Advice on Increasing Dose after latest blood test

[Tristy]

Hi all,

I feel a lot better than I did a few months ago but just have the odd day when I don’t feel right.

Below are my latest results:

TSH - 0.04 (0.27-4.2)

Free T3 - 4.47 (3.1-6.8)

Free T4 - 17.7 (12-22)

Ferritin - 177 (13-150)

Folate - 10.74 (>3.89)

B12 Active - >150 (37.5-150)

Vitamin D - 101 (50-200)

At the moment I am taking 125mcg Levothyroxine and 12.5mcg t3 and have been on this for 2 months. I feel there is probably room for an increase in t3 but would be grateful for any suggestions.

Many thanks

[SlowDragon Ambassador]

was test done early morning, ideally just before 9am and last dose levothyroxine 24 hours before test

Do you normally split your dose T3 as 2 x 1/4 tablet

On day before test ALWAYS split dose and take last 1/4 tablet Approx 8-12 hours before test

[Tristy in reply to SlowDragon]

Thanks for your reply SlowDragon . Test was done 7.30am and last dose levo taken 24 hrs before. I normally take all of T3 with levo in the morning but the day before test I split the t3 in half and took 2nd half 11 hours before test.

[SlowDragon Ambassador in reply to Tristy]

so you probably can try adding 3rd 1/4 tablet of T3

Suggest you try splitting and 3rd dose at bedtime

Retest in 6-8 weeks

[Tristy in reply to SlowDragon]

Thanks SlowDragon. The main reason I take all t3 in the morning is because it’s easier to be strict about not eating for 2 hours before and an hour afterwards. Should the rules around taking t3 in the evening be the same?

[SlowDragon Ambassador in reply to Tristy]

T3 is absorbed quickly

Just avoid eating or drinking with in 30-45mins

Waking and bedtime dose are easy

Mid afternoon…..I usually take 2pm is

But if out and eating lunch late ….I will move it to 4pm or later sometimes

I also split my levothyroxine, half dose waking up and half at bedtime

[Tristy in reply to SlowDragon]

Thanks, so as long as you avoid eating and drinking within 30-45 mins before and after it should be ok?

[SlowDragon Ambassador in reply to Tristy]

yes