Should I reduce levo meds?

[Chelt16]

I'd appreciate any thoughts on whether I should look at reducing my 100mcg levo prescription. My TSH is now 0.21, the chart below show 3 year's tests including March 21.

I'm still incredibly tired and really feeling low as I can do so little each day.

I do take BP medication for high blood pressure too.

I will go to the gp but would appreciate members thoughts first. Thanks

[SlowDragon Administrator]

Was this test done as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test

Do you always get same brand of levothyroxine at each prescription

Ft4 is 77% through range

Ft3 only 47% through range

Helpful calculator for working out percentage through range

chorobytarczycy.eu/kalkulator

So poor conversion of Ft4 to ft3

Have you tried strictly gluten free diet

[Chelt16 in reply to SlowDragon]

Thanks for your help. I did do the test as described and I do take the same brand of levothyroxine.Can I just check I've understood your other comment. As the FT4 was high in the range it's not converting therfore to FT3 which is only mid range?

I was strict on gluten free initially and still avoid it daily but occasionally have it.

I will take a look at the link as you suggest, thanks again

[SlowDragon Administrator in reply to Chelt16]

Likely to need addition of T3 prescribed alongside levothyroxine

Email Thyroid UK for list of recommend thyroid specialist endocrinologists who will prescribe T3

...NHS and Private

[e-mail]