Do I need to change dosage again?

[ceedee81]

My latest results are as follows:

Free T4 - 21.6 (12-22)

Free T3 - 7.44 (3.1-6.8)

TSH - 0.005 (0.27-4.2)

My results taken 6 months ago were:

Free T4 - 19.4 (same ranges)

Free T3 - 6.33

TSH - 0.005

After getting the results from 6 months ago, I reduced my T4 dosage to 125mg from 150mg. So I'm confused as to why both T3 and T4 have increased.

Do I need to reduce both or just one?

Currently on 125mg T4 and 25mg T3 (known to be a weaker brand but the same brand I've always used).

[SeasideSusie Remembering]

ceedee81

As you have Hashi's, your levels are going to fluctuate.

You could reduce either. Don't reduce both at the same time though.

If those were my results I think I'd be inclined to reduce T3 by 6.25mcg for now to get FT3 back into range. Retest in 6 weeks and reassess.

[ceedee81 in reply to SeasideSusie]

Yeah I might try that. Do you know if having either too high would make me more tired than usual?

[SeasideSusie Remembering in reply to ceedee81]

I think anything is possible to be honest, it took me many, many months of tweaking doses to find what suited me best.

[ceedee81 in reply to SeasideSusie]

I was feeling amazing the last 5 months. Just recently all I want to do is sleep.

[SeasideSusie Remembering in reply to ceedee81]

But you have Hashi's and the nature of Hashi's is that you get fluctuations with symptoms. I don't have Hashi's and can't imagine what it's ike trying to cope with the ups and downs of it.

[NWA6 in reply to SeasideSusie]

I agree with SeasideSusie I’d reduce T3 by a quarter, it’ll be the easiest way to get relief faster if the tiredness is due to over range results.

[Aurealis]

Well, at the risk of disagreeing with SeasideSusie, how do you feel? Do you have any symptoms? Do you feel well?

Have you had any infections recently, a cold or anything?

I agree don’t change both doses at the same time. Just not sure I’d change either, unless I didn’t feel right.

Remember,there’s always a margin of error, the last result may have been 0.5 low and the latest 0.5 high.

You could just leave a T3 dose off one day and see what happens. Then resume same dose. Or follow SS advice if you want to reduce.

[ceedee81 in reply to Aurealis]

I've been feeling really tired lately which is why I got tested. I just want to do whatever I can to feeling ok again. A month ago I had lots of energy, despite the illness. I just can't figure out what's changed to make me so tired. All vitamin levels came back optimal.

[Aurealis in reply to ceedee81]

Sometimes it’s only possible to find out by trial and error. Increase a bit, see how you feel, if not better in a couple of days, try lower.