Blood results

[goofball]

Hello,

I know I have asked for advice before but wanted to clarify please.

My recent bloods have been re-tested ;-

I have Hashimoto's and on 100 of Levothyroxine.

TSH - 4.6 (0.27-4.2)

FT4-25.6 (12-22)

T3- 3.0 (3.1-6.8)

The Doctor says these are abnormal and not borderline as they were before Christmas.

I have an appointment tomorrow, and wanted any advice as to what I should be asking for.

I think she will want to up my Levothyroxine dose from 100 to either 125 if it exists or 150 at most.

I am also going to moan at her about the weight that I have put on since being on 100 dosage, but as its within the BMI range she probably will not be too fussed.

In my mind and please correct me if I am wrong, this will lower my TSH to within the range, but could it make my FT4 go even higher, and my T3 will more than likely stay the same- will she be even bothered if my FT4 goes even higher than it is at the moment- I think I will! She has not been bothered before about a continued low T3 result.

From what I can gather the Doctor will only really be interested in the TSH- Is this correct?

I do take supplements to try and help conversion of T4 to T3- but it is always at 3.0- even when I was on a gluten free diet for approximately 6 months.

Unfortunately I also take Propranolol, and I know this also affects T3/4.

Are there any other Thyroid meds that I could ask to try that my work with Propranolol and with the T4-T3 conversion rate please that she could suggest or I could mention.

Thank you.

[SlowDragon Administrator]

Was test done early morning and last dose levothyroxine 24 hours before test

TSH too high and Ft3 too low

You need 25mcg dose increase in levothyroxine

Which brand of levothyroxine are you taking

How much propranolol are you currently taking

Yes it will significantly reduce conversion of Ft4 to Ft3

Why are you on propranolol

ESSENTIAL to test vitamin D, folate, B12 and ferritin

What vitamin supplements are you taking

[goofball in reply to SlowDragon]

Thank you.

Yes reasonably early in the morning- 9.30, before breakfast and yes 24 hours before.

Levothyroxine brand is accord, but I also have Mercury brand to take next ( I haven't ever specified a brand to the Pharmacy).

I am on Propranolol for Migraines- I have talked to them about reducing dosage in the future as am on 80mg slow release, but was worried about stress and do not want to get them again, as I am sick for the entire day/night without being able to keep even water down.

I am on vit d, Vit c, and vit B and B12- as I know all those minerals are low from previous testing which was tested a while ago, but drs never want to add them to the list.

[SlowDragon Administrator in reply to goofball]

That’s a high dose of propranolol

Migraine is common hypothyroid symptom

Suggest you discuss with GP changing to 4 x 20mg ordinary (not slow release) propranolol

Then you can SLOWLY reduce propranolol……by 5mg per day ……wait 3-4 weeks……reduce by another 5mg etc etc

Likely to take 6-9 months to reduce then eventually stop propranolol

When down to Last 5mg dose ……stop one day week. Next week…twice week ….etc

I was stuck on propranolol almost 20 years….more on my profile. In particular discussing how/why low magnesium as result

EXACTLY What vitamin supplements are you taking

Essential to retest folate, ferritin and B12 at least annually

Vitamin D twice year