Help with results please: Latest results on 10... - Thyroid UK

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Help with results please

Clara9 profile image
18 Replies

Latest results on 100 Levo and 30 liothyronine.

Tsh <0.01

Ft3 6.9 (3.6-6.3)

Ft4 16 (12-22)

Dr lowered Levo to 75 and took away the liothyronine. I have need to keep me going until my phone appt in July. What do you suggest I should do? I can see that I'm over medicated but how much shall I lower liothyronine? Or shall I do as doctor suggest?

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Clara9 profile image
Clara9
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18 Replies
Marz profile image
Marz

healthunlocked.com/thyroidu...

Maybe your last post of three weeks ago has some answers - it's about how you feel :-)

Clara9 profile image
Clara9 in reply to Marz

Hi,

Yes, it is and I'm feeling irritated most of the time but otherwise ok. Don't know how much I shall decrease though...

Marz profile image
Marz in reply to Clara9

When did you last take your T3 dose before testing ?

Clara9 profile image
Clara9 in reply to Marz

13h 10mcg

Marz profile image
Marz in reply to Clara9

Reduce T3 by 5 mcg and see how you feel ...

Clara9 profile image
Clara9 in reply to Marz

Du you think that will be enough or shall I reduce 10? You don't think I shall so as doctor wants?

Marz profile image
Marz in reply to Clara9

Reductions - like increases - should be done slowly ... Others will be along soon to comment. If you lower your levo it may well lower your FT3 - but no guarantee. Who prescribed your T3 - you mention Dr - is that your GP or an Endocrinologist ?

Clara9 profile image
Clara9 in reply to Marz

Another doctor. No not an endo. She wants me to reduce to 75 and stop t3

Marz profile image
Marz in reply to Clara9

... and what are her reasons ?

Clara9 profile image
Clara9 in reply to Marz

That my tsh is low.

MaisieGray profile image
MaisieGray in reply to Clara9

Well irrespective of whether or not you need to reduce either T4 or T3 or both, you don't change both at the same time - how will you know which is having what effect, or not at all, or to what degree? I said this to my GP recently when my Endo agreed I could increase both if/as I wanted to, and it was as if I'd said something in Vesuvian and he was talking Martian. However your results don't indicate a need to reduce both - your FT4 doesn't even make it to midway in range! And you shouldn't stop 30 mcg cold turkey. If those results were mine, depending how severe is the problem of feeling irritated and how certain you believe it to be connected to your only marginally elevated T3, I'd do as Marz suggests and make a small reduction in your T3 and leave the T4 as it is - and if that worked out well, and depending if you'd do better with a T4 in the upper half of the range (some need it, some don't) might increase the Levo at a later date depending on where the FT3 had settled. But as we always say, you won't know until you try it.

shaws profile image
shawsAdministrator in reply to Clara9

All the blood tests were introduced along with levothyroxine.

Before that we were given NDT with no blood tests but all the emphasis was on the relief of clinical symptoms (no worry about TSH or any other numbers) and dose was gradually increased until we felt well.

Now we are at the mercy of the TSH, if too low (despite being diagnose as hypo) the assumption is we're now HYPER but that's not the case.

By adjusting our dose up/down/up/down according to the TSH we don't feel well as we don't reach an optimum dose.

thyroiduk.org.uk/tuk/thyroi...

hormonerestoration.com/

Give your GP a copy of both the above links.

greygoose profile image
greygoose

Oh, dear. Another TSH-obsessed doctor. She is very wrong. Your TSH is low because you are taking 30 mcg T3. And that is for a very good reason: you don't need it. TSH - Thyroid Stimulating Thyroid - it just does what is says on the packet - although it does have a role to play in conversion. But, as you're taking 30 mcg T3, you do not need to convert, nor to stimulate your thyroid. TSH has no connect to bones and hearts, so lowering someone's dose - and drastically, at that! - almost amounts to a criminal act, because you are going to make that person very, very ill.

There was no medical reason for taking away your T3 - although it could have been lowered by 5 mcg if you felt over-medicated. And there was no medical reason for reducing your levo, your FT4 was below mid-range, anyway. Your doctor doesn't have the slightest idea what she's doing. This was just a knee-jerk reaction because she got scared by the low TSH, and doesn't know how it works or what it does - like most doctors, I suppose. But, she has gone too far. I would object very, very strongly, if I were you. Those that do not object, consent.

Clara9 profile image
Clara9 in reply to greygoose

Yes, that is my opinion too. But when you get doctors like this and you still don't feel well sometimes it feels like what the.. might just try what age says. Do you think reducing by 5mcg T3 will be enough of all I reduce 10?

greygoose profile image
greygoose in reply to Clara9

You should only reduce T3 by 5 mcg at a time. Then wait and see what happens… But, enough for what? Enough to raise your TSH? Or enough to feel well?

Clara9 profile image
Clara9 in reply to greygoose

Enough to feel well.

greygoose profile image
greygoose in reply to Clara9

OK, well, no-one can tell you that in advance. But, reducing by too much at once would be a big mistake. We have to reduce the same way we increased - slowly. :)

SlowDragon profile image
SlowDragonAdministrator

You should only change one thing at a time

Personally I would reduce T3 by 5mcg

Your FT4 is already only 40% through range. Your Levothyroxine dose doesn't want reducing

Taking any dose of T3 will almost always suppress TSH

As you seem to be under care of endocrinologist then GP should not interfere

Looking through previous posts couldn't see any vitamin D test results or any TPO or TG thyroid antibodies test results

Or recent folate, ferritin or B12 results

Helps if you put resume on profile

See you say you previously had anorexia, this can upset HPA axis

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