Hello beautiful people!
I self increased thyroxine from 75 Mcg to 88 mcg (my GP thinks TSH of 4.9 is 'normal' and won't increase).
I felt under medicated on 75 Mcg and I know TSH should be lower as well.
Initially, for a few days, I felt really good with the increase from 75 to 88, split into 2 doses. However, about 9 days in, I have so much anxiety, it overwhelms me.
I talked to a private Doc as well and she thinks I can keep the old dose, or stay on 88 mcg, and work on adrenals to bring thyroid into balance.
However, my anxiety is getting worst on 88 mcg.
I already take holy basil and other calming herbs for the adrenals. And all my ferritin, iron, B12, D, folate, etc etc are in the ideal ranges (what is recommended here). Also, tried taking T3 before, didn't work for me.
Shall I switch to 75 Mcg? Or do one day on 75 and 88 the next day? Go back to 75 Mcg?
Feel confused about the dosing side of things, even the private Doc I went to see was not that helpful.
What worked for you, or what would be your advice?
Would really appreciate any help!
My latest results:
TSH: 4.9 (reduced from 6.6 in December on thyroxine 75 mostly, though also tried experimenting and took 88 mcg on some days)
T4: 45% of the range
T3: 33% of the range
9am cortisol: 384 (133-537)
Saliva cortisol levels are raised:
8am: 25.1nmol/L (high): < 20.3
12noon: 9.9 nmol/L (high): 1.6 - 5.6
4pm: 5.1 nmol/L: < 6.94
10pm: 4.9 nmol/L: < 7.56
Should I increase medication?
No improvement with Levothyroxine increase
TsH 0.03 after increase in levothyroxine 
It's very possible that this is your body telling you it needs yet more Levo! It's not uncommon.
When you increased the body reacted....Yippee more T4, I need that...and you felt better
Until.....your body realised it still wasn't enough and it started to shout out for more and you feel rubbish again
Your latest labs underline this....they show you are undermedicated
Both Frees should be approaching 75% through their respective ref ranges
In your shoes I would raise levo to 100mcg....but only after you have been on a steady dose of 88mcg for at least 6 weeks
Then wait 6/8 weks and test again
Your private doctor isn't up to speed with analysing lab results.
Once you sort out your Frees you will likely find other symptoms start to resolve
Thank you! The thing about my Ts is that they have been in that range before without as much anxiety. But I agree, blood work does show under-medication and likely the reason my adrenals are off too.
Your Frees may have been in that range for some time ( but struggling) until eventually what was available just wasn't enough.
Did your results drop down within the range?
Being within the range isn't good enough we need to find the exact point within the range where we feel well
The brain needs a lot of T3, if it's low, anxiety ( and other symptoms) is likely to be the consequence.
TSH is not an accurate marker particulary on combo T4/T3
thyroidpatients.ca/2021/07/...
Thank you, will read the article! Yes, I go with Ts as well and understand the TSH point. That is the thing, my T3 has actually improved on the last test!