Hello all,
I've been taking T4 for quite some time now, and I've noticed that no matter what dose of T4 I take, my blood serum FT4 doesn't change. However my TSH does, and so do my cholesterol levels, so clearly T4 is working. Can anyone shed some light on why the FT4 levels don't seem to change much? Vitamins, nutrients etc are all within range.
Thank you
How much levothyroxine are you currently taking
How long on that dose and which brand
Please add most recent results and ranges
Recommended that all thyroid blood tests early morning, ideally just before 9am, only drink water between waking and test and last dose levothyroxine 24 hours before test
This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip)
Thanks for the tips. I've been on thyroxine for a while and thanks to this forum, I've done what you mentioned before tests. The thing is I've had many tests done, and regardless of the dose of T4 I'm on, my FT4 doesn't really move from the lower end of the range. So I'm wondering why that is. TSH and other markers like cholesterol vary depending on the dose.
Well if you’re on high enough dose levothyroxine…..initially as you increase TSH drops at increase in dose …..then starts to creep back up and Ft4 will drop (and Ft3)
Same with cholesterol …..initially will drop, but if Levo dose isn’t high enough then slowly cholesterol will start to increase again
Typically takes 3-4 months for each dose increase to settle……or longer as you get near final correct dose
Guidelines on eventual dose levothyroxine is that majority of people need something around 1.6mcg Levo per kilo of your weight per day
TSH going wrong way and no ft4 tested.
tsh changes in result but no change in medication.
TSH needs to be lower, but FT4 already high
TSH lower but T4 lower too
Lower tsh but no difference in T4
