I was wondering how a low Ferritin level contributes to low free t3? My iron is 91 (40- 150) and iron binding saturation is 29% (10%-35%) are normal, and my CBC is normal, but my ferritin is 16. How can my ferritin be so low, but all other iron related blood work be well within range? And how would the low ferritin contribute to hypothyroidism?
I do exercise 3 x’s a week pretty intensely (and within the last two months I have increased the intensity) for 70mins (aerobic) which I thought could be using up my ferritin faster. Because my ferritin level at one point was in 30’s.
I have been slowly reducing my Synthroid dose since being pregnant a year ago. And 8 weeks after each .25mcg decrease (started at .75mcg) So each time I decrease my Synthroid, my levels stay the same. So basically, I’m weaning off of my last .25mcg dose currently and will get labs done in 8 weeks to see if they remain the same.
Like I said, each time I’ve had my blood drawn after waiting the 8 weeks or more between medication weans, my thyroid numbers are basically the same, and well within range. My most recent bloodwork on .25mcg of Synthroid were reverse T3 10 (8-25), TPO’s 2 (<9), thyroglobulin antibodies were <1 (<1). The only thing that is a problem is my free t3 is low at 2.5 (2.3-4.2). My vitamin D is well within range at 70 (20-100). TSH 1.6 (.4-4.0) FT4 1.1 (.8- 1.6), total T4 7.4 (5.0-11), T3 uptake 31 (22-35),
Free T4 Index (T7) 2.3 (1.4 - 3.8)
The only difference between my prior labwork when i was on the .50mcg, was my reverse T3 was higher at 15 (8-25). So lowering the Synthroid to .25mcg lowered my reverse T3 and increased my TSH from 1.5 to 1.6 (basically no change) and all other labs were the same as above.
Another mysteriously part, when on T3 medication (which I am currently not and haven’t been for 2 years) it made me feel worse and didn’t raise my free T3 when blood taken in am after not having the medication for 12 hours. I cannot handle being on high doses of T3 and it simply does not help me. I’ve tried it a thousand different ways, dosages, and types.
Some docs think my original doc never should have put me on thyroid meds to begin with. So, my question is, is it possible once the Synthroid is out of my system, my body will be able to do a better job converting my my own T4, since clearly it does not respond to Synthroid?
I had better free t3 numbers before I ever started taking any thyroid medication. And all my other numbers were within range too. So really I have no idea why I am on the medication in the first place, besides I had unexplained lethargy. So they thought it could help.
Could just having a low ferritin cause low free t3?
And could taking synthetic T4 when I didn’t need thyroid medication to begin with, be causing the conversion issue? Like I mentioned, before thyroid medication my ft3 was at least above 3.0 (2.3 - 4.0).
Thanks for reading this entirely too long post. But I just don’t get it!!