Please can someone help with my blood results.

[Soprano67]

Hi there, please can someone help me with my blood results for my thyroid and iron are as follows:

TSH 0.02 Range 0.27-4.2

T4 19.4 Range 12-22

T3 6.9 Range 3.1-6.8

Ferritin 67 Range 73-150

Folate 8.4 Range 3.9-26.8

B12 672 Range 197-771

Antibodies 9 Range 1-34

All other tests were normal or satisfactory.

I take 100 mg Levothyroxine and 10mg liothyronine split 5mg twice a day. I am exhausted dizzy and have vertigo .

Many thanks I appreciate all your support and advice.

[fuchsia-pink]

Your free T4 is near the top of the range and free T3 is very slightly over - and this combined with your symptoms suggest you might feel happier with a small reduction in meds. I'd try a very small change initially - say dropping 25 mcg of levo on alternate days (or 3x a week, whichever is easier for you to arrange) - as very small tweaks are usually best. That will hopefully reduce both free T4 and free T3 just a little bit and stop you feeling exhausted and dizzy. Or reduce one T3 dose to 2.5 mcg if this doesn't result in a tablet crumbling into dust from too much cutting up

I'm tagging SeasideSusie as her nutrient knowledge is second to none, but clearly on these results ferritin is below range and folate is less than half-way through, suggesting both need a bit of a boost.

Hope you feel better soon x

[Soprano67 in reply to fuchsia-pink]

Hi Fuchsia- pink,

Hope you are well thank you for your reply. I was taking my thyroid meds wrong as I took them with black tea and food and I only discovered this ten days ago from this forum.

My iron has reduced a good bit in two months though the GP is not concerned though he has agreed to give me tablets for both folate and Fertitin.

At the start I was taking 10mg t3 in one go and the odd day taking another 5 or ten which has made my numbers unreliable I guess. I have now set my alarm to 6am to take T4 and t3 and 11am for the other 5mg t3.

I really appreciate all your advice thank you.x

[SeasideSusie Remembering]

Soprano67

Is this a GP test or a private one?

Your thyroid results aren't much different fro the ones you posted 10 days ago.

How long between the two tests?

What dose of thyroid meds are you taking and how long on that dose?

Did you leave 24 hours between last dose of Levo and blood draw?

Did you split T3 the day before the test and take last dose 8-12 hours before the blood draw?

Did you leave off your iron tablets for a week before the test?

You have given the wrong range for Ferritin, it should be 13-150 so your result isn't too bad, recommended is half way through range.

Are you taking and did you leave B Complex off for 3-7 days before the test?

[Soprano67 in reply to SeasideSusie]

Hi Seaside Susie,

Thank you so much for your reply.

The last time I had my thyroid tested was in June and I was in contact with you several days ago and we discovered I wasn’t taking thyroid meds correctly and forgot t3 sometimes and u suggested splitting t3 into two doses rather one. I think it was you or someone else.

I have only been taking thyroid meds correctly this last ten days since 7th August.

This is my GP results he has agreed to give me folate as mine needs to be 16 to feel well and also ferrous fumurate as my ferritin needs to be 80 plus to feel well.

He’s not changing thyroid meds unless my consultant says that’s what he wants to do.

I did stop my iron and b12 for five days before test.

I did take T4 24 hours before and t3 12 hours like u suggested.

Many thanks I appreciate all your advice.

[Soprano67 in reply to SeasideSusie]

Hi SeasideSusie,Hope you are well 😊

I promised you my blood results after I reduced my t3 to 5mg they are as follows I am on this dose nine weeks now. I am concerned my T4 is very high and it is not helping the head pressure or vertigo. I saw my chiro and he says my thyroid is very imbalanced.

Ft4 22.5

T3. 5.8 Range 3.1-6:8

TSH 0.02 Range

Ferritin 86 Range 13-150

I think it might help if my T4 was reduced and t3 increased . I would appreciate any advice you can give me please?

Many thanks 😊

[SeasideSusie Remembering in reply to Soprano67]

Soprano67

I'm assuming your FT4 reference range is 12-22 (I take it this is a private test) so yes, your level is quite high for someone on combination hormone replacement.

Where we need each hormone level is individual to each of us and on Levo plus T3 I find I need FT4 around 65-7% through range with FT3 a little bit higher. Some are fine with a low FT4 as long as FT3 is in the upper part of it's range.

So it would be worth reducing Levo but I would take it slowly and only drop by 12.5mcg at this stage and see what effect that has. Don't alter dose of Levo and T3 at the same time or you wont know which change has had an effect.

I'd retest in 8 weeks, I think you'll find your FT4 will have reduced and possibly your FT3 will have as well, then you can decide what to do next. At this stage it's about very fine adjustments, wait and see what happens, tweak again if necessary, see what happens.

[Soprano67 in reply to SeasideSusie]

Hi Seaside Susie,

Thank you so much for your reply I really

appreciate it.

No it was my Gp tested it to send to my consultant. My b12 needs to be a little higher. I’m just hoping my consultant agrees to lower my T4 as he seems to think it’s fine even though my symptoms are awful. He told me more or less that I would have vertigo for a long time.

Many thanks 😊

[Soprano67 in reply to SeasideSusie]

Hi Seaside Susie,I just wanted to let you know my consultant replied he agrees it’s too high my T4 he is reducing my thyroxine to 75mg Mon and Thur and the rest of the week 100mg. He won’t increase t3 for three months he says as I might b ok with the 5mg.

What is your advice on this please? Thanks