Should I increase medication?

[Shazamm]

Please can anyone advise if I should increase medication . I take 100/125 mcg thyroxine alternate days and 6.25mcg T3 daily . Meds haven’t changed for about 18 mths but I now have all of the hypo symptoms back ... hair loss, constipation, weight gain etc etc. My blood test results today are

TSH. 0.03 (0.27-4.2)

T3 4.6 (3.1-6.8)

T4 19.8 (12-22)

B12 done in Dec was >150 (37.5-187.5)

Iron was also done and in range but I can’t find results at present time

Bloods were taken 1st thing in morning

I’m not sure if I should increase T3 or T4 or both

I look forward to your replies . Thank you

[SlowDragon Administrator]

Was last dose levothyroxine 24 hours before test

That’s an extremely small dose T3. Are you self medicating T3?

Many people on T3 will need 1/4 tablet (6.25mcg) 2 or 3 times per day

2 doses at approx 12 hour intervals

Or

3 doses at roughly equal 8 hour intervals

Day before test did you take T3 dose approx 8-12 hours before test?

When were vitamin D, folate and B12 last tested

[Shazamm in reply to SlowDragon]

Thank you for your reply , yes last dose Levo was 24 hrs before . T3 was 12 hrs before and yes I am self medicating. Last B 12 test was Dec , I have listed results in my post. I take Vitamin D, magnesium and zinc daily and have lost my last iron results which was also tested at end of 2020 but was in range.

[SlowDragon Administrator in reply to Shazamm]

Suggest you add 2nd 6.25mcg (1/4 tablet ) T3 late afternoon

Retest in 6-8 weeks

You might want to consider reducing levothyroxine dose very slightly at same time

Perhaps reduce to 100mcg 6 days week and 125mcg 1 x week

[Shazamm in reply to SlowDragon]

Thank you so much, I’ll give it a try

[Woodshoes]

Did you get a reverse T3 lab done? I bet it’s high from to much T4.