Help with Results please

[Traceycrete]

Hi, not posted on here for a while but would appreciate some help with latest results.

DEC 21 These are the GP lab ranges

TSH 0.02 0.38-5.33

FREE T4 9 8-17

FREE T3 4.7 3.8-6

OCT21 These are blue horizon lab ranges

TSH 0.03 0.27-4.20

FREE T4 14 12-22

Free T3 5.05 3.1-6.8

Ferritin 155 13-150

Vit D 79 75-200

Vit B12 396 145-569

Folate 7.81 8.83-60.8

Up until Oct 21 i was taking 75mg Levothyroxine and 2x 5mg Liothyronine, i also have the DI02 polymorphism.

i have been taking this dose since October 2020 after seeing my Endo.

During the summer of 2021 i started experiencing feelings of faintness/passing out 3-4 times a week this would only last 1-2 mins at a time. also felt wired. My GP sent me for a heart scan to see if there was a valve problem causing this, results are back and a slight heart murmur was detected,but she doesnt think that caused my symptons.Also having an ECG this week to make sure nothing else going on.

I spoke to my endo during Oct as my prescription was due for renewal for T3, he advised to change my dosage of levothyroxine to 75/50 alternate days and keep T3 the same.

2 months later these faint symptoms have lessened but am now unsure what to do as some of my pre- diagnosed symptoms are returning, like foggy brain/slow thinking and tiredness. I was going through a stressful time with work last year so dont know whether that was the problem or whether too much Levothyroxine.

I have a telephone appointment soon with my endo and am thinking of asking him if upping my T3 would be beneficial? What does anyone think?

I have been trying to up my Folate and Vit D, betteryou spray ive taken for a few years now but it doesnt seem to climb very high and im on max dose.

Sorry for long message but would appreciate any advise given as i know you all have oodles of knowledge.

Thankyou in advance

[SlowDragon Administrator]

December results

FT4: 9 pmol/l (Range 8 - 17) 11.11%

FT3: 4.7 pmol/l (Range 3.8 - 6) 40.91%

October

FT4: 14 pmol/l (Range 12 - 22) 20.00%

FT3: 5.05 pmol/l (Range 3.1 - 6.8) 52.70%

Helpful calculator for working out percentage through range

thyroid.dopiaza.org

Were tests done as advised on here

As early as possible in morning, last dose levothyroxine 24 hours before test

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

Many people find they need both Ft4 and Ft3 at least 50% through range……but it’s very individual

You could

Try splitting your levothyroxine into 2 smaller doses

Or

request trial on liquid levothyroxine - usually taken as smaller split doses

Are you on absolutely strictly gluten free diet

[Traceycrete in reply to SlowDragon]

Thanks for your reply. Yes I always leave off the medication 24 hours before and have early morning bloods. So would the levothyroxine be 75 mg back to the dose I was on before? I could try that.would that help increase the T3 levels even with the DI02 gene I have. T3 needs to go at least to 50% too doesn’t it?

[tattybogle]

I don't take T3 .. so feel free to ignore me , but :

Since reducing the Levo has now sent the T4 to bottom of range, and at 14[12-22] it was already pretty low to begin with , i wonder if it might be an idea to put the Levo dose back to where it was .. and consider reducing T3 a tiny bit instead .. ie. 7.5mcg instead of 10 mcg.

I realise your fT3 isn't too high 'on paper' but i suppose i'm thinking in terms of getting T4 and T3 a bit more in balance ?

[Traceycrete in reply to tattybogle]

Thanks for replying. I could give it a try but it does seem a very low dose T3 at 10 mg, that will be difficult to cut the tablet also and I wonder about accuracy when it goes powdery after cutting. I do have the blade thats recommended on here. It’s all very trial and error and after 6 years of trying to up the readings I’m getting very despondent. It took 4 years to even have a trial of T3.