My endo strongly insisted that I should not take T3 or even increase T4. We almost had an argument and at the end he was really angry. So we reached a compromise I increased my T4 from 75mcg to 100mcg and these are the results.
TSH 0.02 ( 0.30-4.20)
FT4 26.5 ( 12.00-22.00)
FT3 4.4 (3.10-6.80)
previously on 75mcg of T4 the results were: ( same range)
All in all I seem to be better with 100mcg ( skin less dry and a bit more energy).
I wish I could find a way to increase the conversion FT4 to FT3 . I have the DIO1 - Thyroid Hormone Activation poliformism AA result:
The 'A' result is not associated with increased DIO1 gene
function and is therefore not associated with high conversion
of FT4 to T3, or of reduced circulating rT3 levels. Ensure
adequate iodine and selenium intake to support this pathway
optimally. Likely to have low DIO1 activity and therefore decreased
clearance of rT3 from circulation, and low conversion of T4 to
T3. Ensure adequate intake of iodine and selenium to support
DIO2 - Thyroid Hormone Activation
The 'C' result has been associated with anxiety and
depression in many taking thyroxine (T4) hormone
replacement therapy for hypothyroidism. This can be
overcome with combined T4/T3 therapy. Also linked to
possible increased risk of oestoarthritis. Ensure adequate
nutrition for bone health, such as calcium, and vitamin D
(which may also help with low mood).
The 'C' result is associated with normal (not increased) DIO2
activity and is not associated with any particular impact on
thyroid hormone ratio. Adequate levels of iodine and
selenium are required for optimal functioning of this gene.
When I take T3, Ft3 goes high out of the range...
I don't know if anyone has any suggestion...thank you. At the moment I feel like I have no more clues...