Help please with latest results T3/T4 combo - Thyroid UK

Thyroid UK

141,243 members166,489 posts

Help please with latest results T3/T4 combo

8 Replies

Hello everyone

Thank you for all your help and advice to date. I’ve recently had a full thyroid panel and am now 3 months into a trial of T3.

My new results as follows:

TSH 1.29 (0.27-4.2)

T4 15.4 (12-22)

T3 4.11 (3.1-6.8)

My dose as follows: 100mcg 3 days and 75 for 4 days Levo

T3 15mcg in 3 divided doses 6am, 2pm & 10pm

I was originally on 100mcg per day before introducing T3 when my Endo reduced Levo to 75mcg each day. It was said on here that likely I didn’t need the initial reduction, and after an initial 5 to 6 week period of improvement when introducing the T3, I have since felt undermedicated and quite unwell again.

From my previous bloods, the T4 has increased, but this is still only about 30% through range, as is my T3. I had hoped to see an increase in T3 with adding Lio, but it remains stubbornly at the 4.2 mark. I can’t seem to get beyond that level since diagnosis 2 years ago.

Bloods have been done according to protocol and vitamins are in the top third of range so I am only supplementing vitamin D (Better You spray with K2). I’m planning to retest in 2 weeks time, along with iron panel as my last post referred to ‘unusual’ results when last tested. (A huge thank you for the input on those!)

My Endo has suggested a further day of 100mcg (4 in total and 75mcg x 3).

I had wanted to trial changing Levo to night time dosing, but am inhibited as am on an antidepressant which needs to be taken at bedtime so believe this rules this out.

I’m wondering if I should request the dose be increased a little more, given how fatigued/ unwell I’m feeling?

I’m going for an SST test this week to check/ rule out adrenal insufficiency.

Any help would be gratefully received and thank you in advance!

🦋

Read more about...
8 Replies
SeasideSusie profile image
SeasideSusieRemembering

Butterfly1942

In my opinion you should go to 100mcg every day, I honestly don't think one extra day of 100mcg instead of 75 will help, that's just an extra 25mcg per week.

Considering your results on 100mcg Levo only daily were

TSH 2.47 (0.27-4.2)

T3 3.22 (3.1-6.8)

T4 15.9 (12-22)

as I said before in reply to your other thread there was no need to reduce your Levo when adding T3 as your FT4 was only 39% through range

healthunlocked.com/thyroidu...

in reply toSeasideSusie

Thank you SeasideSusie I think I need to as whilst I’m all for small increases, I feel I’m languishing in illness and there would be no danger of over medication on these results. I remember you saying about the reduction and think you are absolutely right. I can see the Endo wanting to be cautious but I do need to see and feel some improvements now.

Thank you, as ever, for help x

greygoose profile image
greygoose

Your FT3 is incredibly low for someone taking 15 mcg T3. Do you always take it on an empty stomach, two hours after eating or one hour before, just like levo?

in reply togreygoose

Hi greygoose

Thank you for responding. Yes, I’ve been quite regimental in the last 6 weeks (the odd one a bit too close to food maybe) so it is a bit perplexing! I just can’t work it out.

X

greygoose profile image
greygoose in reply to

Looks like an absorption problem. Leaky gut, perhaps, or low stomach acid.

in reply togreygoose

I’m almost 6 months in on GF and was debating stopping as I’ve not noticed a huge difference, but have had a more quiet stomach. I’ll continue and look up other things that may help. This is really helpful thank you 😊

greygoose profile image
greygoose in reply to

If your problem is low stomach acid, GF is not going to help with that. What people often do is start eating gluten again, and see if it has any adverse effects. If it doesn't, then there's no point in continuing with GF. But, if it does, then they go back to being GF.

Ok I’ll give this a try! I’ve been worried about changing anything but I do find it a bit restrictive at times. Nothing that can’t be managed, but if it isn’t helping then no point in continuing. As you say, if I’m worse, can always switch back. Thanks greygoose for helping. It can be a difficult road to navigate so advice is very much appreciated x

Not what you're looking for?

You may also like...

T4+T3 combo

I have just had endo nurse telephone appointment, six weeks after my nhs endo appointment. I have...

Help with results please

Hi I have just joined. I was diagnosed hypo in 2014. My current dose is 125mcg Levo and 10mcg T3....
Pinksapphire profile image

T3 please

Hi since I am a poor converter of T4 to T3 may I please be PM'd a source where to get it from. Endo...
Rosa18 profile image

Please help with interpreting recent blood results.

I’ve been on Levothyroxine since 2008 after receiving RAI treatment. I’ve been prescribed 100mcg...
Golli profile image

Recent bloods on reduced T3 dose advice needed please

Hello everyone I recently reduced my T3 from 15 mcg per day (taken in 3 split doses) to 10mcg...

Moderation team

See all
PurpleNails profile image
PurpleNailsAdministrator
SlowDragon profile image
SlowDragonAdministrator
Jaydee1507 profile image
Jaydee1507Administrator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.