New test results

[Coachgeorge]

8/24/19

Folate. 15.2. >5.4 normal

TSH 4.84 (.4-4.5)

Ft4 1.19 (.8-1.8)

8/28/19

Ft3 2.9 (2.3-4.2) was 3.2 when I was taking 7.5 mcg of t3. For this test I had taken 10mcg for 3 days

Vitamin B12. 578 (200-1100) was 755 nov 2018

Vitamin D 53 (20-100) was 34 in July. Am taking a supplement

Ferritin was tested but the lab sent a note saying it would take longer to process. I don’t remember that happening the last time I had ferritin done which was in July. Result was 81 (18-204)

I’m currently on my third day of 75 mcg levo and 5mcg t3. When I moved from 7.5 to 10, my symptoms were worse. My doctor lowered t3 and increased levo from 50 to 75.

Thoughts? As always thank you

[SlowDragon Administrator]

Testing should be 6-8 weeks after any dose change so it doesn't tell you much testing so soon

When you took 10mcg T3 was this as split dose? 2 x 5mcg.

[Coachgeorge in reply to SlowDragon]

Yes, it was a split dose. I had started to be able to get out of bed occasionally until I took the 10mcg. The weakness and shaking were horrid so she lowered the t3 and raised the T4. I will stay on the 75/5 for the six weeks. Not sure what to do if that doesn’t work. I’m not tolerating the t3 well.

The first testing was done after being on 50 of levo and 7.5 of t3 for 4-5 weeks. I’d asked for t3 testing to be done at the same time but it didn’t happen. She raised me to 10 of the t3 and I had to go see her. I was in pretty bad shape. That’s when she agreed to test the t3 and lowered the dose.

Obviously, too many changes and I’m chasing my tail. Just worried if I can’t convert how I’m going to tolerate more t3. Is it possible the increase in T4 will help or do I absolutely need the t3?

[SlowDragon Administrator in reply to Coachgeorge]

Sounds like Adrenals can't cope with increase

Have you had saliva cortisol and DHEA tested?

Daily vitamin C supports adrenals

[Coachgeorge in reply to SlowDragon]

I have not had any adrenal testing. What is that? I see it talked about but don’t really understand. I can try the vitamin c

[SlowDragon Administrator in reply to Coachgeorge]

When we are hypothyroid, the adrenal glands have to over compensate for lack of thyroid hormones

It's common to get adrenal exhaustion or insufficiency. Not same as Addison's disease where adrenals can't work. But over used and worn out adrenals

bmj.com/content/313/7054/427.1

ncbi.nlm.nih.gov/pubmed/629...

So primary hypothyroidism can cause secondary adrenal insufficiency

Different from primary adrenal problems

Standard adrenal test is one blood test early morning

More comprehensive (but slightly more controversial) test is saliva testing at four points in the day.

Eg

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu....

Adrenal cocktail can help give adrenal support

stopthethyroidmadness.com/a...

hypothyroid patients can struggle to increase Levothyroxine due to adrenal insufficiency

[Coachgeorge in reply to SlowDragon]

I’ll read through these articles and post any questions. Thank you