Taking T3 and synthroid results question

[muci]

Hello my synthroid dose is 75 and 50 alternating days and compounded T3 of 12

My most recent labs tsh .3 (.32-4) ft4 10 (9-19) and ft3 4.8 (2.6-5.8). Test taken 14 hours after meds

My symptom I’m trying to fix is the hair fall. In a big shed now. It tends to always come back but then another trigger happens. One month ago I lowered T3 dose from 14 due to a ft3 of 7.8 (could this have been the cause of this latest shed?). All vitamins, b d etc are great as well as ferritin at over the ranges necessary but not too high. Brain fog is another symptom but have managed to alleviate most others adding the T3. Do I need to get my ft4 higher and how would you go about if the ft3 is good and tsh at bottom . I’m mostly gluten free would avoiding 100% be the answer? I added T3 meds because my ft3 started to go too low with ft4 still at high end and rt3 high

Any advice I’d appreciate I’m seeing a hrt specialist who is open to all suggestion he bases on symptoms

I’m getting so frustrated with this I thing I’ve solved things and then it happens again.

[SlowDragon Administrator]

Sorry your post was missed this is extremely busy forum

Yes, many people would find that Ft4 result too low.

Suggest you trial a 25mcg increase in levothyroxine

Last dose levothyroxine should be 24 hours before test

Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .

Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).

This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)

If/when also on T3, make sure to take last third or quarter of daily dose 8-12 hours prior to test, even if this means adjusting time or splitting of dose day before test