Any input re results from blood tests would be appreciated by me.

[islandlass]

Note: intended to post on TUK forum - Any input re results from blood tests appreciated

islandlass

islandlass•

25 minutes ago•1 Reply

Ferritin : 65.1: 13-150

magnesium : 0.90: 0.66 - 0.99

TSH : 0.01: 0.27 - 4.20

T4 Total : 83.1: 66 - 181

free T4 : 16.40: 12.0 - 22.0

free T3 : 4.61: 3.1 - 6.8

reverse T3 : 18.0: 10 - 24

reverse T3 ratio : 16.67

ATP abs : 105.0: <34

ATG abs : <10: <115

vit. d (25 OH) : 179

vit b12 : 1476 Normal for me

serum folate : 28.50: 8.83 - 60.8

Thank you for any help - thought Hashi was on the move with symptoms at present time.

[SlowDragon Administrator]

Total T4 is low

FT4 is only 44% through range

FT3 very similar

chorobytarczycy.eu/kalkulator

So you are probably good converter, just not on high enough dose

Or are you taking T3 and T4?

Obviously GP only looking at low TSH will be extremely reluctant to increase dose

Vitamin D is quite high, look at reducing to maintenance dose

[islandlass in reply to SlowDragon]

levo: 75 - T3; 12.5. Should I up T3 by a quarter?

[SlowDragon Administrator in reply to islandlass]

Personally I would try increase in Levothyroxine first, if that's possible

If not, try adding a third dose of T3 - 1/4 tablet 3 times per day at 8 hour intervals

[SeasideSusie Remembering]

levo: 75 - T3; 12.5.

TSH : 0.01: 0.27 - 4.20

free T4 : 16.40: 12.0 - 22.0

free T3 : 4.61: 3.1 - 6.8

Your levels are virtually identical to those a year ago on the same doses, so they are keeping you stable.

I agree with SlowDragon. Although adding T3 tends to lower/suppress TSH and it also can lower FT4, some of us need FT4 higher in range when taking Levo plus T3, some do well enough with a low FT4. I couldn't cope with my FT4 that low (I'm on combination like you) so my first thought is to increase Levo which will increase FT4 and should also increase FT3. Give it 6-8 weeks then see how you feel and retest. It's just a case of fine tuning I would say.

Ferritin : 65.1: 13-150

I would try and get ferritin over 70 which is apparently the level needed for thyroid hormone to work. Easiest way is to have some liver every couple of weeks, or liver pate, black pudding, etc. You can hide liver (cut small) in casseroles, shepherds pie, curry, bolognese, etc.

vit. d (25 OH) : 179

Recommended level is 100-150nmol/L and although you're nowhere near reaching toxicity level if you want to lower it just drop off one or two days a week.

Everything else seems OK.

I wouldn't bother paying the extra cost of reverse T3 test in the future, it's just not worth it. Even if it comes back high, it doesn't tell us why it's high and there are many reasons besides thyroid for high rT3.

[islandlass in reply to SeasideSusie]

Thank you - I think I will up levo to 100 instead of 75 and see how I go, the test was 1/2 price so I jumped at it , I do like a bargain.