Please advise me on dosage after last test results

[Koola]

Good evening,

Previous test on 8 Oct. after weeks on 62.50 – 69 T4 and 12.50 T3 (6.25 x 2)

TSH: (Range: 0.20 – 5.00 ) 0,80 : 12,50 % thru range

FT3: (1.8 – 4.5) : 8 Oct : 5,64 : 142.22 %

FT4: (7.0 – 20.0): 8 Oct.: 9,42 : 18.62 %

Advice from Slow Dragon was to take more Levo, ideally 100, and less Lio. She kindly answered further questions because I’ve had trouble raising Levo for years, and suggested 75 T4 and 3x 3,25 T3. Which I tried but felt worse. I then trialed less Levo and more T3 – even worse. I slowly raised Levo again and 75 was still my “unlucky number” but 88 much better (strange). I reduced T3.

For 6 + weeks have been on 88 T4 and 94 twice/ thrice a week and 6.50 T3. As you’ll see: TSH went down, / FT3 way down / FT4 up, more than double.

21.January 22:

TSH: (Range: 0.20 – 5.00 ) 0,53 : 6.88 % thru range

FT3: (1.8 – 4.5) 2.62 : 30.37 %

FT4: (7.0 – 20.0): 12.4 : 41.54 %

My guess is raise Levo to 100 and – more T3?

Many Thanks!

PS. I’m not feeling better, but not as bad as on that low levo trial weeks back.

[SlowDragon Administrator]

Generally we recommend only increase levothyroxine or T3 ….not both at same time

Suggest you try increasing levothyroxine

This should also increase Ft3 as well as Ft4

Important to regularly retest vitamin D, folate, ferritin and B12 at least once a year

[Koola in reply to SlowDragon]

Thank you very much, Slow Dragon.

I hope it’s okay to take 6,50 T3 once a day. Because it’s almost impossible to get 3.25 in an even dose. Though I’ve perfected the technique, I get a crumb and a larger one, in the best of cases… Usually a mini explosion of tiny and less tiny crumbs

[DippyDame]

With FT4 at 41.54% through reference range... In your shoes I'd be adding more levo

Maybe try 100mcg with your current dose of T3

You may feel worse before you feel better

Unless FT3 is over range you will not be overmedicated

Retest in 6/8 weeks

Review medication again if symptoms persisted.

[Koola in reply to DippyDame]

Hello Dippy Dame,

Thank you much for yr, advice – and warning.

Will keep you all posted (hopefully smiling…!)

A good Sunday to you!

[DippyDame in reply to Koola]

Good luck!

[Koola in reply to DippyDame]

Good evening Dippy Dame,

Your warning has proven true. Is there an explanation why things get worse before they get better? Or is it just empirical observation and it varies from person to person?

I’ve read here that some people change doses (and/or switch brands) and immediately hit their sweet spot. For now, only a “sweet dream” for me…!

[DippyDame in reply to Koola]

Hope you feel better soon.I don't think there are any "rules"... we need what we need and our bodies all react differently to change.

I guess both conversion rates and absorption rates just vary from person to person.

That's why T3 can be a challenge....and I suspect why medics don't like it.

They now seem to rely on easy check lists/tick boxes on their screens!!

It's trial and error with T3, and monitoring the old fashioned way....clinical evaluation.

Stick with it you'll get there eventually.

[Koola]

Thanks!