I have been taking 125 mg of Levo for hashimotos for 6 months. Recently had blood test had when I phoned up for results it said on “satisfactory result no action required.”
However my TSH is now 0.03 which seems out of range and actually indicating I’m overactive. Could this be? I have needed loo a lot recently and felt very itchy which when I started to look up seemed to be a symptom of hyperthyroidism
Be great if any hashimotos peeps can let me know if they’ve had a similar situation?
My TSH is 0.02 and I'm not overactive my any means. I think, and please correct me if I'm wrong, that the T3 would be more of an indicator of being overactive.
From my little experience on the forum, if 0.03 is within your range that is a good result as it means your levothyroxine is being excepted by the body.
From just a TSH result you can't really tell anything. Really need to look at free numbers FT3 & FT4 to say for certain anything. You may or may not be over replaced, not hyperthyroid.
Suggest you get private testing done for full results. Also how are your key vitamins, ferritin, folate, B12 & D3. Vital to keep these optimal for thyroid hormone to work well.
Usually when a TSH is below range your doctors will conclude you are “over replaced” and many are instructed to reduce levo by 25mcg per day.As other explained the TSH thyroid stimulating hormone doesn’t tell you enough. It’s a hormone from the pituitary telling thyroid to slow or increase.What you need to go by are thyroid hormones. FT4 & FT3. Were there actually tested? What was result & range?
an increase in frequency of bowel movements and ( for me) an increase in bladder frequency and a feeling of constant tension in the bladder..... are a good indication that the dose may have become a little to much .
constipation is a fairly relaible sign of too little (for me)
plus other signs that worsen the more "too high" the dose is... being jumpy ,overanxious . clumsy , wobbly handwriting , trouble sleeping. and ultimately a 'fine tremor' seen in the fingers......( hold arms out in front. palms down, fingers loosely outstretched ..look for very fine tremor in fingers)
Our personal signs of overmedication / undermedication do vary though ,and until you know yourself well , it's notoriously difficult to tell the difference between 'a bit too much' and 'a bit too little' thyroid hormone . some symptoms can feel the same for both ,, eg being anxious .
it's not 'overactive/ or hyperthyroid ' strictly speaking , when taking Levo it's 'overmedication' (symptoms are same) .
if 0.03 is a drop from your 'usual' TSH level on that dose .. then that too can be used as an indication that the dose is currently a little too high for your needs .
TSH 0.03 would be perfectly alright for some people taking thyroid hormone, but not for others.
obviously knowing fT4 and fT3 levels is preferable to just having TSH to look at ..as you have a better picture .. but symptoms and TSH together can give a guide IF you have previous TSH result on that dose to compare the current ones to.
if 125mcg is definitely thought to be a bit too much for you based on fT4 and symptoms and TSH, (not just TSH) then only adjust by as small amount as possible , eg. don't let GP go back down to 100mcg , since your TSH was 11 on that dose 9 months ago so clearly not enough ..... try a smaller reduction to 112.5mcg :
fine/ subtle adjustments in dose are usually preferable once the dose is somewhere near right fine adjustments can easily be prescribed by alternate daily dosing:
eg 100/ 125 / 100 / 125 alternate days gives effective daily dose of 112.5mcg
5 days 100 / 2 days 125 gives dose of 107mcg
6 days 100 / 1 day 125 gives dose of 103mcg
Am I over medicated now? 
Am I now Hyper?
I Think my Overactive thyroid has returned
I have an overactive thyroid looking for answers
Am I now over-medicated?
