You have previously mentioned low iron - how low is it and is it being treated ? Low iron can be involved in palps due to the heart sensing reduced oxygen. Iron within the red blood cells is the transporter of oxygen around the body - simplistically put.
Your dose of Levo sounds low as it is normally a starter dose.
Bloods should be retested 6-8 weeks after any dose change
Always test early morning, ideally before 9am and last dose levothyroxine 24 hours before test
Is this how you did your test
FT4: 1.23 pmol/l (Range 0.82 - 1.77)
Only 43.16% through range
Assuming this result is
Total T3
82 pmol/l (Range 71 - 180)
Only 10.09% through range
Total T3 not the correct test
You need Ft3 tested
Most people when adequately treated will have Ft3 at least 50% through range and if on levothyroxine only usually need Ft4 at least 60-70% through range
These show you are under-medicated: TSH should be lower than this - always less than 2 and probably less than 1 and 50 mcg is only a starter dose. Is the T3 result total T3 or free T3? The width of the range suggests total, which isn't much use really - better to get the free T3 result which shows the amount of hormone available for your body to use. Either way it's much too low. Most of us need both "frees" to be a good 2/3 through range x
In all people, a serum ferritin level of less than 30 micrograms/L confirms the diagnosis of iron deficiency
Look at increasing iron rich foods in diet
Eating iron rich foods like liver or liver pate once a week plus other red meat, pumpkin seeds and dark chocolate, plus daily orange juice or other vitamin C rich drink can help improve iron absorption
This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.
Thyroid disease is as much about optimising vitamins as thyroid hormones
Never supplement iron without doing full iron panel test for anaemia first and retest 3-4 times a year if self supplementing. It’s possible to have low ferritin but high iron
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