Test results. Advice please

[Mugs19]

Regenerus says this is consistent with adrenal fatigue

[SlowDragon Administrator]

What thyroid hormones are you currently taking?

Previous posts suggest you may be taking T3 alongside levothyroxine...is that correct?

How much T3 and are you splitting the dose?

What vitamin supplements are you currently taking and when were vitamin D, folate, ferritin and B12 last tested

Adrenals try to compensate for inadequate levels of thyroid hormones, so getting thyroid levels fine tuned frequently improves cortisol

[Mugs19 in reply to SlowDragon]

Dear Slow Dragon I am having trouble with I T Have lost stuff. Clumsy and uncoordinated. Will reply when sorted. Thankyou so much for your efforts to help

[Mugs19 in reply to SlowDragon]

Hopefully I can reply to you now my son-in-law has fixed my e mails. Results from 22.09.20:

Ferritin 62.7 ug/L (13-150) no folate done this time , not sure why.

B12 Active 103.000 pmol/L (>37.5)

Vit D 97.00 nmol/L (50-175)

TSH 0.87 (0.27-4.2)

FT3 4.76 (3.1-6.8)

FT4 15.4 (12-22)

Tg Ab 163 (>115)

TPO 310 (<34)

I am taking Turmeric 400 mg x 3 daily. Selenium 200mg,Gopo rosehip with vit C, 2x3 daily. Magnesium Glycinate 200mgx2. Lodin (Etodolac) 300mg. Was taking Levo 500mcg and 10mcg Lio. After these results I increased Lio to 15mcg. I had a surprise call from my Endo (after 8 months). He has had covid 19 and pneumonia. I was meant to speak to someone else and had NHS blood tests on 5 Oct:

TSH 0.51 (0.35-5.5)

FT3 4.5 (3.5-6.5)

FT4 13.3 (10-20)

After this test I increased my Lio to 15mcg daily. and stopped taking Levo because I had become so frightened of how I felt after taking it. I have had 5 days of huge relief.

Endo concerned I would crash and has agreed to T3 only treatment. Now taking 30mcg Lio daily and feeling a bit weird. To be reviewed on 6 Nov. I am greatly relieved by Endo's reappearance but concerned that it may not be for long as he admitted to still being very unwell. For the moment this solves things as he is supplying me with a prescription. He thinks my adrenal fatigue is caused by my use of Clenil inhaler.

I have been using the recipe for chicken liver pate from this site to try to boost my iron levels.

Many thanks for your help and patience.

[SlowDragon Administrator in reply to Mugs19]

Was taking Levo 500mcg and 10mcg Lio. After these results I increased Lio to 15mcg.

Did you really mean you are taking 50mcg levothyroxine?

Personally I would have increased levothyroxine, not stopped it

Which brands of levothyroxine have you tried?

As you have Hashimoto’s are you on absolutely strictly gluten free diet?

And dairy free too?

Generally we recommend only increasing T3 by 5mcg at a time and wait 6 weeks

Are you splitting T3 as 3 x 10mcg doses? At approx 8 hour gaps

[Mugs19 in reply to SlowDragon]

Gluten free. Yes 50 mcg levo. Had been on 75mcg Levo previously and T4 went over range. Was advised on here to lower it to 50mcg. Every day after I took it, I would start to get acute pains all over the place. Felt like I did when in adverse reaction to BP drugs 15 years ago. That resulted in damage to muscles and joints. I don't know what else to do.

[SlowDragon Administrator in reply to Mugs19]

Which brand of levothyroxine were you taking?

Were 50mcg and 75mcg doses same brand?

Important not to change too much at once

Only increase levothyroxine or T3

Or only add one supplement at a time

Or make one change at a time eg like trialing strictly gluten free diet

Do you always do blood tests as recommended.....as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test and last 1/3rd of T3 approx 8-12 hours before test

Only test after 6-8 weeks after being on constant unchanging dose and brands

Essential to stop taking any supplements that contain biotin a week before any blood tests

[Mugs19 in reply to SlowDragon]

Same brand, wockhardt, multiples of 25 mcg. Over time as you suggest I have tried 3 brands. Teva originally, then Activis/Accord. Short respites at each change over then back to getting worse all the time. Weary with the monthly ritual to assure I get same brand, only to find it never gets any better.Have been doing everything you suggest but to no avail. When having early morning blood tests more comfortable on my body, walking better till I take the Levo. Pain returns within 1-2 hours. So many things I can’t tolerate: BP drugs,heparin, fragmin, ,iron and B vit supplements, opiates,at least 7 foods which trigger migraine. Have been increasingly frequently been getting visual disturbance that starts migraine after taking Levo. Always a sign that am putting something into my body it doesn’t like and ill in some way. My sensory integration(praxis) was disturbed but went back to normal when I stopped taking it. Hydroxychloroquine had a similar effect years ago. So I have been putting up with the pain hoping it wasn’t yet another thing I can’t tolerate but it has been two years now and I have only got worse. I’m sorry to go on at length and o failure on your part if you haven’t got an answer.