Am I under medicated?

[KHSC]

Good afternoon everyone

Just had Blue Horizon results through - I tried them as I wanted to include cortisol and magnesium.

TSH 0.01 (0.27 - 4.2)

Total T4 79.5 (66 - 181)

Free T4 18.7 (12.0 - 22.0)

Free T3 4.17 (3.1 - 6.8)

I am taking 50mcg of Accord Levothyroxine and 18.75mcg of Tiromel T3.

Ferritin is quite high, as is B12 so I will stop the Better You spray and stick with the Thorne Basic to maintain it.

Cortisol (Random) 852.00 (166 - 507)

Do you think I need to tweak my dose? Test taken at 8am and the protocol was followed.

Thank you.

[greygoose]

No point in testing magnesium because the results are unreliable due to the way the body handles it.

Your FT4 is probably fine, so you don't need more levo. But, your FT3 is still on the low-side. If I were you, I'd reduce the levo a tad and see if that improves your FT3. If it doesn't, then you need an increase in T3. But, how do you feel?

Was your CRP tested at the same time as your ferritin? CRP is an inflammation marker, and high levels of inflammation can falsely raise ferritin levels.

Don't worry about high B12 because it's water soluble, so excess will be excreted. But, your right to continue a maintenance dose with the B complex.

Your cortisol is pretty high. Is that the range for 8 am? Because different times have different ranges. Have you done a 24 hour cortisol saliva test?

[KHSC in reply to greygoose]

Thank you for the reply.

I didn't realise about magnesium so thank you. I have ordered a 4 part cortisol saliva test today.

CRP 7.15 (>5.0) so slightly high.

I am feeling tired and jittery, not at all 'right'. Cortisol test in February 2022 was 763 so it has increased, I am wondering if it's that rather than thyroid?

[greygoose in reply to KHSC]

Could well be. You'll know more when you've done the saliva test.

So, your ferritin is probably not that high after all, given your CRP result.

Reducing your levo might help the tired, jittery feelings, some people react badly to high FT4. So, if I were you, I'd try that first and see if it helps.

[KHSC in reply to greygoose]

Free T4 18.7 so about 67% through range - I thought that was okay?

[greygoose in reply to KHSC]

It might be ok for some people, but we're all individuals and it might not be right for you. We have to find out what we need by trial and error. And, given that you're also taking T3, you really might not need the FT4 that high. It's recommended to be about that level when on T4 mono-therapy. People who also take T3 often need it lower.

[KHSC in reply to greygoose]

Thank you, I appreciate your replies.

[greygoose in reply to KHSC]

You're welcome.

[Hidden in reply to KHSC]

High cortisol is causing me similar problems

[KHSC in reply to Hidden]

It's not nice is it? Are you able to do anything about it?

[Hidden in reply to KHSC]

I’ve just started taking Ltheanine supplement. It’s reduced my high BP dramatically. Does have a calming effect and is said to reduce cortisol.

How high is your B12?

[KHSC in reply to Hidden]

Test results said in excess of 150, last test it was around 60 so I have had a additional B12 supplement.

Interesting about BP as mine is very high.

[Hidden in reply to KHSC]

That’s a classic symptom of high cortisol. Mine has been low all my life but is now very high.

Forgive the personal question, but do you carry excess weight around your middle? Have you been on antidepressants recently?

[KHSC in reply to Hidden]

Not much weight, I have put on a few pounds around stomach area but I’m tall and appear normal weight. No to antidepressants.

[Hidden in reply to KHSC]

Good luck to you in your thyroid journey. 🙂