What do you think about these results? Any suggestions will be appreciated. Feeling very tired.

[Thyroid66]

TSH

Analyte Value

TSH

3.98 Reference Range: 0.40-4.50 mIU/L

T4, FREE

Analyte Value

T4, FREE

1.1 Reference Range: 0.8-1.8 ng/dL

T3, FREE

Analyte Value

T3, FREE

2.4 Reference Range: 2.3-4.2 pg/mL

VITAMIN B12

Analyte Value

VITAMIN B12 Performing Sites

441 Reference Range: 200-1100 pg/mL

TP Quest Diagnostics-Tampa,

[SlowDragon Administrator]

What replacement thyroid hormones are you currently taking

Was test done as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test

If taking T3 or NDT day before test split dose into 2-3 smaller doses at roughly 8 hour intervals….taking last 1/3rd daily dose approx 8-12 hours before test

Essential to test vitamin D, folate and ferritin too

Do you have autoimmune thyroid disease

[Thyroid66 in reply to SlowDragon]

Thank you for responding. More info - I have hashimoto. Taking synthroid 88mg 6 days week. Reduced one day a week as test 3 months ago TSH was .4 experienced hair loss and heart palps. Also increased bp. On this latest D was 50. Also did ferritin but will have report later. Testing was done first thing in Morning before eating or drinking. 24 hr after last medication.

[JAmanda in reply to Thyroid66]

To me , you look under medicated and like you’d be better on 100 7 days a week.

[Thyroid66 in reply to JAmanda]

I am hoping to figure this out. It seems that every time I try to raise it I have adverse symptoms - Double vision, hair loss, anxiety. I have been dealing with some form of this for a long time.

[SlowDragon Administrator in reply to Thyroid66]

Ft4 is only 30% through range

Ft3 only 5% through range

Helpful calculator for working out percentage through range

chorobytarczycy.eu/kalkulator

Most people when adequately treated will have Ft4 at least 50-60% through range and Ft3 at least 50% through range

Might benefit from daily vitamin B complex. But remember to stop taking any supplements that contain biotin a week before all blood tests as biotin can falsely affect test results

Vitamin D result - is that 50nmol or 50ng/ml

[Thyroid66 in reply to SlowDragon]

VITAMIN D,25-OH,TOTAL,IAValue

51ml

Also note -

In previous years tried natural thyroid. Each time after a period of time I developed double vision. Also tried tirosent and did the same thing. I think the integrated doc at one pt had me taking up to 135mg. I felt terrible could not function. Also when added some cytomel to synthroid did the same thing.