help with results

[Blackbird28]

Hi All,

Please could anyone advise me on my test results. I have just got them back today and they are deemed ‘normal’

I am currently taking

100mc levothyroxine

3x10mc lyothyronine

I also have a Evori Conti HRT patch

I also take 1.25 Bisoprolol which I have been told I don’t really need but I do anyway

I run everyday and have done for years although lately I am always exhausted and heavier than I would like but a Dr would say I am fine -51 years old female with no vices

thanks so much

X

[Lalatoot]

Blackbird your ft4 level would be too low for me. Some folks on levo and lio manage with low ft4 if ft3 is high in range; others need both ft4 and ft3 at least half way through range.When on levo and lio it is a very individual thing so you need to just do trial and error until you find doses and dosing times that result in hormone levels that work for you.

Only change one thing at a time though otherwise you won't know what effect things are having.

I would try an increase in levo. However depending on how well you convert this might increase your ft3 too much for you. Your next step might be then to reduce lio by 5mcg if ft3 gets too high. As I say it is methodical small changes, 1 thing at a time till you find what makes you feel well.

[SlowDragon Administrator]

No B12 result or ferritin ?

Assuming test done early morning, ideally before 9am and last dose levothyroxine 24 hours before test

Day before test, splitting T3 as 3 doses spread through the day and last dose T3 approx 8-12 hours before test

Would agree with Lalatoot …..suggest you try increasing levothyroxine to 125mcg daily

Retest in 6-8 weeks

[SeasideSusie Remembering]

Blackbird28

I'm exactly the same as Lalatoot, I need FT4 and FT3 reasonably well balanced around 60-70% through range, I take Levo plus T3 and your FT4 would have me bedbound.

When did you take our last dose of Levo and T3 before this test, last dose of Levo should be 24 hours before, and T3 should be split the day before into 2 or 3 doses and last dose 8-12 hours before test.

Your folate level is extremely low. Folate is recommended to be at least half way through range so that would be at least 11.5 plus with that range. Including lots of folate rich foods may help, also a good quality bioavailable B Complex such as Thorne Basic B or one that includes methylfolate (not folic acid) and methylcobalamin (not cyanocobalamin) but no Vit C as this needs to be taken 2 hours away from B12.

I also take 1.25 Bisoprolol which I have been told I don’t really need but I do anyway

Why do you take it if you don't need it?

Do you take your thyroid meds on their own, at least 2 hours away from any other medication and supplements.

[Blackbird28 in reply to SeasideSusie]

HiThank you both for your advice. I follow the pre test routine to the letter and always have my test early morning with a 12 hour fast.

I will try adding a little more levo and get my vitimans right.

My folate has always been good but I have stopped eating meat and fish, so this could maybe having an effect? I do feel exhausted all the time which isn’t like me

My GP mistakenly had me on 60mc of T3 a few years ago and I had a very brief spell of afib (24 hours) so I am able to come off the Bisoprolol but was advised to have it as a “ pill in the pocket”Because I am always stressed and tired over the last 10 months , the pill in the pocket is needed daily!

Thank you again both for your advice it is much appreciated

[arTistapple]

I am sure you will be advised by more experienced and knowledgable people than me BUT I would carefully choose which change you want/need to make. Pill in the pocket is a ‘normal’ piece of advice for Bisoprolol BUT just dropping this med without reducing gradually, after taking it full time could be very uncomfortable. I don’t know for sure but it makes sense to me that thyroid meds tailored to needs would make adjusting Bisoprolol easier a bit later. OR if you decide to drop the Bisoprolol first, begin to make your adjustments to thyroid meds when you know you have settled without the Bisoprolol. Whatever, don’t adjust them all at the same time.

[Regenallotment]

Hey Blackbird, your change in diet could well be related. I’d get your B12 checked, it’s amazing how rubbish you can feel in low B12 alongside low in range T3&4. Hope you feel better soon. I used to run loads but chronic ankle injury forced me onto a yoga mat. I hope to get my trainers on again one day. 🦋💚🦋