Help with Results Please

[HarrietJW]

I am currently taking 60mg of Thyroid-S from Thailand. I have been for around a year and not tested in this time, until now. I am wondering if I need to increase my dose slightly? Would love some advice. With regards to symptoms, cold hands and feet are the main ones.

My results have come back as:

TSH - 8.5 (0.27-4.2)

FREE - T3 4.9 (3.1-6.8)

FREE THYROXINE - 10.7 (12-22)

TPA - 173.8 (0-34)

Vitamins:

B12 - 145 (37.5-188)

Vit D - 104 (50-250)

Folate - 32.4 (8.83-60.8)

Thanks!

[SeasideSusie Remembering]

HarrietJW

I'm surprised your functioning with those results.

On NDT, when optimally medicated, TSH tends to be low or suppressed, FT4 is often low in range and FT3 is usually in the upper part of it's range. I think that you can see that you are far from being optimally medicated with a very high TSH, a below range FT4 and an FT3 level that's 48.65% through range.

Do you take any supplements, I'm thinking particularly of Biotin or a hair/nail supplement or B Complex - this is because biotin gives false results and needs to be left off for 3-7 days before any blood test.

Also, I'm wondering if anything has caused a false TSH result.

Thyroid antibodies are raised so this confirms Hashi's, I don't know if you already knew this.

Vitamins are pretty good.

Was ferritin tested?

Have you recently started a newly sourced batch of Thyroid-S? Some members are saying they're different from previous batches and they're not doing so well on them.

[HarrietJW in reply to SeasideSusie]

Thank you. This is actually the first test I have done on this batch, it's a few months old. My ferritin is 78 (30-150) I do not take any of those supplements so I imagine the test is correct. Would you suggest a dose increase based on this?

[SeasideSusie Remembering in reply to HarrietJW]

Would you suggest a dose increase based on this?

Definitely.

[pennyannie]

Hey there again :

Around 11 months ago you said you were feeling well on 3 grains but still with a few symptoms and I suggested you increase by a further 1/4 grain - what happened that you are now on just on 1 grain and look to be very undermedicated ?

[HarrietJW in reply to pennyannie]

Apologies, there's a typo I am on 2 grains so 120mg. I had to switch brands and in doing so I tested and my T3 came back very high so I thought my new batch was maybe stronger, so I dropped down. Honestly, it's been a struggle trying to find 'my dose' and I am clearly still not there.

[pennyannie in reply to HarrietJW]

Oh that's a shame as you felt ' almost there ' last time we spoke.

I also monitored on my blood pressure, pulse and temperature twice daily as it's a long time between blood tests and they don't tell you how you feel anyway.

My blood pressure and pulse remained stable, but I watched my temperature slowly rise from 35.4 to 36.6 so had some encouragement that I was going in the right direction.

No thyroid hormone works well until your core strength vitamins and minerals, ferritin, folate, B12 and vitamin D are up and maintained at optimal levels so this may need to be another area to check on, as these might have fallen through the ranges and compounding the problem.