There's plenty of room to increase your NDT. Most people on NDT have a low, even suppressed TSH, yours is high in range and your FT3 is only 36.67% through range. FT4 tends to lower with NDT so we take more notice of the FT3 result. If you want to be cautious because of your heart issue then increase by 1/4 of a grain at a time.
Or do i to go up with t3?because of rt3.
Rt3. 0.33. 0.22-0.54 nmol/l
What's wrong with your rT3?
I find it strange my ft3 did go lower on t3 any ideas?
And presumably your TSH went higher? You are not yet on enough NDT.
13 hours between medication.
8-12 hours is the correct time gap when taking NDT or T3, even if it means adjusting timing of dose the day before.
Some say that my rt3 is to high and it is better to go up with t3. That is why i did ask.
You are correct my previous tsh was 1.3. So that is why my ft3 did go a little lower you mean.
I still suplemement iron. I want a higher ferrritin and serum iron. Am i correct doing this? And it helps with heart issues. Wich i have. It good at the moment but i react to t3. And iron is helping me.
So i go higher with 1/5 every 2 week till what amount? 1.5 grain or 2 grains?
I already have a high heart rate so i cant feel it by heart symptoms.
Who is telling you that? Your rT3 is 0.33. 0.22-0.54 nmol/l which is 34.38% through range. How can that be too high? High is over range. Even if it was over range, there are many, many reasons for high rT3 and only one of those reasons is to do with thyroid, and that is when an excess of T4 is converting to rT3 rather than free T3. You don't have an excess of T4.
You are correct my previous tsh was 1.3. So that is why my ft3 did go a little lower you mean.
If TSH goes higher, the thyroid hormones (FT4 and FT3) tend to go lower.
Are you using these results from your previous post:
Before tsh 1.6
Ft4 17. 12-22
Ft3. 4.8. 3.1_6.8
So your TSH went from 1.6 (not 1.3) to 3.3 . The reference ranges for the two tests for FT4 and FT3 are different. So your FT3 previously was 4.8. 3.1_6.8 = 45.95% through range and now it's 4.6. 3.5-6.5 = 36.67% through range. So, as expected, your TSH went up and your FT3 went down which is what happens when undermedicated.
I still suplemement iron. I want a higher ferrritin and serum iron. Am i correct doing this?
Sorry, iron is complicated and I don't comment on whether or not someone should self supplement with iron. I can tell you that optimal results for an iron panel according to web.archive.org/web/2018083... are
Serum iron: 55 to 70% of the range, higher end for men
Saturation: optimal is 35 to 45%, higher end for men
TIBC (total iron binding capacity) or Transferrin: Low in range indicates lack of capacity for additional iron, High in range indicates body's need for supplemental iron
UIBC: Low in range indicates that you may have too much iron in your blood which may be due to iron overload syndrome (hereditary haemochromatosis). High in range signifies iron deficiency.
Ferritin: Low level virtually always indicates need for iron supplementation; High level with low serum iron/low saturation indicates inflammation or infection; High level with high serum iron and low TIBC indicates excess iron; Over range with saturation above 45% suggests hemochromatosis
If supplementing with iron it's essential to monitor regularly.
So i go higher with 1/5 every 2 week till what amount? 1.5 grain or 2 grains?
The NDT protocol that I have read is:
Starting dose: 1/4 grain (15mgs) in the morning and quarter of a grain in the afternoon and stay on this for 7 days. If no adverse effects:
Week 2: increase your dose by another 1/2 grain (30mgs) a day. Take half a grain in the morning and half a grain in the afternoon (total 1 grain daily) and stay on this dose for at least 3 weeks. If no adverse effects:
Week 5-6: increase by another 1/2 grain and take 1 grain (60mgs) in the morning and 1/2 grain (30mg) in the afternoon (total 1 and 1/2 grains daily). Stay on this dose for 3 weeks and again, if no adverse effects:
Week 8-9: increase by another half grain and take one grain in the morning and one grain in the afternoon and stay on this for another 3 weeks (total 2 grains daily).
This may or may not be enough. If you are still symptomatic, increase by 1/4 grain (15mg) every 3 weeks. If you feel overmedicated then drop back to the previous dose.
As you have heart issues then may wish to be cautious and take it more slowly, monitoring your levels regularly.
I am not medically trained and I am not giving advice, I am passing on my own experience and what I have learned from various reading/researching.
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.
NDT
NDT or not?
Pooling on ndt
NDT with Hashimoto's?
