Help with results please

[Bollieforme]

Good morning everyone, I’m looking for both advice and help. Recently had blood tests (2 lots) a week apart both 4 hours after taking levo and liothyronine as recommended by Endo, always had tests in past prior to meds. I am on 75/50 alternate and 5mg lio x 2 per day

7/12 - TSH 0.20 (0.35-4.94)

1/12 - TSH 0.22 (0.35-4.94)

7/12 - T4 13.1 (9-19)

1/12 - T4 11.9 (9-19)

7/12 - T3 did not test

1/12 - T3 4.8 (2.4-6)

have felt really really off it for several months, have ordered the D102 test from Regenerus so I can get the full picture. But feel that maybe I’m not on the right level of meds? I’ve no thyroid left after scan. Any advice help welcome. Thankyou everyone

[Hidden]

1/12

TSH 0.22 (0.35-4.94)

T4 11.9 (9-19)

T3 4.8 (2.4-6)

7/12

TSH 0.20 (0.35-4.94)

T4 13.1 (9-19)

T3 did not test

It's easier to compare results when they're like this. We're looking at them as the sum rather than the pieces.

Looks to me like you could do with an increase. T4 and T3 are still quite low in the range.

They're also false highs if you only left 4 hours after taking your meds. It's recommended to leave 8 hours after T3 and 24 after T4.

[Bollieforme in reply to Hidden]

it was the Endo who suggested take blood after 4 hours (don’t get me started on him) would you think an increase in both meds? I thought so for T3 I’ve never felt better on levo have been on 100 in the past. Thought I’d do the gene test. It’s all such a learning curve. Thank you

[Hidden in reply to Bollieforme]

I've not looked at your previous posts so I don't know your history but I'd have kept increasing Levo until it got to 75% ish through the range. Then you'd have an accurate picture of what your T3 is doing.

Then add in a bit of T3 if necessary.

Personally, I'd increase the Levo to 75 everyday and retest in 8 weeks.

[SlowDragon Administrator]

personally I would get a test done correctly with last dose levothyroxine 24 hours before test and last dose T3 approx 8-12 hours before test

Your Ft4 is very likely too low

Most people when adequately treated on small doses of T3 alongside levothyroxine find they need both Ft4 and Ft3 approx 70% through range when last dose levothyroxine was 24 hours before test (not 4 hours before)

FT4: 13.1 pmol/l (Range 9 - 19)

Ft4 only 41.00% through range

FT3: 4.8 pmol/l (Range 2.4 - 6)

Ft3 66.67% through range

But again tested too soon after last dose

And essential to test vitamin D, folate, ferritin and B12

What vitamin supplements are you currently taking

When were vitamin levels last tested

As you have Hashimoto’s are you on strictly gluten free diet and/or dairy free diet

[Lalatoot]

Bollie By testing 4 hours after your dose you are testing the peak that your thyroid hormones reach. This is often what endos recommend. However the peak is not what you have for the rest of the day for your body to run on which is why you will get advice on here to ignore the endo and to leave a longer gap between your doses and test.

Given that those are peak results they don't look so brilliant! And as you are still symptomatic, I would try to increase your doses. Initially I would increase levo as it is lower in its range than ft3 is in its range. However any increase will reduce your TSH further which is not a problem for us but seems to cause panic with doctors.

I would not aim to achieve any particular percentage through ranges for ft4 and ft3. We are all different and need to find our own levels. I am on 100mcg levo and 7.5mcg lio and my results are usually ft4 50% and ft3 72%. This suits me.

Some folks only need a little lio added to levo. This little amount of lio could be enough to influence and improve the workings of the deiodinase thereby improving conversion; it could be replacing the approx 10mcg of T3 that the thyroid would have made itself; or it could simply be all we need. For me the 7.5mcg lio added to my existing levo dose increased my ft3 from 17% to 72% and reduced my ft4 from 60% to 50% and pushed my TSH from below range to unmeasurable.