Conversion rate

[Bunty0604]

GP visit tomorrow to discuss my latest bloods done a few weeks ago was wondering wether to ask for a slight increase of Levo or maybe I need to try some T3 as I seem not to be converting Levo very well ideas welcome thanks Clare x

[Lalatoot]

Sorry I don't understand why you think you are not converting well. On the results you put up it shows Ft3 at 89% through the range. That is a good result. Are you sure that you have entered the figures correctly?

[SeasideSusie Remembering]

Bunty

You have put the wrong range in for FT3. You did a Medichecks test and the range for FT3 is 3.1-6.8 so you are actually 26.48% through the range.

Your GP cannot initiate T3 it has to be prescribed by an endocrinologist initially.

I would think an increase in Levo first and also check current nutrient levels as they need to be optimal for thyroid hormone to work properly and good conversion to take place.

Vit D

B12

Folate

Ferritin

[Bunty0604 in reply to SeasideSusie]

Thanks I wasn’t sure what I was doing with the converter! Been up since 4.30am for work shattered lol

[Bunty0604 in reply to Bunty0604]

Also any ideas how much more I should ask for ?

[SeasideSusie Remembering in reply to Bunty0604]

You could ask for 25mcg but I don't think you'll get it as your TSH is 0.862. If you are refused, ask for 12.5mcg but I think you'll have to list your ongoing symptoms to back up your request. Also refer to the article by Dr Anthony Toft, past president of the British Thyroid Association and leading endocrinologist who said in Pulse magazine (the magazine for doctors) :

"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l. In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l. Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l. This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l).*"

*He recently confirmed, during a public meeting, that this applies to Free T3 as well as Total T3.

You can obtain a copy of the article by emailing Dionne at

[e-mail]

print it and highlight question 6 to show your doctor.

[Bunty0604 in reply to SeasideSusie]

Thank you so much for all the work you all do on here to help us get to as near normal as we can x

[Bunty0604 in reply to SeasideSusie]

Thanks susie I got a 25mg increase yesterday but only wants me to do it 3 days a week and retest in six weeks plus he ordered the vitamin tests for me so I’ll get those done a week before I retest with medichecks ! So it’s all up to date ! He just asked me why and I said I’m trying to get my T3 down ! Overall it was a good appointment apart from the fact the NHS will no longer pay for vitaminD apparently so I have to find that now ! God know how people on very low incomes (universal credit ) will be able to very short sighted again !

[SeasideSusie Remembering in reply to Bunty0604]

Bunty0604

So your increase averages just over 10mcg daily, it will be interesting to see what difference it makes.

He just asked me why and I said I’m trying to get my T3 down !

I don't understand. Why do you want to get your FT3 down? I explained above that you have put the wrong reference range into the calculator for FT3 and you are actually only 26.48% through range with your result of 4.08 with Medichecks range of 3.1-6.8.

[SeasideSusie Remembering in reply to Bunty0604]

Forgot to add

apart from the fact the NHS will no longer pay for vitaminD apparently so I have to find that now !

I didn't know they're no longer paying for Vit D tests.

Cheapest one, if not doing as part of a thyroid/vitamin bundle is

with an NHS lab which offers this test to the general public (costs £29):

vitamindtest.org.uk/

However, if you're doing a thyroid test with Medichecks, then their Thyroid Check ULTRAVIT includes all the Vitamins - Vit D included

medichecks.com/thyroid-func... It's occasionally on offer at £79 but you can use code THYROIDUK for a 10% discount on any test not on special offer.

[Angel_of_the_North]

That calculator result shows that you are converting fantastically well. Your free t3 is nearly top of range

[SeasideSusie Remembering in reply to Angel_of_the_North]

AOTN

The OP did a Medichecks test (results screenshot in previous post) and she has put the wrong range into the calculator. Her FT4 is actually only 26.48% through the range.

[Sus64]

Where do you find this converter calculator? In English?

[NWA6 in reply to Sus64]

I think it’s Polish? But here it is for your records.

chorobytarczycy.eu/kalkulator

[Sus64 in reply to NWA6]

thank you!