Cold nose: I'm on T3/T4 combo, happy with dosing... - Thyroid UK

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Cold nose

fuchsia-pink profile image
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I'm on T3/T4 combo, happy with dosing and fit. I take meds in the morning. I have had cold fingertips (often wrinkly and blue-ish) in the wintertime since childhood and spectacularly cold feet but over the last few years, since T3 and menopause, this has gone away ... but I now have a very cold nose in the late evenings/at night. I'm fine during the day, Does anyone else? Is this a thyroid thing?

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fuchsia-pink
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Caroline888 profile image
Caroline888

Hi fuchsia-pink

Your symptoms sound very much like Raynaud’s disease. My mother and my son both had/have this. My son has very blue hands in the winter if he doesn’t wear gloves and this blueness extends up his arms. Feet, hands, nose and lips can all be affected. I understand stress can also trigger it.

I don’t know if thyroid issues make this more likely, although my son does not have any thyroid problem so far. My daughter has a cold nose even in the house and with no other apparent issues, although I suspect mild Raynaud’s in her case too.

Hope you are keeping well otherwise.

Best wishes

Caroline

SlowDragon profile image
SlowDragonAdministrator

Cold nose (and cold bum!) are often symptoms of being under treated

healthline.com/health/cold-...

Cold bum, butt, derriere, gluteus maximus........

stopthethyroidmadness.com/s...

SlowDragon profile image
SlowDragonAdministrator

What were your blood test results on 20mcg T3 and 50mcg levothyroxine....before they messed with your dose?

50mcg levothyroxine is pretty small dose

fuchsia-pink profile image
fuchsia-pink in reply toSlowDragon

That's really interesting! My last results, 31 Dec, were pretty similar to those taken (unexpectedly in the early afternoon) in October - as follows:

TSH <0.03 [0.35 – 4.94] below range

T4 9.4 [9.0 – 19.0] low in range

T3 6.2 [2.6 – 5.7] above range

Since then, I have had the disastrous 2 weeks on levo-only I posted about before, then been on 10 mcg of T3 and 75 mcg of levo, with a blood test on this dose due at the end of this month. And have been boosting vit D and trying to eat liver :)

I do have a cold bum as well!

I appreciate it's not a huge dose of levo, but it's what my endo put me on when I first started on T3 meds (after a slightly weird first 6 weeks when he put me on 2 x 20 mcg of lio rather than introducing it more slowly). He doesn't know I'm now taking 75 mcg of levo and thinks it's still at 50, but that seemed too big a drop in total medication to me, so I thought I'd do it more slowly as I have extra levo "in stock" from the levo-only prescription. I thought I'd see what the end of March shows - but the cold nose and bum date from halving the lio ...

SlowDragon profile image
SlowDragonAdministrator in reply tofuchsia-pink

Well we are all different....but I have found I need good levels of Ft4 and Ft3

Yes any attempt at dose reduction would always have me sitting on a hot water bottle or warm wheat bag and scarf around nose trying to warm up!

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