Hi I’m hoping you can help please. I started on levo last July and am currently on 100mcg. I have many of the symptoms and result was ‘sub clinical’ but dr agreed to prescribe on basis of nice guidelines. Some blood tests over the last year are below. All taken between 8.30-9. Before medication/ food. I don’t have all the GP results (I know I could get them) but have done others through monitor my health (MMH) and Medichecks (MC) as I’m aware GP results don’t generally have the t4 and definitely not the t3. These are at follows:
Before medication
19/4/21 MMH - TSH 4.46 (0.27-4.2) t4 16.8 (12-22), t3 5.3 (3.1-6.8)
23/6/21 (MC) TSH 5.53, t4 13.9, t3 5
20/7/21 started on 50mcg
26/10/21 started 75mcg
25/1/22 MMH TSH 3.18, ft4 18.2,ft3 4.8
1/2/2/ GP TSH 2.46, t4 17.4
7/2/22 started on 100mcg
21/4/22 MMH TSH 1.68, t4 18.5, t3 4.4
My Concern is that although TSH has come down and t4 gone up, my t3 has gone down from 5 to 4.4 as this has stepped down with each increase. Is there a reason for this? As I understand from what I’ve read t3 is the most important result. Is there any benefit to having a higher t4 and lower TSH than before when t3 is also lower? It looks like I was better off before starting levo, should I stop taking it? Reducing gradually?
On this pattern it seems an increased dose would reduce t3 further. I weigh 94kg and am 5’10 so still a way to go on the dosage by weight calculation. I’m due to discuss with GP next week, he was incredibly dismissive of any private tests at the beginning and got cross previously when I referred him to the results (apparently he can only trust results from their labs). So he will only have the Nhs results (with similar TSH and t4 to the private ones) but no t3. I haven’t really noticed an improvement in symptoms. Previous test negative for antibodies. I had broken my leg in May last year and that is still not fully resolved also. Some blood test have been delayed due to blood bottle shortage, covid and surgery on leg (dec 2021).
Any advice would be much appreciated I would love to feel better but at a bit of a loss what to make of results. Is is not thyroid related? But then why the symptoms and raised TSH?