Trying to find best dose after getting long covid and dysautonomia 3 years ago.

[lisan1]

I think I don't feel any difference between these results. Which one would you go for if I'm feeling the same on both?87.5 levo 20 liothyronine

Ft3 5.2 (3.6-6.3)

Ft4 17(12-22)

87.5 levo 25 liothyronine

ft3 5.8 (3.5-6.5)

Ft4 17 (12-23)

[Jaydee1507 Administrator]

I'm just thinking it might make a bigger difference to how you feel if your key vitamins were OPTIMAL. That also helps your thyroid hormone to work effectively.

Have you had ferritin, folate, B12 & D3 checked lately? Are you supplementing any of these?

[lisan1 in reply to Jaydee1507]

Yes, all optimal.

[Jaydee1507 Administrator in reply to lisan1]

Free T4 (fT4) 17 pmol/L (12 - 22) 50.0%

Free T3 (fT3) 5.2 pmol/L (3.3 - 6.3) 63.3%

Here's the numbers for the first test. There's barely any difference for the second test but your FT4 is a touch low.

[Jaydee1507 Administrator in reply to lisan1]

Actually there is a difference. Would go with the first though and then add a bit of Levo.

Free T4 (fT4) 17 pmol/L (12 - 22) 50.0%

Free T3 (fT3) 5.8 pmol/L (3.3 - 6.3) 83.3%

[SlowDragon Administrator]

When were vitamin levels last tested

What vitamin supplements are you currently taking

Do you have autoimmune thyroid disease

[lisan1 in reply to SlowDragon]

They were tested 2 months ago am taking b12 vit D. Have over range tg-ab

[SlowDragon Administrator in reply to lisan1]

Are you also taking daily vitamin B complex

What were B12, folate, ferritin and vitamin D results

Have you tried strictly gluten free diet or dairy free diet

[lisan1 in reply to SlowDragon]

Yes. don't remember the numbers now but know that they were optimal according to this site. Have tried for over 6 months but didn't feel any better.

[Blearyeyed]

It can take a long time to get acute Dysautonomia back under control and get over the Fatigue if long COVID , even for healthy people.It can take longer if you have a chronic condition , especially one like involving the thyroid the requires such a precise balance of medication.

You've had great advice about getting those vitamin levels checked it's vital to keep good level with Chronic Fatigue and Dysautonomia.

It's sensible to get your thyroid checked more regularly while you recover from long COVID too.

Most important for Dysautonomia is getting your activity balance right and maintaining good hydration . You need to balance relaxation and action starting at your comfort zone and working up.

Have you been given any self care advice to help control the Dysautonomia symptoms?