I am taking Erfa NDT (125mg) 1 tablet am and half tablet pm
I have just had blood tests with the following results
TSH 0.01 mu/L (0.38 - 5.35)
Free triiodothyronine pmol/L 10.8 (3.8 - 6.2)
Free T4 12.4 pmol/L 7.9 - 14.4
The doctor is going to ring me on Friday afternoon
Can anyone please give me some advice please
Hello TVOReason and how do you feel ?
Personally I would need to wait 24 hours before I'd arrange a blood test for my doctor :
The TSH will invariably be suppressed and the T4 proportionately lower than when on T4 monotherapy but the T3 will show proportionately higher.
How much time did you allow between last dose and blood draw and was that the 1 grain or 1/2 grain dose ?
I feel terrible the symptoms are many and varied (Levothyroxine wasn’t working for me) that’s why I went onto NDT thinking they would reduce. I first started taking Armour but doctor thought it might be too strong ( bad stomach swelling and pain) and so put me on Erfa since June this year still have bad stomach issues (CT scan and ultrasound didn’t show anything).
1tablet NDT taken 8 am blood test at 1230
Well that will explain your over the range T3 level as you need to leave around a 12 hour window from last dose to blood draw.
I'm sorry you are so unwell - I wonder if you need to consider T3 only as I've just had a quick look back at your previous posts and know there are people who can't tolerate T4 in either synthetic Levothyroxine or the T4 found in Natural Desiccated Thyroid.
that’s interesting I hadn’t even thought about that - I’ll see what doctor says on Friday and then get in touch with my thyroid doctor about it all
Thanks so much for your reply I really appreciate it
Well yes, it's another option but just another thought I had was to ask you if you had ever considered or tried liquid T4 as your symptoms seen to be originating more from your stomach and digestion ?
no it had never crossed my mind, they are pushing down the road of IBS, but I’m not convinced, thanks for your suggestion I will bear it in mind when I speak to my thyroid doctor. Thanks once again for your thoughts I’ll let you know how I get on
A slowed metabolism, due to hypothyroidism is common and whether with IBS or not, the liquid T4 might be the best first option to try.
Have you had a test to rule out celiac disease ?
Many thyroid sufferers find the research of Dr Izabella Wentz of value and checking for food intolerances a necessity - especially those of gluten, wheat and possibly dairy - thyroidpharmacist.com -
I’m not celiac and I’ve done private tests for food intolerances and apart from a couple of things, one being Brazil nuts, nothing substantial showed up.
All the other Blood tests show all normal ( blood count, liver, kidney, crp)
It was interesting about suffering both hypo and hyper symptoms on Dr Wentz site
Thanks again
EXTREMELY common to develop gluten intolerance and dairy intolerance when on replacement thyroid hormones
It’s ALWAYS worth trying strictly gluten free diet
And few months later try dairy free diet
Before considering adding T3
First step is to get FULL thyroid and vitamin testing done after at least 2 months on unchanging dose and brand of replacement thyroid hormone
When were vitamin D, folate, ferritin and B12 last tested
Have you had thyroid antibodies tested too
What are you currently taking thyroid wise
List of private testing options and money off codes
thyroiduk.org/getting-a-dia...
Medichecks Thyroid plus antibodies and vitamins
medichecks.com/products/adv...
Blue Horizon Thyroid Premium Gold includes antibodies, cortisol and vitamins
bluehorizonbloodtests.co.uk...
Only do private testing early Monday or Tuesday morning.
Link about thyroid blood tests
Recent blood test results
Recent nhs blood tests 
Help comparing recent blood test to previous test 
High Free T3 Level on recent blood test
Advice on recent blood test results
