T3 below range

[Bubydizer]

Hi everyone,

Thank you for all your help. Could you please look at my blood results. My T3 has been consistently lowering with each increase of levothyroxine. With each increase of levothyroxine dose the first 2-3 weeks felt good and my symptoms ( sore feet, Sore joints, fatigue, dry eyes flaky red skin on face circulation) improved. Unfortunately, in October I got Covid I found out early so just rested and it didn't seem too hard on me. But afterwards some of my B12 deficiency symptons came back constant mouth ulcers and wobbly on my feet knocking into things and getting words stuck, so I am now on daily B12 injections. So whether this has had a big impact on my T3 results or not I don't know.

The levothyroxine that I take is Eutirox merck.

Before this last increase I found staying on 87mcg for nearly 6 weeks before blood tests really hard. It got worse, feet sorer, skin bad, sore eyes and joints, was really hard to wait to test.

I am now taking 100mcg levothyroxine ( 50mcg at 5-6am and 25mcg at 4pm and 11pm) didn't feel as good with this increase but seem a little better now. I am trying to improve my mobility, standing for a while and uneven ground really do my feet in, so not getting my walks in, which I know would really help me.

I will try to post the translated picture of my Hemogram. My MCV is out of range but it has improved a little and here are my other results.

11/11/22 87mcg levothyroxine

TSH 0.389 (0.4 - 4.2)

T4F 1.5 (0.7 - 1.8)

T3F 1.9 (2.1 - 4.4)

Homocysteine 5.5 ( < 15.0 )

Iron serum 109 ( 60 -170 )

Transferrin 269 ( 200 - 300 )

TIBC 385 ( 286 - 429 )

Transferrin Saturation 28 % ( 25 - 45 )

Selenium 11.5 ( 6.0 - 16.0 )

[Jazzw]

I’ve only had a quick look partly because I’m finding it hard to read that attachment—but it looks like your MCV levels are quite high which would point to either or both B12 deficiency and folate deficiency. Are you taking folate as well as B12?

The bigger issue is that you aren’t converting T4 to T3 very well. Do you have a serum ferritin result to go with those other iron results.

You might be someone who would benefit from having liothyronine added to your levothyroxine.

[Bubydizer in reply to Jazzw]

Thank you so much for your reply. I take 5mg folic acid every day was tested in May >20 ( >15 ) also in May Ferritin 119.8 ( 50.0 - 200.0 ). I have tried to sort out the image hopefully it's better.