Advice please on next steps or is this as good as it gets?

[Eton]

Latest results after 6 weeks on 81 of levo and 5mcg T3. Test completed 24 hours after last levo and 8 hrs after last T3.

tsh =0.02 (0.27-4.2)

t4=17.7 (12-22)

t3=3.57 (3.1-6.8)

folate -16.94 (>3.89)

active b12=113 (37.5-150)

vit d =130 (75-200 is optimal)

crp 0.60 (0-5)

I supplement with magnesium and vit d and eat a healthy diet including meat.

I have been on thyroid medication for almost 4 year now and feel no better. I remain freezing cold, really really constipated and have low energy. I though adding T3 would help but if anything I feel worse than I did before.

I am beginning to think that this is never going to be any better.

Other health conditions include osteoporosis and psoriatic nails/arthritis.

Thank you for any pointers.

[Jaydee1507 Administrator]

Looking at those numbers its not as good as it gets you'll be pleased to hear.

Was last dose of T3 8-12hrs before test & Levo 24hrs? What was your timing?

Free T4 (fT4) 17.7 pmol/L (12 - 22) 57.0%

Free T3 (fT3) 3.57 pmol/L (3.1 - 6.8) 12.7%

Your FT3 is still pretty low, should be above 50% at least. Add 5mcgs T3?

No ferritin result?

[Eton in reply to Jaydee1507]

Hi Jaydee ferritin =106 (13-150)

[Jaydee1507 Administrator in reply to Eton]

Mainly just need to tweak your T3 dose then but it does take time. A lot of time...

[Eton in reply to Jaydee1507]

Thank you Jadee. Tests were completed as advised ie 24 hrs after levo and about 8 hrs after T3. I will either increase Levo a little or add another 5mcg t3.

[SlowDragon Administrator]

Are you on gluten free or dairy free diet?

[Eton in reply to SlowDragon]

Hi SlowDragon I have tried both GF and Dairy free for 6 months with no impact on results or symptoms.