Upper back muscle pain

[Digger031145]

Hi

I have ongoing muscle pain in my upper back, and between my shoulder blades.

It is not caused by doing anything strenuous.

Is this a hyPO symptom?

I am on t4/t3 combo

[Digger031145]

Hi

Here are the results of my blood test done in April at 9am

Tsh <0.03(0.35-4.94)

Ft4 13.6(9.0-19.0)

Ft3 3.6(2.6-5.75)

I am taking 100mcgs t4

Plus 15mcgs T3

I take this dose at 8am on empty stomach

The blood test was 25hrs later

Many thanks for your reply

[Digger031145]

What about the gap of 25 hrs from taking meds until blood test?

I also worry about getting Rt3!!!

Could this be the cause of my muscle pain?

The only other symptom I have is thinned hair and loss of body hair.

I’m 66 years old

[Digger031145]

I tried NDT about 5 years ago.

What do you think of these results with there being a 25 hr gap?

Appreciate your help

[SeasideSusie Remembering in reply to Digger031145]

Digger031145

Because you are on a combination of Levo and T3, your TSH will be low due to the T3.

The 25 hour gap is fine for the FT4 and that is 46% through it's range, which may or may not be where you need it, those of us on combination meds differ in where we need our FT4.

The 25 hour gap is far too much when taking T3. There should only be 8-12 hours between last dose of T3 and blood draw. So your FT3 result is giving a false low. To get an accurate picture you really need to repeat the test with the correct time gaps.

I wouldn't worry about rT3, there are many, many reasons for raised rT3 which are not thyroid connected.

Have you had the following tested

Vit D

B12

Folate

Ferritin

If so, post results and ranges for comment, if not it would be a good idea to do so.

[Digger031145 in reply to SeasideSusie]

Hi SeasideSusie

My ferritin was 102

Folate was 6 and was prescribed 5mg took it for a long time and stopped it about 6/7 months ago

Haven’t had Vit D tested for about 3 years

B12 was really high while taking the folate ( over 2,000)

Thanks again for your help

[SeasideSusie Remembering in reply to Digger031145]

You need current results.

It was suggested in this thread that you test Vit D

healthunlocked.com/thyroidu...

You said you were going to ask your GP to do all the tests.

[Digger031145 in reply to SeasideSusie]

Yes I am going to ask Gp for these tests but I haven’t been able to get an appointment to see him as the surgery has taken on about 1500 new patients.

I’ve been trying for 3 weeks and now he’s on two weeks holiday.

[SeasideSusie Remembering in reply to Digger031145]

In your position then, as you need to repeat the thyroid test with the correct timings and you need current vitamins, I'd do Medichecks Thyroid Check UltraVit and order it while it's on offer this bank holiday weekend

medichecks.com/thyroid-func...

Special price ends at midnight on Bank Holiday Monday.

[Digger031145 in reply to SeasideSusie]

Thank you SeasideSusie

So how should I dose my 15mcgs t3 for the test?

I know I can take the t4 and leave 24hrs.

Thank you for linking the Medichecks offer.

I was going to wait until Thursday for their discount Thursday but this offer sound great

[SeasideSusie Remembering in reply to Digger031145]

There is no guarantee that the Ultravit will be included in Thyroid Thursdays offer next week. Even if it was, it's never been priced any lower than the current offer.

If you re-read your previous thread, you will see that timing of T3 dose was mentioned there

healthunlocked.com/thyroidu...

[Digger031145 in reply to SeasideSusie]

I’m glad you gave me that link for Medichecks.

Like I said I was going to wait until Thursday but I’m going to do it with this offer,

I’ve also passed it on to my friend so thank you

[Digger031145]

I take Activis Levo and Mercury Pharma t3

I am not on antidepressants ( I don’t have depression)

The medications I take are

Levothyroxine 100mcgs

Liothyronine 15mcgs

Hydroxycarbamide ( a chemo drug)

Nortriptyline 20mcgs ( for burning skin)

I didn’t know we had to keep to one threaf

[Digger031145]

How do you mean “odd symptoms “

[Digger031145]

The burning skin might be from my blood condition but it’s never been confirmed

[Digger031145]

I’ve not been on Lyrica for about 5 years.

That was given to me as a trial for the burning skin.

I have to be in the chemo drug and I don’t have any side effects from it and my thyroid levels have remained the same since taking it.

Same as Nortriptyline hasn’t changed the thyroid levels.

I’m on a very very low dose

[SeasideSusie Remembering in reply to Digger031145]

"I’ve not been on Lyrica for about 5 years."

It might be an idea to update your profile. Members often check profiles to try and get information that might help them give a more helpful reply.

[Digger031145 in reply to SeasideSusie]

I’ll do that now

[Digger031145 in reply to SeasideSusie]

I’ve updated my profile

[Digger031145]

What other forum would you suggest

[Digger031145]

Thank you so much for your kind reply to me

[Digger031145]

Thank you.

I did look into Nortriptyline and thyroid before I started it.

It doesn’t appear to have affected my levels

Rose

[Digger031145]

Thank you 😊

[Digger031145]

What does OP mean please?

[helvella Administrator in reply to Digger031145]

You. Original poster.

[Digger031145]

And where do you find a professor of general medicine?

[Digger031145]

I’m in the uk