Help with Results please

[Flecmac]

I enclose my latest results.

I have been on T3/T4 combo under NHS Endo since November. Last results my T3 was just over range so reduced to 10mcg. Taking 62mcg Levo. My T 4 has reduced since last results.

Not sure if I’m in the right path with T3 and doubt if my GP will take over scripts. Endo was supposed to ask them but it’s not in his report. Speaking to him on 26th this month. Any help much appreciated. 😊

[Lalatoot]

When did you take your last doses of meds before the blood test?

[Flecmac in reply to Lalatoot]

Took T 3 @ 4.30 day before then niether until after bloods.

[Lalatoot in reply to Flecmac]

So more than 12 hours after your last lio dose. This means that your ft3 result would normally be slightly higher.For me and I stress this is what suits me, I would lower my lio to 3 X 2.5 daily. 6 weeks and bloods later I would increase my levo by either 12.5 or 25mcg.

At this stage what you are doing is trying to alter the doses of lio and levo very slightly one at a time to find a balance that suits you. Some of us who are poor converters or who have had Rai only need a little lio to just to add that little extra. It does take time and patience.

[Flecmac in reply to Lalatoot]

Yes more than 12 hours after last lio dose. I would struggle to divide tablets to 2.5mcg. When I increase levo any higher than 62 mcg palpitations get worse and are worrying. I am 64. I am not familiar with Rai.

[Lalatoot in reply to Flecmac]

RAI is a treatment which is given for hyperthyroidism.It is a guessing game and a juggling act1 I am 65 and it has taken me 18 months to improve my dosing. My initially prescription was for 50mcg levo and 2 x 10mcg lio. I am now on 100mcg levo and 3 x 2.5mcg lio having visited many combinations in-between!

Maybe you only need 5mcg of lio once a day? Each of us has to try and second guess our body!!

[Flecmac in reply to Lalatoot]

I have hashimot’s.

[SlowDragon Administrator]

Last dose levothyroxine should be 24 hours before test Last 1/3rd of T3 dose roughly 8-12 hours before test

Bloods as early as possible in morning

Did you test like this

Ft4 looks a little low

No vitamin D, folate, ferritin and B12

[Flecmac in reply to SlowDragon]

Yes that’s how I tested. I only take 10 mcg split between two doses. I can’t understand why T4 has lowered. My last vitamin D result end of December last year was 107 nmol/L (50-200.0)April 2020:- Folate 17.6 ug/L (3.0-17.0) no supplement.

Ferritin was 205ug/L

(12.0-300.0)

B12 887ng/L (190.0-800.0)

Thanks.

[SlowDragon Administrator in reply to Flecmac]

Day before test split into 3 smaller doses ideally

5mcg 7am, 2.5mcg at 2pm and 2.5mcg at 9pm....test at 9am following morning

Ft4 often drops after starting on T3

Many people find they need to tweak levothyroxine dose up a little

Perhaps wait and see if Ft4 drops further at next test in another 6-8 weeks

Vitamins looking good