TSH post thyroïdectomiy

[Raoudha]

TSH 0.09(0.25-5)T419.88(9-22)T3 5.35(4-8.3) please can you give me your opinion I me on 100 Berthrox Merciiiiiii

[humanbean]

I'm assuming Berthrox is a brand of Levothyroxine?

TSH 0.09 (0.25 - 5)

T4 19.88 (9 - 22) 83.69% of the way through the range

T3 5.35 (4 - 8.3) 31.40% of the way through the range

Can I ask why you got a thyroidectomy, and how long ago it happened?

Also, are you taking any medications or supplements other than the Berthrox? If yes, can you tell us what you are taking, how much and how often?

And how do you feel?

If you got your thyroidectomy done because your thyroid was overactive i.e. you were hyperthyroid, your TSH may have become very low because of that.

And unfortunately, if you were hyperthyroid for many months or years before your thyroid problem was discovered it could take a long time (a couple of years or more) before your TSH recovers and starts to look consistent with your other results i.e. the Free T4 and the Free T3. And to make matters worse, some people in this situation have a permanently suppressed TSH and the level never recovers.

What is important and more accurately represents how you are likely to feel is the levels of Free T3 and Free T4.

The fact that there is a pronounced imbalance between the level of your Free T4 at 84% and your Free T3 at 31% shows that your conversion from Free T4 to Free T3 is poor.

It is Free T3 which shows how well or ill you are going to feel because T3 is the active hormone that is required by every cell in the human body. If it is low you will feel hypothyroid. It it is very high you will feel hyperthyroid.

[Raoudha in reply to humanbean]

I would like to a thank you for your feed back god bless.I had thyroidectomy because of papillaire carcinoma now I fell tired and with very bad hair lost

[humanbean in reply to Raoudha]

It is possible - although not guaranteed - that optimising some nutrients may improve your conversion of thyroid hormones from T4 to T3.

The major nutrients mentioned on this forum are

Vitamin B12

Folate

Vitamin D

Ferritin (iron stores)

If ferritin is low in range - which it could be if you bled a lot during surgery - you should get an iron panel done. This is the one done by Medichecks :

medichecks.com/products/iro...

but I don't know where you live so I have no idea what chance you have of your own doctor doing this testing for you or whether you can get private testing done.

Low levels of iron is a common cause of hair loss. But I suspect there must be many more causes.

If you get any tests like this done, start a new thread on the forum and post your results and reference ranges, and ask for feedback.

Selenium is supposed to help with conversion of Free t4 to Free T3 but there are various kinds and some are better than others. See this link from SeasideSusie on the subject :

healthunlocked.com/thyroidu...

I think I saw a mention of you being put on calcium after your surgery. This is fine, and often essential after thyroidectomy, but in some people this is only needed temporarily.

Make sure that your doctor tests your calcium every couple of months to see if you still need it. If you take too much calcium it could end up being deposited where you don't want it, such as ending up lining your arteries. But if you need it, you need it, and you must continue taking it as long as necessary.

[Raoudha in reply to humanbean]

Mille Merciiiii this help a lot God Bless you

[humanbean in reply to Raoudha]

Are you from France? If you are then greygoose may know what you need to do to get T3 prescribed there. Low T3 is quite common in peopled with no thyroid.

[Raoudha in reply to humanbean]

Anticoagulant rivaroxiban 10 and betablokers 2 .5 for AFib along with Berthotyrox this my medication set

[SlowDragon Administrator]

Looking at previous posts

You had parathyroid tumour causing high PTH

Has this been removed

PTH, calcium and vitamin D need to be tested together

You need folate, ferritin and B12 tested too

[Raoudha in reply to SlowDragon]

PTH is ok now full Thyroidectomy done only

[Raoudha]

Merci one of my favorite post is yours never stop thanking you and all members