Hello all. Would be so grateful for some pointers on what to do - I am at a loss.
I have hashimotos hypothyroidism for 12 years. In a nutshell, I've paid to see a private endo recommended here as I was struggling with fatigue and he agreed to try me on a trial of T3 alongside (a reduced amount of) Thyroxine. Mid trial, my TSH was undetectable so my endo asked me to reduce my thyroxine further. A couple of weeks after I did this, I feel like I have crashed with all the signs that I associate with being undermedicated (as I have been in the past) - my resting heart rate has dropped, I am unable to exercise, my lower back is aching and despite sleeping well I wake up feeling exhausted and foggy. BUT my TSH is still too supressed. Looking at my numbers (pls see pic) the actual amount of thyroxine is lower than it was before the trial started and the T3 is pretty much unchanged. But the consultant said last time that TSH should not be undetectable as it can cause long term issues (what are these? Bone thinning?!).
I really don't know what to do next. I am fully expecting when I let the consultant know my most recent test results he will want to reduce medication further because of the very low TSH. But I already feel awful and dread to think how bad things could get if i take even less. Any advice so gratefully received! perhaps t3 just isn't the right fit for me?
I take iron spatone 2-3 times a week and high dose vitamin D daily as previous tests have shown me within normal range but the lower half for both. I have had coeliac tests which was negative.
I should also add that I started HRT (oestrogen patches and progesterone) about 2 months ago - which I'm know was probably not the most sensible move in the midst of a T3 trial but worsening migraines caused by perimenopause drove me to it!
Thanks in advance for any help!