please can someone explain to me why t3 still so low

[Chouchou1234]

please can someone explain to me if my t3 is 5 does that mean it’s my baseline

Isn’t that very low ? range 4.1’to 6.8)

I have zero digestion and severe constipation but lost lots muscle

If my tsh was 0.02 before starting t3 and my t3 was 2.1 ! Isn’t my body repressing the conversion ?

Does magnesium help conversion ?

Is it worth testing reverse t3 ?

im getting progressively weaker like I find it difficult to walk and lift my arms .

im

So depressed as can’t figure it out

[radd]

Chouchou1234,

I'll assume those are your 'frees'.

'FT3 5 (4.1’to 6.8)'

Yes, its pretty low at 33.3 % through range but it doesn’t mean this is your base line. Your labs only signify how much you are medicating, absorbing, being transported and possibly converted, and will be influenced (even skewed) by nutritional status and lifestyle, and other heath conditions/meds. It is also possible to suffer hypo symptoms with elevated levels because these are only representative of what is in blood circulation and not what is happening on a cellular level.

Magnesium helps in conversion but so does zinc and selenium and other. Commonly when adequate hormones are medicated for replacement but stubbornly remain low it can be due to absorption difficulties. Equally the body can get in to a state of chronic inflammation and high reactive immune response which moderate thyroid hormone meds by deactivating to inactive metabolites.

The only way back is to address nutrient/iron deficiencies, gut issues (infections, etc), support liver and adrenals, eat cleanly and optimise meds but not keep raising if they've already shown they aren’t working well.

There is a good discussion regarding RT3 here ... healthunlocked.com/thyroidu...

[Chouchou1234 in reply to radd]

Hi hi it’s me again

It doesn’t make sense that t3 was so low at 2.1 ! Before t3 and t4 was right at the top 20 (12 to 22)

Could I have made myself hypo from taking loads of t4 medication in 2017 . Or do things just balance back out

I went on no medication from 8 months - long story - my t4 was 14 and tsh 5.7 t3 not tested before starting t3 my tsh was 0.02 and t4 20 on 100mcg thyroxine

So what is going on?

Also my urea is gone high - and liver enzymes high and thought diabetes as constantly thirsty

The test came back 37 . Told normal but read a recent post that it’s not normal .

B12 super high

Please help I’m a mess and in tears

[radd in reply to Chouchou1234]

Chouchou1234,

'Could I have made myself hypo from taking loads of t4 medication in 2017'

You have on occasions taken high dose meds and then completely withdrawn meds at one stage. The body has remarkable strategies to cope with these extremes (hence you are still alive) but the complexities can take months/years to untangle and recover from.

So yes, your previous erratic dosing will most likely have contributed to your present low 'frees'. However, it is easy to become fixated by the numbers and especially if that dose that showed higher in range is now low and keeping you symptomatic.

Elevated liver enzymes and urea are hypothyroidism symptoms, eg signs of either under-dosed thyroid hormone medication or meds that aren’t working, as both liver and kidney function are affected by the reduced metabolism. Constipaton occurs as gut motility reduces and makes you vulnerable to further issues.

If I were you I would be aiding your bodys recovery with best supports and conditions. The very foundations are providing optimised nutrients and iron, adopting a healthy life style and ensuring good sleep, etc. Food is huge in providing enough protein, fats and carbs and plentiful veg, etc. For instance we need enough protein to be able to utilise the hormones we medicate.

Once those are in place as said above you can investigate gut issues (infections, etc), liver and adrenal supports. If the cause of your hypothyroidism is Hashimotos, are you managing the autoimmune side?

If your Vit B12 is ’super high,’ what about folate? What about Vit D? What about iron?

What thyroid meds are you medicating atm?

I am sorry you feel so unwell. It can be a long haul back but believe it is possible.

[Chouchou1234 in reply to radd]

Help

Definition of insanity

That’s me

125 thyroxine and 30 t3

Which is ridiculous as weight is 50kg

Last result 19.2 t4 and 5 t3 (4.1 to 6.8 )

Why the following

1. Fat gain on t3

Skinny fat

3. Vitamin d dropped to 70 - increasing inwas on 2000 but dropped from 98

4. Vitamin b12 was 1272 and can I carry on taking vitamin ? Doctor said no is more better or no - therapist nutrition person said carry on - doctor said no

5. If reverse t3 is high does that cause tiredness

6. Liver alp 175 max is 104 - mainly bone alp

Is very raised

7. Zero oestrogen and Lh and progesterone - if I start hrt will this help

Folate 20 and ferritin 60