I think I posted my blood work results in the Correct forum.
Slow dragon and few other people usually respond quite promptly.
This time I didn’t get any replies.
Though the results were within range, my left eye twitches quite a bit and palpitations haven’t gone away, though less since I stopped the 5 mcg T3.
My endocrinologist already mentioned that since results were within range, palpitations were not due to T3.
I am wondering if my 50 mcg of Levo T4 should be increased. Thanks
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.
Low magnesium can cause all sorts of twitching.
T4 free range - 0.82-1.77. Me 1.23
Tsh range - 0.45- 4.50. Me 2.27
T3 range- 71-180. Me 82
Taking 50 mcg of T 4 levothyroxine.
How long have you been on just levothyroxine
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
The results in your other post were
T4 free range - 0.82-1.77. Me 1.23
Tsh range - 0.45- 4.50. Me 2.27
T3 range- 71-180. Me 82
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
Likely low vitamin levels with such low dose levothyroxine and constant chopping and changing
When were vitamin D, folate, ferritin and B12 last tested
What vitamin supplements are you currently taking
Have you had coeliac blood test done
Are you on strictly gluten free diet
Test done on December 26,21
Folate 11.2 ( 3.5-5.4) range
B12 711 (211-911)
Ferritin 3.5( 4.6-204)
A1c 5.3( 4.6-5.9)
Never had a Coeliac test.
Stopped T 3 5 mcg on January 18,22
Finally palpitations r better
Thanks for all replies.
Is Ferritin really only 3.5?
Optimal ferritin is at least over half way through range
You need full iron panel test for anaemia
Likely iron supplements for many months
Low Iron and ferritin frequently the cause of palpitations
Low Iron/ferritin directly linked to being under medicated for thyroid
To tolerate levothyroxine and especially to tolerate T3 we need GOOD Vitamin Levels
No vitamin D test result?
What vitamin supplements are you currently taking
Get coeliac blood test done before trialing strictly gluten free diet
Yes - I mentioned iron in the first reply above ! No response which was disappointing as it seems to be a problem ... oh well we can but try 🌻
cks.nice.org.uk/topics/anae...
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
List of iron rich foods
Links about iron and ferritin
An article that explains why Low ferritin and low thyroid levels are often linked
preventmiscarriage.com/iron...
irondisorders.org/too-littl...
davidg170.sg-host.com/wp-co...
Great in-depth article on low ferritin
oatext.com/iron-deficiency-...
drhedberg.com/ferritin-hypo...
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
healthunlocked.com/thyroidu...
restartmed.com/hypothyroidi...
Post discussing just how long it can take to raise low ferritin
healthunlocked.com/thyroidu...
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
Medichecks iron panel test
medichecks.com/products/iro...
Iron and thyroid link
healthunlocked.com/thyroidu...
Posts discussing why important to do full iron panel test
healthunlocked.com/thyroidu...
healthunlocked.com/thyroidu...
Chicken livers if iron is good, but ferritin low
Ferritin, TSH, gluten and B12 blood test results advice please
Perspective on blood test results?
What do my test results indicate?
Blood test results before consultation with GP.
Blood test results 
