Hi, I'm here again. 3 doctors in and six years down the line. I can't seem to get any help.
My results are totally confusing me. I researched and have come up with an idea but would like some feedback.
I was on 2.5 grains of armour but have been switched to Novothyral 100, 8 weeks ago
I have hashimoto 6 years, I'm dairy free gluten free and follow a strict diet. I have a form of blood cancer so am unable to take b12 and iron. However my vit d is very good and I follow the suggested supplements required. Selenium magnesium etc etc, as advise by Dr wentz thyroid pharmacist.
Weight gain it's getting out of control alongside severe constipation!
My latest lab results due to my sweating (soaking) and being jittery! (Anxious and fast) and horrendous constipation.
TSH L 0.01 Range 0.27 - 4.20 mU/L
T4 Total 79.0 Range 66-181 nmol/L
Free T4 14.5 Range 12.0 - 22.0. pmol/L
Free T3 4.81 Range 3.1 - 6.8 pmol/L
I'm desperate to go to the toilet. My diet is good I eat veg and fruit, I'm a seasoned researcher and follow Dr Isabella Wentz. I just need to know why my TSH is so low but my free T3 and free T4 are not where they should be, they are on the low side too and I still feel hypo apart from sweating and anxiety.
I really need help. Please.
Written by
Suzanne-j
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Tsh is often low and suppresses when we take t3. My TSH is undetectable.When you take NDT you judge your dose by how you feel and your ft4 and ft3 levels.
Sweating and anxiety are also hypothyroid symptoms.
Thank you for your reply. I should up my dose again then and probably go back to Armour. It's all a bit confusing when the symptoms can be both hypo and hyper.
It is confusing that is why we need to take ft4 and ft3 levels into account as well as how we are feeling. I was hyperthyroid, had my thyroid taken away and am now hypo. I can say from experience that I have had the same symptoms hypo as I did hyper.
Your FT3 & FT4 are probably low because your are a poor converter. It's possible to have anxiety with hypothyroidism. Your HP (hypothalamus pituitary) connection won't be getting the adequate T3 it needs to stimulate cortisol release by the adrenals. The adrenals compensate for this by dumping adrenaline into thr body.
Novothyral is both t4 and t3 in the ration if 100/15
My Dr changed as it's one tablet and said she was on it and said it would suit me as I'm constantly constipated.
As I mentioned I have a blood condition and am not able to take b12 folate ferritin etc. I am discussing this at my next onco appointment. However vit d is reasonable am am supplementing.
Oh that's very useful thank you. Would you be kind enough to tell me what dose and brand please. This is the bane of my life and really gets me down. I take vit D as I've read being low on that can cause it too.
No thyroid hormone replacement works well until your core strength vitamins and minerals - those of ferritin, folate, B12 and vitamin D - are up and maintained at optimal levels .
Do you have any recent results of these ?
We are all different - I'm without a thyroid for starters - and my optimal dose of vitamin C - probably will not be yours - as it' trial error along with what you eat and how fast your metabolism is running.
There are a multitude of products - I just think vitamin C can't hurt me and the excess is excredited out with any luck !
No recent results for the said vitamins but from past results I know they are not great but also not rock bottom. I make too many red blood cells so I'm not able to supplement with all these vitamins. The doctors have to keep my bone marrow steady otherwise I have to have too many venesections. I'm also trying to put off taking hydroxycarbamide. This is why I reach out on this forum to try and get support for my symptoms etc.
No a private Doctor. NHS wouldn't even consider any form of t3 for me and I was ill for a long time until I joined here and put myself on Armour before I found a Dr on the thyroid uk list. However he recently passed away so I've had to find another.
OK so you are taking a tablet containing 100 T4 + 20 mcg T3 :
So this breakdown of T3 and T4 is at a 1/ 5 ratio T3 to T4 :
I think Novothyral is a German brand which is not licensed in the UK and made by Merck and think they make one tablet at a 1/4 ratio T3/ T4 which may suit you better if you do not find relief of symptoms on the dose ratio.
Oh Wow that's so helpful thank you so much I will ask my Dr to prescribe this for me. Could I please ask if you know the t4 t3 of the 1/4 ratio so I can go to her better equipped. Thank you.
I get my script filled in the UK. I was taken off Armour because a while back my free t3 was good but my t4 and free t4 were always at the very lower end of the range. Plus my Dr said that it might help with the bathroom.
On NDT - brands of Armour/ Efra - or whatever - it is all about tracking on the T3 :
Once optimally medicated you will have a T3 proportionally much higher in the range than the T4 - it does not matter - and a TSH - low suppressed - as this is how Natural Desiccated Thyroid ' looks ' in blood test results.
NDT does not present the same way of synthetic T3 and T4 medications.
I take NDT but still have lingering hypo symptoms - and why I take vitamin C to bowel tolerance to resole some issues.
Ok this has been incredibly helpful. It's also made me decide to return to Armour and titrate. For me it's a confidence thing and after losing Dr Callebout I felt so alone. Thanks again
I was taken off Armour because a while back my free t3 was good but my t4 and free t4 were always at the very lower end of the range. Plus my Dr said that it might help with the bathroom.
On NDT Ft4 is almost always low
Some people find they need to add some levothyroxine alongside Armour
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Low TSH but normal T3 T4
normal TSH and T3 but Low T4
