lab draw: I know to wait 6-8wks in between dosage... - Thyroid UK

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lab draw

terebol profile image
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I know to wait 6-8wks in between dosage changes. I am on NDT - same dose last 5mos. & just recently added a smidge more. I am, only, interested in my FT3 lab #s. Since T3 is fast acting and short lived in the body is there any reason I can't have my FT3 tested anytime and have an accurate read? Thanks!

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terebol profile image
terebol
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pennyannie profile image
pennyannie

Hello Terebol:

The T3 in NDT is not as ' fast acting ' as that of synthetic Big Pharma T3- Liothyronine.

With NDT the T3 and T4 are attached to hemoglobulin and slowly broken down in the liver and released into the blood stream, and any one dose takes around 3 days to diminish in it's effectiveness throughout the body.

Maintaining same time and like for like circumstances are key to getting as true a blood test reading as you can, as these will fluctuate throughout the day but with NDT it is much more about symptom relief than a blood test reading may say, anyway.

terebol profile image
terebol in reply to pennyannie

Big thanks for this info!!

pennyannie profile image
pennyannie in reply to terebol

Any dose adjustment will need around 6-8 weeks to bed in and reflect itself in a blood test.

No thyroid hormone replacement works well until your ferritin, folate, B12 and vitamin D are up and maintained at optimal.

terebol profile image
terebol in reply to pennyannie

Have all of those in great shape. In fact, when I had annual lab work done last month, my VitD level was in the 75th% & she said it was too high! I know there can be vit D toxicity, but don't think I am in that range!

pennyannie profile image
pennyannie in reply to terebol

Well- if it's of any help -

I'm in the UK - and I try and aim for a ferritin at around 100 ; folate around 20:

active B12 75++ ( serum B12 500++ ) and vitamin D at around 100:

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