Hello. I was hoping someone could help point me to any citations about how T3 suppresses TSH and that this isn't necessarily a problem for asymptomatic people on medication with free T4/T3 in range? I'm getting too many irrelevant search results in NCBI and I only have till Thursday to come up with the right info to educate my Dr with. I am located in the United States but have always found better information here.
TL;DR
Hemithyroidectomy in 2003. Started levo with "borderline high TSH" in 2008.
Current dose: 137mcg levo, 10mcg liothyronine (T3)
Current labs:
TSH (3rd gen ) <0.007 (range 0.358-3.740 uIU/mL)
T4 1.4 (0.7-1.6 ng/dL)
T3 93 (55-172 ng/dL)
Avg resting HR: 63
For the first time in ten years, I feel good. While it took a vegan diet and training for an Ironman, I'm finally keeping my hair and starting to lose some weight without starving (nothing to write home about really, just about 1lb/month but consistent). Please don't lecture me about diet. I have tried them all and this is what has worked for me. I still get more tired than I feel like I should but being 42 year old mother of two with a job, maybe that's just my normal now. When at my worst symptom-wise a few years ago, I was 40lbs overweight, lost my eyebrows, had severe eczema and chronic constipation and was exhausted and freezing all the time - all while my TSH never rose above 2 (I'm sure T4/T3 were low if my doc a the time had bothered to check).
I eventually found a provider who would have been fine with these labs but he changed to a cardiology practice a year ago and I have already changed providers twice since then because nobody listens and I'm running out of options where I live. This new one at least didn't automatically stop my T3 before testing but with these new labs, she wants me to stop all of my meds for a month, which I'm pretty sure will kill me. Why even check T4/T3 if you're just going to ignore the result??? I thought it would at least be worth a try to send some literature to this one in the hopes that she will come around and leave my prescription where it is.
Has anyone had any luck with educating their physician before? I have already been through all of the practices (there are only 2) in my city on the Wentz list. Thank you!