Blood test due - palpitations

[Suzi_]

I am still having palpitations, due to see Dr next month. Blood test due Sept 1.

I will be fasting/

I am on 75 mcg levothyroxine 4 days & 50 mcg 3 days a week, endo won’t prescribe t 3.

Which blood test should I

Have done -

on doctors orders are-

T3 total, t4 free, tsh,folate, ferritin, vitamins D & t3 free.

Still loosing lot of hair and reduced palpitations.I am pre diabetic.

Thanks

[SlowDragon Administrator]

You need

TSH, Ft4 and ft3

TPO and TG thyroid antibodies

Full iron panel test including ferritin

Vitamin D

Folate and B12

What vitamin supplements are you currently taking

What were thyroid results and ranges at last test

Approx how much do you weigh in kilo

[Suzi_ in reply to SlowDragon]

Please see my reply above. Sorry for the delay in reply.

[shaws Administrator]

When I was first diagnosed with hypothyroidism I was given levothyroxine (T4).

This caused me to have awful palpitations - particularly during the night and the cardiologist couldn't figure why it was happening as I had many overnight recordings. He was contemplating putting an implant in my heart "to see what was going on".

When T3 was added to T4, the palpitations ceased and I now take T3 only and feel well. I am also symptom-freel. I didn't need an implant.

[Suzi_ in reply to shaws]

Thanks so much. I will try & convince my endocrinologist, he thinks it will make my palpitations worse!

[shaws Administrator in reply to Suzi_]

That's just an excuse - T3 being more expensive than T4 - they want us to have levo (T4) only - (low cost) but it isn't worth a patient not improving at all and some might even lose their jobs or lives .

I met a woman when on a hospital vist (to a friend) who was praising levothyroxine as a wonderful replacement. So many hypo patients do o.k.

People like me - I had severe palpitations and overnight recordings (some 144 bpm) and Cardiologist couldn't figure out why and was going to put an implant in heart 'to see what was going on'.

Before that happened T3 was added to a reduced T4 and I immediately felt much better but when I stopped T4 altogether and took T3 alone I have had no palps since. I didn't have to consult again with the Cardiologist.

I feel well and I take T3 when I awake, with one glass of water and wait an hour beore I eat.

When having a blood test, - at the earliest time, I don't eat or take T3 before but afterwards.

Levothyroxine - T4 should convert to T3 but many people don't.

healthcentral.com/slideshow....

There used to be a thyroid hormone replacement - made from animals' thyroid glands - and it saved many lives since 1892 from then on. without the need of blood tests and doctors just took account of patient's symptoms,

This was removed by the 'supposed to be knowledgeable experts' - not too long ago and left many patients worried or having to self-source and I doubt if NDTs can be sourced elsewhere.

I was fortunate to consult with the last two 'knowledgeable' doctors who saved many lives but both - distinguished doctors - were pursued as if they were criminals for treating us as they were taught i.e. a trial of NDTs (natural dessicated thyroid hormones) that have now been withdrawn by people we 'expect' to be knowledgeable and was helpful for patients = their names were Dr Barry Peatfield (resigned licence). Dr Gordon Skinner who - after his sudden death - his staff have collated all of their scientific evidence and they hope to publish when they have enough funds.

[Suzi_ in reply to shaws]

Thanks for feedback I have a blood test this week then endo appointment, let’s see if I can convince him to

Add on small dose of T3.

[Suzi_]

I weigh 107.4 lbs, 48.71kg

I am under 5’ tall.

I take 250 mg magnesium, & 2000 iu vitamins D3.

Lab results on 6/21/22 in USA

Folate- 9.4

Ferritin-43

T4 free- 1.43

TSH- 0.583

T3 Total-105

T3 free - 2.6

Vitamin D-43.3

Sorry, I don’t have the range on this order.

Endo is refusing to

Give me T 3. Palpitations are infrequent but not gone.

[SlowDragon Administrator in reply to Suzi_]

Without ranges, results are impossible to comment on

Palpitations can be due to being on inadequate dose levothyroxine

Approx how much do you weigh in kilo

75mcg/50mcg alternate days is a very low dose

ALWAYS test thyroid levels early morning ideally before 9am and last dose levothyroxine 24 hours before test

Ferritin is too low

Folate might be low if range is 8-60

Or might be ok if range is 3-20

No B12 results

[Suzi_]

I had my labs done today. I weigh about 49 kg. What do I do about low ferritin: folate?

Endo in USA will only test B12 as coveted by Medicare.

Thanks