I need your help!

[carnation]

Test results:

TSH 0.05 (0.55 - 4.78), T3 5.5 (3.5 - 6.5), T4 22.2 (9 - 22.7), T4 22.2 (9 - 22.7)

Taken 8.30am, no food no meds. Current dose 150mcg per day.

Text message from GP - Your recent test result suggests you are overrated with thyroxine. Please book a telephone call to discuss your current dose and the reduction that would be advised.

So, I know I am not overmedicated, you know I am not overmedicated, as T3 is not over range. They cannot see past TSH. I am not good at verbal combat, so what I need is advice what to say to back up my case.

TSH has been 0.05 since 2013.

I’m sure I have read something about reducing the dose not giving an increase in TSH after it has been suppressed for so long, is that correct?

Any other suggestions gratefully accepted.

I should also add that last year someone at the surgery - no one would tell me who - reduced my dose to 125mcg without telling me. It resulted in an argument at reception and someone - again unknown- changed the dose back again. I had some sympathy for the receptionist who was put in that situation. It will probably happen again.

Thanks.

[carnation]

Thank you. I’m sure I have read about a GP reducing dose dramatically and the patient ending up in hospital close to coma, but you can never find these things when you need them.

[Angel_of_the_North]

If you feel OK, those results are fine. Both FT3 and FT4 in range, which is what matters. I would resist a dose reduction in levo unless blanced by the introduction of T3. If GP mentions osteoporosis ask for DEXA scan or heart disease ask for referral to cardiology for monitor and echo. Show GP the Dr Toft article on why low TSH on levo doesn't matter if FT3 is in range

[Hidden in reply to Angel_of_the_North]

Do you have link to that article?

[Angel_of_the_North in reply to Hidden]

You can get it from TUK