please can you look at my results?

[ianskelly]

Hi I had an blood test on Friday and for the past 3-4 weeks I have been feeling terrible, I have been incredibly fatigued with terrible brain fog and felt generally awful! according to my wife's fit bit I my heart rate is around 49 and my internal tempreture has been 35.2. I was anticipating that I need to increase from my dosage of t4 (currently 125mcg per day) but when I received my figures today my doctor has told me I am overmedicated and should look at cutting my dosage. I usually take t3 (tiromel 25mcg upon waking 6am and 12.5 mcg an hour before dinner.) this has changed around 6weeks ago from the same dosage of cytomelbut for just over a week before the test I couldnt get any t3 and have only started up again on sunday. Part of the reason I thought i needed more t4 is on saturday /sunday /today I took an extra 12.5mcg and feel much more "with it" and strangly I dont feel as stiff in my joint as usaul. my results are ;

serum tsh 0.04 mu/l 0.35-5.00m/ul

serum free t4 18.7 pmo/l 11-23pmol

hba1 c 31mmol normal 20-41

serum ferritin 641 ug normal 20-500 (this has been high for around 2yrs)

serum folate 16.9 ug (normal 3.9-19.8)

serum b12 724 (normal 200-900)

serum total 25 oh vit d 95 normal 50-150 (god bless vitamin d spray!)

any thoughts would be appreciated

[Lalatoot]

Your gp is likely only to be looking at your tsh result. Your ft4 result doesn't indicate over medication but too be sure you really need Ft3 also. Not worth doing more bloods until you have been 8 weeks on your re-established dose.

When you take t3, Ft3 needs to be checked with your other bloods.

[ianskelly in reply to Lalatoot]

hi i did ask for r3 to be tested but surprise surprise they didnt give me any t3 results

[SlowDragon Administrator]

Are you saying you didn’t take any T3 at all for a week?

Hardly surprising you felt terrible

That’s a huge and sudden drop

Likely to take 2-3 months to recover

[ianskelly in reply to SlowDragon]

yes, unfortunetly I couldnt get any for a week, to be fair I felt terrible for 2 weeks prior aswell but last week was a struggle!

[SlowDragon Administrator in reply to ianskelly]

Presumably you can’t get any endocrinologist to prescribe?

Have you had the list of recommended thyroid specialist endocrinologists who will prescribe T3 from Dionne at Thyroid UK ?

[ianskelly in reply to SlowDragon]

I haven't been able to get a anyone prepared to prescibe as my area (chorley in lancashire) do not prescibe t3, i had a brief, hard to follow appointment about 8 weeks ago via telephone with an endo who agreeded i had slight conversion issues but he said it is unlikly to be approved by the medical board. sorry but i dont know anything about an endo list?

[SlowDragon Administrator in reply to ianskelly]

Email Dionne at Thyroid UK for the NHS and private endocrinologist lists

[e-mail]

[ianskelly in reply to SlowDragon]

thankyou slowdragon, looking at my results do you think i am overmedicated ?

[SlowDragon Administrator in reply to ianskelly]

As there’s no ft3 result and as dose not been constant test is largely useless

Suggest you get FULL thyroid testing after 8 weeks back on constant dose

[ianskelly in reply to SlowDragon]

ok will do, forgive my ignoranvce but does taking t3 lover the tsh results?

[SlowDragon Administrator in reply to ianskelly]

Yes on almost any dose of T3 TSH is almost always suppressed, even if still under medicated

That’s why it’s so important to always test Ft3 and Ft4

Also why medics don’t like T3...they can’t use TSH and don’t understand how to read results

A suppressed TSH takes weeks or months to rise in response to any dose reduction

If been suppressed a long time TSH may never rise.

[SlowDragon Administrator in reply to ianskelly]

Link

thyroidpatients.ca/campaign...