Advice please : reduce levo when starting T3 or... - Thyroid UK

Thyroid UK

137,936 members161,765 posts

Advice please : reduce levo when starting T3 or leave it alone?

grumpyold profile image
4 Replies

On 125 mcg of levo with a FT4 of 21.4 ( 12-22) 94% through range

and a FT3 of 4.5 (3.1-6.8) 37.84% through range, giving a ratio of 4.75

when beginning T3, would you reduce the levo or leave it at 125mcg ?

( TSH always appears suppressed due to Metformin, so isn't relevant, but it's 0.01 (.27-4.2.)

Any advice gratefully received. Thankyou.

Written by
grumpyold profile image
grumpyold
To view profiles and participate in discussions please or .
Read more about...
4 Replies
Lalatoot profile image
Lalatoot

Grumpyold As ft4 is at the top of its range I would reduce levo by 25mcg and wait a week for blood level to reduce then start adding 5mcg T3 liothyroinine.

grumpyold profile image
grumpyold in reply to Lalatoot

Thankyou for replying I'll do as you suggest.

SeasideSusie profile image
SeasideSusieRemembering

I agree with Lalatoot :)

grumpyold profile image
grumpyold in reply to SeasideSusie

Thankyou for replying. I'll do as you suggest.

You may also like...

Would you reduce Levo when starting T3?

4 / Free Thyroxine 19.8 / Free T3 3.1, I know I'm not converting well. Vitamins are:...

Advice on reducing T3 please

Somerset who has stabilised me on 75 mcg levothyroxine and 25 mcg Liothyronine daily. I am now...

Advice starting T3 please

fasted but no levo for well over 24hrs. Tsh 0.18 (0.4-4.9) -4.9% FT4 13.7 (9-19) 47% FT3 4.1...

Due to start T3 but not sure of the best way to reduce my levo

same time change my Levo dose to 50 mcgs . I’m currently taking 87.5 mcgs of Levo (100 one day then...

Advice on reducing T3 - TFT 4 weeks after reducing levo and 2 weeks on T3

surprised that my FT4 dropped so much, I presumed it would drop to just below the top of range. Any...