Do I need increase/decrease in dose?: Hi, On... - Thyroid UK

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Do I need increase/decrease in dose?

Sarahlouise1980 profile image
4 Replies

Hi,

On 125mcg Levothyroxine and just got the results of my latest blood test back:

TSH 0.006 (0.38-5.0)

Free T4 13.4 (7.0-16.0)

Free T3 5.9 (3.8-6.0)

Have been told I need to make an appointment with the doctor to discuss borderline results. Have been experiencing some symptoms and not sure my free t3 is to high??

Any advice would be most welcome x

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Sarahlouise1980
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shaws profile image
shawsAdministrator

There's no background thyroid history in your Profile, only your name.

You appear to be a good converter of levothyroxine both your frees are good.

GP might want to adjust your dose due to your low TSH result.If you feel well I would refuse to reduce and you can tell doctor that TSH is 'not a thyroid hormone' but is from the pituitary gland.

Excerpt from the following link:-

"When it comes to diagnosing and treating hypothyroidism, conventional medicine is using the wrong test. Doctors are taught that all they need to do is look at the TSH (thyroid stimulating hormone) level. They believe that this one blood test tells them all they need to know about the person's thyroid hormone status--both for diagnosis and for treatment. Dr. Lindner calls this the "Immaculate TSH Doctrine". This is obviously false; it is contrary to the most basic principles of endocrine feedback control.

The TSH level is not a measure of thyroid hormone levels--only the free T4 and free T3 are.

TSH is a measure of how much the hypothalamic-pituitary system is attempting to stimulate the thyroid gland. A "normal" TSH tells us only that the person doesn't have failure of the thyroid gland. It does not tell us that they have sufficient levels of thyroid hormone. A normal TSH does not "rule out" hypothyroidism. Many, and possibly most people with various degrees of

hypothyroidism have normal TSH levels."

hormonerestoration.com/Thyr...

Sarahlouise1980 profile image
Sarahlouise1980 in reply to shaws

Thank you for your response shaws. Do you think maybe my free t3 has got too high? I think it’s always usually been around 5.0 before.

shaws profile image
shawsAdministrator in reply to Sarahlouise1980

I don't think it's too high, its at the top of the range. Also before blood tests were introduced we were given NDT and it was gradually increased until we were symptom-free. No blood tests required.

I take T3 only, so my T3 would be higher than 'normal' because blood tests were introduced along with levo alone (T4) so the conversion to T3 would be lower I suspect (not being medically qualified)

SlowDragon profile image
SlowDragonAdministrator

Important to retest folate and B12 ....note these were very low in previous posts

Are you supplementing a good quality daily vitamin B complex rather than folic acid?

chriskresser.com/folate-vs-...

B vitamins best taken in the morning after breakfast

Igennus Super B complex are nice small tablets. Often only need one tablet per day, not two. Certainly only start with one tablet per day after breakfast. Retesting levels in 6-8 weeks

Or Thorne Basic B or jarrow B-right are other options that contain folate, but both are large capsules

If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before any blood tests, as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

Also essential to test vitamin D - what level was this and when last tested?

High ferritin can be due to MTHFR .....another reason to try folate not folic acid

stopthethyroidmadness.com/h...

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