Results from today, could you please advice me?

[lisan1]

Had tests done today and they just got back now. I wrote here yesterday about Dr wants TSH back in range. healthunlocked.com/thyroidu...

Results from today on 50t4 +5t3 is as follows

TSH 0.45 (0.40-3.7)

Ft4 10 (12-22)

Ft3 3.1 (3.6-6.3)

I guess Dr will be pleased with TSH but I don't care about him anymore I have to take my health into my own hands so am increasing my meds. What to start with or can I increase t3 by 5 and t4 by 25 at once since I know that will be the least I need to get levels up? Or will my levels increase after a while since it was only 3weeks since dose reduction? I mean that maybe my TSH will rise and therefore make my thyroid produce enought t4 and t3. Is that possible?

Thank you for all your kind help so far. How can drs be so stupid and make people so sick by only looking at TSH? Gah!

[SeasideSusie Remembering]

lisan1

If your GP says he is happy with your results now that TSH is back in range, please do ask him what his thoughts on your below range FT4 and FT3 are, if he says he's fine with them at that level ask why considering they are the thyroid hormones. Do let us know what he says.

I think I'd start with an increase in your Levo, 25mcg now and see where that takes you in 6 weeks. I think you shouldn't rush your increases, just do them at the normal rate.

[lisan1 in reply to SeasideSusie]

Thanks! You don't think that if I wait a few weeks TSH will rise and get thyroid to produce and therefore get a better level of gt3 and ft4?

[SeasideSusie Remembering in reply to lisan1]

With those levels of FT4 and FT3 you are going to need more Levo, personally I wouldn't wait.

[lisan1 in reply to SeasideSusie]

Does that mean that even if TSH increase my gt3 and ft4 would be too low?

[SeasideSusie Remembering in reply to lisan1]

To feel well most of us Hypos need FT4 and FT3 in the upper part of their reference ranges. You are so, so far away from that that increasing your Levo is inevitable.

[lisan1 in reply to SeasideSusie]

Thanks will do that then

[lisan1 in reply to SeasideSusie]

Would it be a bad idea to increase t3 by 5mcg for a week before increasing t4 by 25mcg since the pill is really hard to cut in 4 and I will probably need at least 10mcg.

[lisan1 in reply to SeasideSusie]

My GP sent a referral to endo and they said that you should look at tshand that is brilliant! I'm so fed up withtvis. 😥

[SeasideSusie Remembering in reply to lisan1]

Unfortunately this is what many of us are up against. I don't understand it, the only explanation must be total ignorance of how it all works and this is why so many of us just resort to self medicating and looking after ourselves.

[SlowDragon Administrator]

Several members have seen TSH drop low after Covid/long Covid

Obviously the Ft4 and Ft3 are showing you are now extremely under medicated

I would agree with SeasideSusie and only increase levothyroxine at this stage

Retest in 6-8 weeks

[lisan1 in reply to SlowDragon]

Thanks! You don't think that if I wait a few weeks TSH will rise and get thyroid to produce and therefore get a better level of gt3 and ft4?

[Localhero]

I also agree with SeasideSusie

I’d increase levo and retest in another 6 weeks or so. I suspect you’ll need more again, but do it step by step.

Well done on taking things into your own hands. I think it’s the only way to get out from under!

[lisan1 in reply to Localhero]

Thanks! You don't think that if I wait a few weeks TSH will rise and get thyroid to produce and therefore get a better level of ft3 and ft4?

[Localhero in reply to lisan1]

I’m no doctor, but I honestly don’t think so. Your FT3 and FT4 are both under range right now. Any improvement as a result of a somewhat higher TSH, I’d have thought would be marginal. Which means you’d most likely still feel awful.