thyroidectomy and Post menopausal

[Korra1]

Hello all, I am new here.. Need help with my labs

CHEMISTRY TSH, High Sensitivity 0.04 L 0.45 - 4.50 mU/L

T4 Free Non-Dialysis 1.4 0.8 - 1.7 ng/dL

T3 Free Non-Dialysis 3.8 2.0 - 4.8 pg/mL

FSH 159.0 See Comment mIU/mL FSH Reference Ranges: -mL Postmenopausal: 25.8-134.

Progesterone 0.38 See Comment ng/mL Progesterone Reference Ranges: Adult Female Reference Post-Menopausal (50 years and older):

Vitamin D, 25-Hydroxy, Total 78.3 ≥20.0 ng/mL Vitamin D, 25-OH, Total: 150 ng/mL

Testosterone, Free (Dialysis) and Total, MS (Women/Children) Testosterone, Free 1.6* 0.1-6.4 pg/mL SL Testosterone, Total, MS (Women & Children) 16* 2-45 ng/dL SL *Testosterone, Free:

I am on 112 Unithroid (Levothyroxine Sodium) and 10mg of T3 I am menopausal (Post) and I take 10 mg twice a week of Yuvafem (estradiol) and some times progesterone 2.5mg ( I don't do well with any progesterone) I have gained 30 pounds and my breast are so enlarged... I have body pain and my feet so bad

Any recommendations is appreciated

[radd]

Korra1,

Thyroid labs look good with FT4 66.7% & FT3 64% through range. TSH low, common when medicating T3

Progesterone isn’t essential when taking oestrogen vaginally which also bypasses the liver so shouldn't influence hormone transporters. However, weight gain & enlarged boobs are classic signs of oestrogen dominance, which could also impair performance of thyroid hormones by binding too much. Also, FSH commonly increases as oestrogen decreases after menopause but should reverse upon oestrogen replacement. How long have you been taking Yuvafem?

Have you had the basic nutrients tested, ie Vit B12 & folate , and iron?

[Korra1 in reply to radd]

Hello thank you for your help, I have been on Yuvafem for about three months, when I first started the Yuvafem my numbers changed and I felt awful Had blood work done and changed my dosage and these are the new numbers. My b12 is optimal My D3 is optimal I take a b12 shot monthly and high doses of D3 they it has been some time that I had iron or folate test done.. I work with a Endo... she really no help

I keep TSH suppressed for thyroid cancer... three years total thyroidectomy

my blood work showed my estrogen at <5 and progesterone at 0.38.. this is where I get confused when I hear of oestrogen dominance

[SlowDragon Administrator in reply to Korra1]

How do you take your T3

As a single dose once a day, or split as 2 x 5mcg approx 10-12 hours apart

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

Was Last 5mcg dose T3 approx 8-12 hours before test?

Perhaps have room to increase T3 to 3 x 5mcg per day

You need to test folate and ferritin too

If on B12 injections it can be helpful to also take a daily vitamin B complex. One with folate in

B vitamins best taken after breakfast

Thorne Basic B or Jarrow B Right are recommended options that contains folate, but both are large capsules. (You can tip powder out if can’t swallow capsule)

IMPORTANT......If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 7 days before ALL BLOOD TESTS , as biotin can falsely affect test results

endo.confex.com/endo/2016en...

endocrinenews.endocrine.org...

[Korra1 in reply to SlowDragon]

Thank you for responding to me, I take T3 10mg dose with my T4 first thing upon wakening. Testing was done first thing in the morning I did not take my meds 24 hoursand I was fasting. I have not started the b complex until after the test.

I have contacted a Natural Path Doc and she recommend I go to 125 on my t4 and stay at 10 mg of T3 and get retested in 8 weeks...

[SlowDragon Administrator in reply to Korra1]

24 hours between last dose T3 and test is too long, gives false low result

Day before test split T3 into 2 or three smaller doses, taking last 1/2 or 1/3rd of daily dose approx 8-12 hours before test

[radd in reply to Korra1]

Korra1,

Different labs use different ranges (and may even test the different types of oestrogen). Dominance refers to when oestrogen become more elevated than progesterone (opposing hormone), and evokes unwanted changes.

When we supplement the results are only indicative of levels in your blood and not what you’re capable of producing, and can cause wider gaps in levels. People with hypothyroidism often suffer low adrenal reserve and so when ovaries reduce/stop production, O & P risks becoming totally deficient.

There are some members who have discussed being unable to take progesterone sups but I don’t know info about it, as supplemented it well. You could write another post entitled something like ‘Progesterone Intolerance’. Equally you are still new to theses doses having only started 3 months ago and already experiencing one change. Hormones can take months & months to realign and then start working effecting with others.

Do you have any other results such as SHBG or cortisol?

[Korra1 in reply to radd]

Again, thank you for your knowledge it is appreciated.. I did cortisol and such other test in the past, I did well after my thyroid removal up until I went post menopausal....

[SlowDragon Administrator in reply to Korra1]

Very common for conversion of Ft4 to Ft3 to get significantly worse after menopause

[jgelliss in reply to Korra1]

I was just wondering if you tried transdermal Progesterone? You might find that easier and more pleasant to use. Using Oestrogen alone unopposed might not be good.If you have a chance to read Dr Lee's book,

bhrtnaturals.com/pages/drjo...

Best Wishes.

[Korra1 in reply to jgelliss]

Thank you, I will review Dr. Lee's book, I have had progesterone compounded and still did not do well with it.

[Mccrae]

Do you take testosterone