Please advise on any dosing adjustments I should make please. Below are my blood results. I have adjusted my meds before the last test down to 125mg of levothyroxine from 150mg and I’m currently on 12.5 t3 split into 2 doses. I still get overheated and have palpitations but this could be due to my blood pressure and another medication called venlafaxine, that causes sweating. My mood is low. Thank you .
T3 and levo dose adjustment : Please advise on... - Thyroid UK
T3 and levo dose adjustment
![JBLOVELL profile image](https://images.hu-production.be/avatars/50a027ba447148c2994570aa5facb6dd_small@2x_100x100.jpg)
![](https://images.hu-production.be/post/post_74e2ba42581b4f8e8ec5866faeda4013_637562479385374098.jpg)
![JBLOVELL profile image](https://images.hu-production.be/avatars/50a027ba447148c2994570aa5facb6dd_small@2x_100x100.jpg)
![SeasideSusie profile image](https://images.hu-production.be/avatars/3f6ac069f2a50ca9d0e85f59f13a7499_small@2x_100x100.jpg)
JBLOVELL
When did you take our last doses of Levo and T3 before the test? Last dose of Levo should be 24 hours before, last dose of T3 should be 8-12 hours before.
How long have you been on your current doses?
Levo was 24 hours and t3 was 10 hours. I’ve been on this dose 6/7 weeks.
JBLOVELL
So your FT4 might still be too high for you, it's 97% through range (we are all different where we need this when on combination replacement hormone). Your FT3 is only 35% through range and when on T3 we generally need this higher in range.
If those were my results I would reduce Levo by 12.5mcg, wait a week or two then increase T3 by 6.25mcg (total 18.75mcg assuming you have 25mcg tablets). Retest 6-8 weeks after last dose change.
I didn’t realise that t4 being too high for me could cause this. I thought it was only t3. I’m learning so much. Thank you .
A lovely old school endo once told me that so long as your thyroid hormobes are i. Range you can do no harm. Wise words. You did right to reduced and I think seaside Suzie's advice for the next step of your meds is spot on. Its all about tweaking now to get the optimal dose for you.