Help with results

[Gwelos]

My last posts was 6 weeks ago. My levels were low and the suggestions I got was to increase my eltroxin and test in 6-8 weeks.

My results today are

Free t4 16.2 ( 12-24)

Free t3 4.6 ( 3.1-6.8)

TSH 0.31 ( 0.27-4.2 )

I was on 75 eltroxin and 10 of thybon in the morning and 5 at lunchtime.

I increased eltroxin to 89 and kept thybon the same.

Muscle aches and fatigued all the time

I would be grate for any help of what to do next.

Can anyone explain why someone who doesn’t have a problem with their thyroid doesn’t need to have their levels as high as someone who does

🙏

[annabianca]

When did you take your last medication dose before the test?

[Gwelos in reply to annabianca]

I do the testing as per the protocol here. 24 hrs from Eltroxin and I split the t3 dose and I was fasting

[Lalatoot]

With no thyroid problem your body can produce on demand as it were. The thyroid will pulse out t4 throughout the day as required and the body will convert to meet your needs.Taking oral thyroid hormones means that the responsive element has gone. You can dose several times a day but it still won't match the workings of a healthy thyroid. We have lost the automatic responsive increase in hormones according to our body's demands therefore we have to ensure that we keep our levels high enough to meet all our needs.

Our compromised body is perhaps not as efficient as a healthy thyroid body so we do not use thyroid hormones as efficiently meaning that we need higher levels to compensate for this as well.

[Lalatoot]

Gwelos for me the ft3 level is too low and I would suggest and increase of 5mcg liothyronine. However this may put your TSH under range. This is not a problem as many on combo have suppressed tsh but it may cause your Doctors to throw their hands up in horror.

[Gwelos in reply to Lalatoot]

Thanks Lalatoot my doctor doesn’t mind suppressed Tsh as he uses t3. I’m trying to do this really slowly as I’ve tried different combinations but have never really been on a high dose. The highest I’ve been on is Eltroxin 110 and Thybon 10. To me that seems a lot and I get panicky I’m taking too much. That’s the equivalent of 150 t4?Would you suggest staying on the 90 t4 and increase the t3 by 5

[Lalatoot in reply to Gwelos]

I would not think of equivalence. You need what your body needs. If your body needed 150mcg levo then you would be fine on that alone. Your body doesn't need levo alone - it needs the addition of T3 so there is no point comparing doses.What you need to do (and it took me 2 years of slow changes) is to work out by trial and error how much T4 and T3 your body needs. You do this by making small changes in one hormone; waiting 8 weeks and then doing bloods.

So I would leave levo as is and add another 5mcg lio either as a separate dose or added to an existing dose.

[Gwelos in reply to Lalatoot]

Thank you I’ll try that. Much appreciated 🙏

[Gwelos]

That’s very interesting thank you for your reply I suppose it makes sense