Blood results since TT in September 2018... what do you think?

[crenhov]

In September of 2018 I had my multi-nodular goiter removed. In surgery it was discovered to be completely inflamed - nothing showed in my blood work nor sonograms to indicate this. Since the operation I take 0.1 mg Eltroxin every morning. I used to set my alarm and take it in the middle of the night but now I take it whenever I wake early in the morning. Occasionally I am not sure if I have taken it. Once my surgeon added to my dosage because I had such a lack of energy but then my TSH dropped way too low, so I went back the dosage above.

Below are my TSH, free T3 and free T4 levels since the operation. I have noticed that along with my TSH being suppressed still, my fT3 is now the lowest it has been and my fT4 is now the highest it has been.

I meet with my surgeon on Thursday. He told me at my last meeting that as I was feeling good and more energetic he would let my TSH stay surpressed for awhile but not if it dropped any lower. No cancer was found in my thyroid - I am almost 55 and was diagnosed with Osteoporosis at 50 when I tripped and broke my wrist. The surgeon feels that my thyroid played a part in my development of Osteoporosis.

What do you think about my blood values listed below? Why do you think my fT3 is dropping and my fT4 is rising? Is this a good or a bad thing? What questions do you recommend I ask my surgeon when I see him? If he insists on lowering my dose, what do you think about that? I am afraid of losing my energy levels.

Thanks in advance... Carmen in Zurich

TSH fT3 fT4

mlU/l 0.25 - 5.00 pmol/l 2.63 - 5.70 pmol/l 9.01 - 19.1

1.22 3.31 15.7

0.04 3.59 15.3

0.34 3.85 15.9

0.04 4.13 16.0

0.23 3.87 14.7

0.20 4.26 13.5

[SeasideSusie Remembering]

crenhov

Could you please repost your results, it's difficult to know which result is for which test the way you've done it.

It would help if you laid them out like this:

Date:

TSH: 2.5 (0.2-4.2)

FT3: 15 (12-22)

FT3: 5 (3.1-6.8)

Then repeat for each date if appropriate.

now I take it whenever I wake early in the morning. Occasionally I am not sure if I have taken it.

I always put my tablet in a small jar with a glass of water on the bedside table and take it in the early hours of the morning. Easy enough to know if you've taken it then, the jar will be empty.

[SlowDragon Administrator]

A weekly pill dispenser is best way to know you have taken pill each day

It's ESSENTIAL to take Levothyroxine regularly everyday

TSH is completely unreliable when on Levothyroxine

If FT3 is dropping you are under medicated and either need dose of Levothyroxine increased or addition of small dose of T3

pdfs.semanticscholar.org/b2...

Important to test vitamin D, folate, ferritin and B12 regularly

Osteoporosis can be due to low FT3

20% Patients with no thyroid can not regain full health on just Levothyroxine

ncbi.nlm.nih.gov/pmc/articl...

Until you are reliably taking your Levothyroxine everyday there's little point in making changes

First step would be to get FULL Thyroid and vitamin testing 6-8 weeks after taking exactly same dose Levothyroxine everyday

Many people find different brands of Levothyroxine are not interchangeable either