Advice on recent blood lab results

[Meadowsmom]

I had a hemithyroidectomy in October 2017 due to thyroid cancer. I have been religiously followed by doctors for follow up and so far no cancer recurrence. For the first year after surgery medication was not required and I was well. After a year I started to feel unwell and tried Synthroid briefly (hair loss scared me) and then switched to Thyrogold. I took Thyrogold 5 months but stopped because I started to feel awful on it (excruciating aching joints and could barely lift left arm, hair issues, weight gain, eyelash hair loss, etc). I think the t3/T4 combination was not right for me. I decided to try Synthroid again. I have ccurrently been taking Synthroid for the past 8 months, 4.5 months on 50mcg and now for the past 3.5 months, 75mcg Synthroid. I am currently feeling pretty good and most issues have resolved, with the exception of sometimes feeling a little tired in late afternoon and hair still thin but appears to be falling out less now. I feel so much better on T4 only. Here are my recent blood lab results:

TSH. 1.140. (0.450-4.500)

Free T4 1.33 (0.82-1.77)

Free T3. 2.6. (2.0-4.4)

RT3, 14.8 (9.2-24.1)

Thyroglobulin antibody <1.0 (0.0-0.9)

Thyroglobulin 2.5 (1.5- 38.5)

Vit D —-Calcitriol 49.2 (19.9-79.3); 25-hydroxy 59.3 (30.0-100.0)

Ferritin 61 (15-150)

Folate (folic acid) 14.9 (>3.0)

Vit B12 1667 (232-1245)

Zinc, whole blood 735 (440-860)

Vit B6 23.4. (2.0-32.8)

Selenium 288 (100-340)

Iron. 90 (27-159); saturation 28% (15-55%); tibc 320 (250-450); Uibc 230 (131-425)

I am scheduled to see my doctor in 2.5 weeks for new blood labs. Your thoughts/comments are appreciated. Thank you.

[Lora7again]

Your T3 seems low and I just read you have half a thyroid so I think you might need more T3 or you could try NDT which contains both T4 and T3 and suits a lot of people who don't have a thyroid at all. Some other members will be along when they get up and give you some more advice about this.

[Meadowsmom in reply to Lora7again]

My T3 was not very high when I took Thyrogold. It ranged from 2.3-3.1, but mostly in the 2. Something range (bloodwork taken every 6 weeks). Before thyroid issues and hemithyroidectomy, my free t3 when tested once was 2.7 and I felt fine. I hope that I can get it up higher.

[Lora7again in reply to Meadowsmom]

Oh right ... perhaps some of your vitamins could be higher for example my vitamin D is 100 and that is right for me and I think your Ferritin could be higher as well because you need it to be over 80 for hair growth.

[Meadowsmom in reply to Lora7again]

Before thyroid issues my ferritin was around 115, and I had a thick head of hair. Have to try to get it higher.

[Lora7again in reply to Meadowsmom]

Try eating liver or pate that will help

[Meadowsmom in reply to Lora7again]

Anyone else have any thoughts on my blood lab results? Thank you