T4 going too high?: Hi all, could I please get... - Thyroid UK

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T4 going too high?

furcoatnoknickers profile image

Hi all, could I please get some advice, I’d be very grateful. 

I’ve had Hashimoto’s for 13 years.

I recently had a nasty surgery which caused a long lasting UTI. I’ve just finished 6 months of antibiotics and I’m finally free of infection, however, my thyroid is seriously playing up.

I’m suddenly struggling to take my levothyroxine (75 micrograms) - it’s making me feel over medicated.

Symptoms are, shaking, heart pounding, angry, irritated, depressed and very speedy - yet exhausted, and my face is flushed. I’m gaining weight. 

My T4 feels like it’s going too high and I’m going through the roof, (I’d taken 50 micrograms of levothyroxine at 7am before the midday blood draw.)

 Thyroid function testSerum TSH level 5.33 mU/L [0.35 - 5.5]Serum free T4 level 19.3 pmol/L [10.5 -21.01]

I can see I’m under medicated, but also if I had taken the extra 25 micrograms my T4 would be much higher? but I can’t push meds up without feeling like I’m going to have a stroke. My docs only take other thyroid bloods once a year so this is all I have. 

Could this be a cortisol issue? Thank you in advance.

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Jaydee1507 profile image
Jaydee1507Administrator

Looking back at your previous posts you have previously been on NDT, then a Levo/T3 combo. An educated guess would be that your FT3 is now too low on Levo alone.

You really need to get private bloods done to see exactly where you are at.

Are you still supplementing, if so with what?

What were your latest vitamin level blood results?

furcoatnoknickers profile image
furcoatnoknickers in reply toJaydee1507

Thank you so much for your response. Much appreciated. I’m trying to upload my blood results but the platform has changed since I last used it.

So strange because I had stopped taking my T3 a few months ago and the penny just dropped very hard 😬

Jaydee1507 profile image
Jaydee1507Administrator in reply tofurcoatnoknickers

I think probably all of us that have conversion issues can identify with only being as good as our FT3 level. Definitely myself included!

What was the reason you stopped NDT or the combination treatment?

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furcoatnoknickers profile image
furcoatnoknickers in reply toJaydee1507

I’m so mad at myself for stopping T3 and feel foolish for thinking I didn’t need it anymore.

NDT made my T3 feel too high. And I felt I couldn’t control it. That’s why moved to T4 & T3.

I can get photo on but it won’t send. Also brain not working very well 😬

Thank you so much again 🙏

Jaydee1507 profile image
Jaydee1507Administrator in reply tofurcoatnoknickers

The hypo brain is really something to behold. Be angry with being hypo and not yourself. :)

You can always type out results.

You really do need to double check your vitamins.

SlowDragon profile image
SlowDragonAdministrator

Please add results and ranges for

TSH, Ft4 and FT3

Vitamin D, folate, ferritin and B12

furcoatnoknickers profile image
furcoatnoknickers in reply toSlowDragon

Hello,

Thank you for messaging. Much appreciated.

The only results I have are in my first message.

I’ll get more bloods taken privately. I’ve had a good chat with myself today and have acknowledged that I have become complacent with most of my supplements.

Have given myself a serious telling off.

Kandahar profile image
Kandahar

Surely, you shouldn’t take levo just before you’re having a test? That’s what they normally say on here.

furcoatnoknickers profile image
furcoatnoknickers in reply toKandahar

Hello,

Yes, I’m aware of this and that’s why I didn’t take my full dose. Normally I wouldn’t take any before a morning blood draw. Also, with TSH above 5, I was struggling to get out of bed. I couldn’t have gone all morning into the afternoon without taking it. 😊

Lovecake profile image
Lovecake

Love your nickname by the way 🙂

My first thought is that your body is crying out for the missing T3. I would definitely cry if someone took mine away. Is there any chance you can start taking it again? Obviously a test with FT3 in would be advisable first. But I totally get the fact you had your blood draw later in the day. Before I was educated on this forum, all my tests were done late morning or even afternoon as I couldn’t get to the docs very early and certainly not without breakfast too.

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