Latest test results dose too high?: Hi Am I... - Thyroid UK

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Latest test results dose too high?

Pebbles33 profile image
10 Replies

Hi

Am I right in thinking that I am overmedicated (taking Levothyroxine 75/100 alternate days) with these results. Although I realise T3 at the lower end? Does this indicate that I may need T3 meds and of course T4 at the upper end so a little confused to be honest?

I am also losing weight is this normal if you’re over medicated?

Look forward to hearing from anyone who can shed any light on this and thank you in advance.

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Pebbles33 profile image
Pebbles33
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SeasideSusie profile image
SeasideSusieRemembering

Pebbles33

Did you do the test as we advise:

* No later than 9am

* Water only before the test

* Last dose of Levo 24 hours before the test to avoid false high or false low FT4 result

* No biotin, B Complex or any supplement containing biotin for 3-7 days before test

If you did the test as advised then no, you're not overmedicated. Your TSH is in range, your FT4 is 71% through range and your FT3 is 10.81% through range.

Your conversion is poor.

How are your key nutrients - Vit D, B12, Folate, Ferritin? These need to be optimal for good conversion to take place. If you've not had them tested recently then it's suggested that you do. You should not consider T3 unless any low nutrient levels have been addressed.

I am also losing weight is this normal if you’re over medicated?

People can lose weight with hypERthyroidism or possibly if they're overmedicated. You are not overmedicated.

Pebbles33 profile image
Pebbles33 in reply to SeasideSusie

Yes all done correctly. Yes low in Ferritin & B12 but pleased to hear that I’m not over medicated thank you.

SeasideSusie profile image
SeasideSusieRemembering in reply to Pebbles33

How low is ferritin? Some experts say the optimal ferritin level for thyroid function is 90-110ug/L.

SlowDragon profile image
SlowDragonAdministrator in reply to SeasideSusie

Ferritin terrible 2 months ago and dropped further than already low level 5 months ago

healthunlocked.com/thyroidu...

SeasideSusie profile image
SeasideSusieRemembering in reply to Pebbles33

So, dreadful ferritin two months ago. Did you do the iron panel as advised?

Lalatoot profile image
Lalatoot

Pebbles I lose weight when I am undermedicated hypo so it is possible!.Your ft3 is low compared to your ft4 suggesting poor conversion. You are not overmedicated.

If these results are typical for you they would suggest that a trial of adding t3 liothyronine might be of benefit.

SlowDragon profile image
SlowDragonAdministrator

you need to retest full iron panel including ferritin

retest 3-4 times a year if self supplementing.

Medichecks iron panel test

Test early morning, only water to drink between waking and test

Stop iron supplements 3-5 days before test

Don’t eat high iron food night before test

medichecks.com/products/iro...

Exactly what iron supplements are you currently taking

Are you vegetarian or vegan

Have you now gone on strictly gluten free diet?

Higher pulse could be low iron/ferritin

Pebbles33 profile image
Pebbles33 in reply to SlowDragon

Hi thanks for the advice I know that Ferritin was low and have been advised to take Spatone by GP. I have only been taking it 2 weeks and feel great not as anxious or tired so it’s got to be helping. No I’m not gluten free private GP said not necessary although I know you think it’s worth it. I’m not veggie but not a big meat eater. Eat a pretty healthy diet, lots of fruit, veg and pulses.

SlowDragon profile image
SlowDragonAdministrator in reply to Pebbles33

poor gut function when hypothyroid/on levothyroxine results in low stomach acid, poor nutrient absorption and low vitamin levels …..regardless of how good your diet is

Thyroid hormones need GOOD ferritin

irondisorders.org/too-littl...

davidg170.sg-host.com/wp-co...

Great in-depth article on low ferritin

oatext.com/iron-deficiency-...

drhedberg.com/ferritin-hypo...

This is interesting because I have noticed that many patients with Hashimoto’s disease and hypothyroidism, start to feel worse when their ferritin drops below 80 and usually there is hair loss when it drops below 50.

healthunlocked.com/thyroidu...

Posts discussing Three Arrows as very effective supplement

healthunlocked.com/thyroidu...

healthunlocked.com/thyroidu...

Thyroid disease is as much about optimising vitamins as thyroid hormones

healthunlocked.com/thyroidu...

restartmed.com/hypothyroidi...

Post discussing just how long it can take to raise low ferritin

healthunlocked.com/thyroidu...

Gluten and/or dairy intolerance

The ONLY way to know if you personally would benefit is to actually try it

None of us would choose to be gluten or dairy free…..but frequently necessary or gives significant benefits

yes. I think this shows you need T3 for sure x

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