Hi. I am 3 weeks post thyroidectomy. My surgeon ordered a blood test and these were the results 3 weeks to the day after my surgery. I am a graves patient who had positive TSI, TrAb and TPO antibodies.
TSH 0.01 range 0.40-5.30
Total T4 144 range 78-157
Free T4 155 range 75-170
Total T3 1.30. Range 1.30-2.70
I take eltroxin 50mgs x 3 tablets so 150mgs daily. Eltroxin is made by MercuryPharma. I withheld my levothyroxine 24 hours before the test and did the test at 9am on an Empty stomach. I take my levothyroxine on an empty stomach in the morning and with water only.
I weigh 90kgs
Will I be like Dr Toft talks about. What I mean is will I need more T4 to be over the T4 range in order for me to get my T3 higher. Am I correct in that I am not over medicated because T3 is not over the range.
I take iron, vitamin c, selenium, folate and b12 everyday. Because it is summer in New Zealand I am getting plenty of vitamin d everyday.
My gp will not test my vitamins and I cannot get private testing.
What also needs factoring in is I rode my road bike 3 days in a row before this blood test and rode 20 miles a day. Did my riding of my bike affect the T3 result?
I was made hypothyrodic for my surgery meaning I went under the ranges so should I ask for a dose change 3 weeks post surgery? As in should I ask for more levothyroxine or should I stay on the 150mgs for the recommended 6-8 weeks.
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NIKEGIRL
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I'm sure there is an impact on T3 with exercise... I think tattybogle had a study about it but I could be wrong.
Anecdotally; my physical and mental health dropped off a cliff after I ran a half marathon. It was the WORST I had ever been. It was prediagnosis though so I don't know what my bloods were but I wouldn't have been surprised if it was below range.
The link to the paper is here .. healthunlocked.com/thyroidu... the-effect-of-acute-exercise-session-on-thyroid-hormone-economy-in-rats
haven't read it for a long while so can't remember much about the detail ,, it was complicated but yes, results are definitely affected by acute exercise .
Hi nikegirl i reckon wait a bit longer .. at least 6/8 weeks ,
TSH affects conversion ,, give it long enough to get you the best amount of T3 from levo that it can ... rushing to increase levo may mean you end up on high dose levo for years and never give TSH chance to rise a little to improve your own conversion within cells.. it's not just about how much T3 is in the blood . it's also about the cells ( brain ) that 'prefer' to make their own T3 from T4.
Also , don't forget, a "Total T3 " can't tell you what level your Free T3 is. Your fT3 could be high or it could be low or it could be slap bang in the middle . so don't make assumptions based only on a TT3 result.
Now go and sit under a tree and write out 100 times "patience and moderation in all things will get me better quicker " .. have 10 mile bike ride, and then sit in a hammock with a cold beer and read 'The Tortoise and the Hare'
(do you have tortoises and hares down there ? lol,, luv you , sending a hug )
It can take quite some time, maybe a year for TSH to recover because Graves’ antibodies can suppress TSH. The antibodies tend to decline after a thyroidectomy but it takes many months or more.
I take 125 mcg of Eltroxin every night before bed. I have been on Eltroxin for approx 8 years. They have been a steady medication for me with no noticeable side effects. Hope your recovery very goes well.
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i reckon wait a bit longer .. at least 6/8 weeks ,
My medication and thyroid levels
Thyroid levels ‘in normal range’, no dose increase 
Has anyone tried Armour thyroid post total thyroidectomy? 
3 months post partial thyroidectomy
Anyone still feel ill with graves when thyroid levels 'normal'?
