Feedback on results please !

[Nutty56]

Hi guys I would appreciate any feedback on these results? I have endo app on thur . Currently taking Levo 75 x 5 days 50 x 2 days T3 7.5 split 5/2.5

Blood draw via GP 22/9

TSH 3.7  ( 0.27 - 4.20 )

T4  14.5. ( 12 - 22 )

T3 not tested again !

Blood draw 28/9 Monitor My Health

TSH 7.03 (0.27 - 4.20 )

T4  14.6.  ( 12 - 22 )

 T3  4.1.  ( 3.1. - 6.8 )

I followed all guidelines only diff through GP app was 9:15 and I did home test 8:45 . Would this account for difference in TSH

I feel absolutely awful aches headaches , no energy . Levo was reduced by 50 mcg when I started T3 and I feel by too much

thanks for reading !

[SeasideSusie Remembering]

Nutty56

I followed all guidelines only diff through GP app was 9:15 and I did home test 8:45 . Would this account for difference in TSH

Not to the extent shown. However, different labs, different equipment, there's no guarantee they will be the same but it seems very strange to have such a high TSH when taking T3.

The FT4 result is virtually the same. Stupid for your NHS test not to include FT3 when you take T3 🙄

Looks like Levo was reduced too much. What was your FT4 before adding T3?

FT3 could do with being a lot higher. Increasing Levo dose would take both FT4 and FT3 higher so adding 25mcg Levo back in would seem a good idea at this point, retest 6-8 weeks later to see how both FT4 and FT3 are then, and then you can decide which to increase at that point.

[Nutty56 in reply to SeasideSusie]

Thanks SeasideSusie these wer results prior to adding T3

TSH 2.14 ( .27 - 4.2)

T4 21.2 ( 12 - 22)

T3 4.8 ( 3.1 - 6.8 )

Hopefully get somewhere on Thursday when I speak with endo . Just not seen any benefits from adding T3 but want to carry on a little longer

[SlowDragon Administrator in reply to Nutty56]

So you need 25mcg dose increase in levothyroxine……retest again in another 6-8 weeks

Likely to need dose increase in T3 after next test

Essential to test vitamin D, folate, ferritin and B12 too

What vitamin supplements are you currently taking

[Nutty56 in reply to SlowDragon]

thanks SlowDragon I am taking Thorne B complex , Docs best D3 , magnesium

Had them all checked prior to seeing endo via Medichecks?

[SlowDragon Administrator in reply to Nutty56]

do you always get test done early morning, ideally just before 9am and last dose levothyroxine 24 hours before test

Last 2.5mcg T3 approx 8-12 hours before test

Remember to stop taking vitamin B complex or any supplements that contain biotin a week before all blood tests

[Nutty56 in reply to SlowDragon]

it just occurred to my in between NHS blood draw and doing finger prick at home I started taking B complex again could that cause TSH to rise ?

[SlowDragon Administrator in reply to Nutty56]

More likely to be a change because you have autoimmune thyroid disease, also called Hashimoto’s

Levels hop around with ha, that’s why so many Hashimoto’s patients do better on high enough dose levothyroxine/T3 to bring TSH down very low ….to stop your own thyroid levels swinging wildly up and down

Monitor My Health Results

FT4: 14.6 pmol/l (Range 12 - 22)

Ft4 only 26.00% through range

FT3: 4.1 pmol/l (Range 3.1 - 6.8)

Ft3 on 27.03% through range

Aiming for Ft4 and Ft3 at least 50-60% through range minimum ….you’re results show you are under medicated and this is reflected in high TSH

[Nutty56 in reply to SlowDragon]

thanks SlowDragon in a weird way it’s good to have a reason I feel so cr*p and hopefully fix to some degree !