has been through the stress of an operation you would take longer to recover because of being hypothyroid.

Maybe increase your T3 (is that the the thybon?) a little bit? I don't know much about T3 supplementation but have read here that you must only adjust one of them at a time, not both T3 and T4. And of course by very small amounts, especially the T3.

Whatever your doctor might say, if you feel hypo you need an increase, at least temporarily. Give it a few weeks and see if it improves, but of course watch out for hyper symptoms.

Johnjoe123 profile image
Johnjoe123 in reply to

Thank you for your reply what is an ideal ferritin?

in reply toJohnjoe123

Not sure, but well up in the range - probably half way or more. 67 is low when top of range is 307

MaisieGray profile image
MaisieGray

Your thyroid hormone levels are low - FT4 is 35.71% in range, and your FT3 34.17% in range. When taking exogenous T3 in either form you can expect your FT4 level to be lower or even low in range as a common response; and whether it suits you is an individual thing. However with such a low FT3 it's perhaps unsurprising that you are symptomatic. You could therefore increase your Levo in the hopes of effecting an increase in both FT4 and FT3; or increase your T3 directly. If it were me, I would try the Levo first as I'd want both to be higher, but it's a personal thing.

Johnjoe123 profile image
Johnjoe123 in reply toMaisieGray

Thank you I am dealing with an endo who doses by tsh and I do seem to have what can seem like hyper symptoms on and off!! What increase would you advise in Levi 25???

MaisieGray profile image
MaisieGray in reply toJohnjoe123

Yes, even though I am tolerant of dose changes myself, I would still go with the recommended 25 mcg increase, because you need to see what effect it has even if you aren't particularly sensitive. But if you are, it makes particular sense to be restrained about making changes, even though at those levels you are unlikely yet, to be in danger of overshooting.

Johnjoe123 profile image
Johnjoe123 in reply toMaisieGray

So increase of 25 for 6 weeks ?

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