Could someone please kindly help with my results

[Ing0601]

My current results

FT4 31.0 pmol/L(11.0-22.0)

FT3 7.1 (3.1-6.8)

TSH<0.01 (0.27-4.2)

I am currently taking 200 levo and 20 lio per day, originally upped by my endocrinologist to 200 levo and 40 lio but I have reduced lio under the advice on here.

The bloods were done first thing in the morning at 8.20am last levo the morning before at 8.10am and lio at 9pm the night before the test

I feel better now on this but I am aware it’s so much over range would anyone kindly suggest what should i do please. I was thinking of maybe reducing the levo on alternating days and retest again in 6-8weeks ?

Thank you for anyone valuable input

[Lalatoot]

I think a gradual slow reduction of levo is the way to do it.

Your Ft3 is not that far over so you don't want to reduce your lio dose.

[Ing0601 in reply to Lalatoot]

Thank you for such a quick reply. I thought the same I was thinking of doing 200 levo on one day and then maybe 150 the other day and continue on the same lio dose

Or is that to much of a drop ?

[Lalatoot in reply to Ing0601]

I presume that is because you have 100mcg tablets. I think it would be less of a shock to the system if you quartered the tablets. Fiddly I know. That way you could take 175 daily.

[Ing0601 in reply to Lalatoot]

Hi

Thanks for your reply.

Yes you are correct they are 100mg tablets however on the box it says do not cut the tablets, I have managed to get my original levothyroxine known as Eltroxin from back home in Australia which I was on them when I was diagnosed and my thyroid was removed and now also have 50mg tablets too by the same manufacture company so that’s why I was bit anxious about cutting them as it states do not cut them.

If I would to reduce my dose on altering days would that mean my FT3 would go down too?

Many thanks

[helvella Administrator in reply to Ing0601]

The reasons for not cutting such tablets are, primarily:

Imperfect distribution of active ingredient within tablets;

Uneven cutting;

Loss of some of the material - e.g. crumbs flying off or being dropped.

In the circumstances described, I suggest only the third has any relevance - and it is possibly to minimise the effects by taking care and using something to contain any potential losses.

[Ing0601 in reply to helvella]

Thank you so just to make sure I understand if I cut precisely I should be ok?

Many thanks

[helvella Administrator in reply to Ing0601]

If, for example, you ended up on 185 one day and 165 the next (rather than an exact 175 every day), it would likely make little difference.

But cut you tablets as you need them - not as a batch. (If you do a batch, you could end up taking the smaller parts day after day for a while, then the bigger parts. That would not be ideal.) And do whatever you can to ensure you do not lose any crumbs.

[Ing0601 in reply to helvella]

That’s great thank you, I will see first if I could get different dose of the same tablets first if not I may have to cut them as you suggested

Thank you

[Ing0601 in reply to Lalatoot]

Just going back to your suggestion of reducing the dose to 175 when I was on this dose before my FT4 was 8.8 and FT3 was 3.1 so that’s why it was increased to 200 and 40 lio but after an advice on here I stayed on 200 and reduced the lio to 20 and those are current results. Maybe I should do 200 on one day then 175 on the other ?

I don’t know it’s all so confusing with my results

[Lalatoot in reply to Ing0601]

Yes that would work too. It would be gentler on the system.

I think what might happen is that you reduce your levo to bring it back closer to the top of the range which will reduce your FT3 and then you will need to increase your lio to bring up your FT3. It will be a long process with changes and bloods every 2 months. But if you do it gradually you should feel when is right to stop.

I am doing similar but the opposite way. My FT3 is at a good level but my FT4 is too low. I am increasing my levo but this takes FT3 over range and gives me symptoms. so I then reduce my lio dose.

[Ing0601 in reply to Lalatoot]

Ok thank you that makes sense so I will sort my FT4 first and then see what happens with FT3 hopefully it will not take to long to get this sorted but I now understand slow and steady increase or decrease works best.

[Ing0601 in reply to Lalatoot]

I have one more question about the high FT4 (sorry maybe a silly question).

Having such a high result as I have now and if it will not go down what would this do to my body and is this Dangerous?

Thank you

[Lalatoot in reply to Ing0601]

I can't really answer that as I don't know. Above range FT3 with suppressed TSH can bring health issues. But I don't know about FT4.

Maybe put that question u[p as a separate post as their are folk on here who would be able to comment.

[Ing0601 in reply to Lalatoot]

Thank you so much I will post a separate question

Many thanks