Blood test results

[greenfingers]

FT3 3.9 (3.1-6.8)

FT4 18.1 (12-22)

TSH 1.88. (0.27-4.2)

Constipated, pains in legs and ovary area. Not normally there.

Currently on 75mg a day.

Thanks in advance.

[greenfingers]

Sorry meant to say can anyone help with these results please?

[Marz]

T3 looks low in range. 8 months ago you were taking 100mcg T4 - why the reduction ?

Lots of good advice on your post eight months ago re supplements - they may improve conversion of T4 to T3 ....

[greenfingers in reply to Marz]

It was my decision to reduce the dosage as I get very agitated and overheated if I increase it. Supplements don’t appear to agree with my stomach.

[SlowDragon Administrator]

Was 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, which brand

What vitamin supplements are you currently taking?

Clearly you are under medicated

Likely low vitamin levels as direct result

Get dose increase in levothyroxine back to 100mcg and FULL thyroid and vitamins tested 6-8 weeks later

[greenfingers in reply to SlowDragon]

Yes blood taken as you recommend. I always have the same brand. I don’t appear to be able to take any supplements without my stomach causing issues as in bloating, and it feeling like a washing machine on the go. Can’t tolerate Vitamin D but that’s probably what I am short of. These results are from March so could get tested again. When I take 100 mcg I get very agitated and overheated. Thanks for replying.

[SlowDragon Administrator in reply to greenfingers]

Get the list from Thyroid U.K.

Private consultation is £250

Private prescription enables access to Thybon Henning 20mcg T3 tablets at £1 per tablet

Typical dose is 2 x 5mcg or 3 x 5mcg per day

Obviously vitamins need to be optimal too

Roughly where in the U.K. are you

Many private endocrinologist doing consultations on zoom....so distance no object

But you would need to get full thyroid and vitamins tested first

Trying 100mcg and 75mcg levothyroxine on alternate days is something to consider

Retest full thyroid and vitamins 6 - 8 weeks after any dose change or brand change in levothyroxine

[greenfingers in reply to SlowDragon]

Thanks, I am in Leeds Yorkshire. I will look into the list and thanks.

[SeasideSusie Remembering in reply to greenfingers]

greenfingers

I don’t appear to be able to take any supplements without my stomach causing issues as in bloating, and it feeling like a washing machine on the go.

Have you tried "clean" supplements, i.e. those with no excipients/fillers at all? It could be the added extras rather than the active ingredient that's causing problems.

[greenfingers in reply to SeasideSusie]

I did think that but it’s hard to find anything to fit the bill. Although I have found some vitamin D that my Granddaughter takes so will have a go with those. Thanks

[SeasideSusie Remembering in reply to greenfingers]

Healthleads do excipient free supplements.

My D3 is Doctor's Best and has only D3 and extra virgin olive oil.

My magnesium citrate is a powder with nothing else added - Natural Calm Original.

My magnesium taurate doesn't list any excipients - Tom Oliver.

My Vit C is acerola cherry powder by Time Health, nothing added.

Just Goggle "additive free Vit xxxx" and you should come up with something. Or ask on the forum.

[SlowDragon Administrator]

Ft3 is only 22% through range

The aim of levothyroxine is to increase dose upwards in 25mcg steps until TSH is ALWAYS under 2

When adequately treated, TSH will often be well below one.

Most important results are ALWAYS Ft3 followed by Ft4. When adequately treated Ft4 is usually in top third of range and Ft3 at least 60% through range (regardless of how low TSH is)

Extremely important to have optimal vitamin levels too as this helps reduce symptoms and improve how levothyroxine works

Common for conversion to get worse after menopause

Email Thyroid UK for list of recommend thyroid specialist endocrinologists who will prescribe T3 ...NHS and Private

[e-mail]

20% of Hashimoto's patients never have raised antibodies

healthunlocked.com/thyroidu...

Paul Robson on atrophied thyroid - especially if no TPO antibodies

paulrobinsonthyroid.com/cou...

[greenfingers in reply to SlowDragon]

The last time I saw an endocrinologist he wasn’t remotely interested. I don’t think I fit into any of his ideals. It was a waste of money.I am 66 years so well past the menopause.

I will check out the links you sent and thanks again.

[kym46]

I would also suggest you get an internal ultrasound. I had similar symptoms to you and found I had a 5.5cm X 5cm complex cyst on my ovary. Cysts are very common and it does cause some of the symptoms you've listed. Might be a good idea to get the ultrasound just to rule it out.

[greenfingers in reply to kym46]

The pain isn’t always there. I would probably have to wait weeks in not months in present situation. Thanks for the reply.