Hello everyone I finally did my bloodwork for thyroid after 7 weeks on 75mcg of Synthroid and 60 mg of NDT (Erfa). The bloodwork was done at 8:30 a.m. fasting with 24 hours for Synthroid and 12 hours for NDT. I have Hashimoto's. I still fell really tired, constipation, dry skin, etc. What do you think about these results?
TSH 0.01 Ranges 0.32-4.00
Free T4 17 Ranges 9-19
Free T3 5.1 Ranges 2.6-5.8
The numbers look fine. give your body a while to settle with your new dosing. It takes time for the body to adjust.
I don't feel well maybe my freeT4 is too high.
If that's what you feel try a little reduction of the synthroid. It will lower your FT3 slightly too.
I think you could wait, or lower one of your drugs. It shows you being overmedicated, and in my experience the symptoms of not having enough and having too much are very similar.
I wouldn't know the difference I am sure I have the same symptoms of being over or undermedicated. I feel as if I am not taking medication.
I don’t think you’re overmedicated. A suppressed TSH is often the norm when you take any amount of T3–so we look to the FT3 level. Yours is looking much better but it could be it’s going to take longer to repair the damage done from being undermedicated for a while. I wouldn’t decrease the dosage, personally.
How are your B12, folate, ferritin and Vit D levels?
I am taking B12 injections once a week, I take vitamin D 5000 iu with vitaminK2 and magnesium. I take beef liver capsules and beef spleen for my iron. I don't know what my levels are at the moment but these were low before when I tested them. I also take a B-complex that has 400 mcg folate.
Sounds like you’re doing all you can then!
I think if I was in your shoes I’d wait, just a bit longer, before adjusting my dose. It can take a while for healing to take place. I know how frustrating it is though!
It is frustrating. How do I know if this combination of medication is right for me? Maybe Synthroid and a little of T3 would work better than NDT.
Thank you
Possibly—but again, I think it’s too early to switch (did you say 7 weeks? Scrolls up to check—yes 
)
I’d give it a few more. Make it 12 weeks?
And then (if you still feel the need to tweak) perhaps the way to go is slightly less Levo (Synthroid) and more NDT. Some people just never get on with any amount of Levo.
Thank you for your time.
I was wondering if SlowDragon, Greygoose or any administrator would comment on my Bloodwork. Thank you.
I have alerted greygoose and SlowDragon for you 😊
Thank you
You do know that administrators have no special knowledge of thyroid, don't you? I doubt any of them could add to anything that's already been said. You've got some good advice, there. I would follow it, if I were you.
The only other thing is adrenals: have you had your cortisol and DHEA tested?
Or, maybe you have some degree of Resistance to Thyroid Hormone, and need your FT3 a lot higher. But, there's no test for that. You would only find out by slowly increasing your T3 until over-range.
Or, maybe you can't tolerate NDT. Not everybody can. I couldn't. But, as everyone has said, wait a bit longer before messing with your dose - and you could get adrenals tested while you're waiting. It all takes time, you know, and a lot more time than most doctors would have you believe.
You do know that administrators have no special knowledge of thyroid, don't you?
So very true! Our role is to try to keep things in check - prevent spam, stop arguments getting out of hand, ensure that guidelines are observed, etc. We have no special knowledge, training or anything else.
I do get rather cross when people want to be answered by an admin, as if they were thyroid specialists, because I think it's disrespectful to all the others on here that put in so much time to answer questions. There are no thyroid specialists on here, it's just that some people have more experience than others, and our combined experience largely out-weighs the potential knowledge and expertise of any one doctor. That's our strength.
This Pinned Post might be of use:
Sorry if I offended anyone, it wasn't my intention. I just want to get well like everyone here.
No, of course it wasn't. That's why I was explaining.
Some people do believe that admin have some sort of training in thyroid and know more than everyone else, and that's why they're admin. But, knowledge of thyroid has nothing to do with being asked to join the admin team. It's not a criteria.
I actually thought that administrators had more knowledgeable about thyroid, not that they had any training in thyroid. I thought for a person to be an administrator needed to have a good knowledge of thyroid. I was wrong and I am sure a lot of people assume that too.
Oh, they do indeed! You're not the only one to have thought that.
Thank you, I just was hoping there was something that I was missing. I know you are not a doctor, just wanted to hear your opinion.
I tested my adrenal years ago but unfortunately there weren't ranges. My DHEA by bloodwork was 3.4 <9.8 umol/L
Well, a lot of things could have changed in those years, so that really doesn't count, does it. And, for adrenals, blood tests are not very reliable. It should be a saliva test for cortisol and DHEA. It's time you got them tested again.
What you missed, it would seem is the other two possibilities I mentioned: RTH and NDT not suiting you.
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