Latest Thyroid Results

[jenny876]

Hi, my latest thyroid results are as follows:

T4: 15.7 (12-22)

TSH: 2.22 (0.27 - 4.2)

T3: 4.0 (3.1-6.8)

Results from 5th Jan 2024

T4: 14.1 (12-22)

TSH: 4.36 (0.27-4.2)

Have no recent T3 results to compare latest results with as Gp doesnt test for this., my latest results are from my NHS endo.

Im currently taking 50mcgs of Levothyroxine since 25th January and was taking 25mcgs from 24th November 2023.

I think these are positive results that mean Im moving in the right direction?

[TiggerMe]

Think you might need to edit your T4 and TSH results both show 4.36?

[jenny876]

I just increased to 50mcgs on 25th January - would it not be too soon to increase again? Is T3 result low?

[SlowDragon Administrator in reply to jenny876]

When was this test

BEFORE increasing to 50mcg ?

[jenny876 in reply to SlowDragon]

I increased dose tp 50mcgs myself as appointment with endo wasnt until 7th February - they said it was good I did that and back to see them in 6 weeks again to see if need to increase the dose. Im taking Vencamil brand of Levo and it is much better than the Teva I was on before. I weigh 59 kilograms. Thanks

[SlowDragon Administrator in reply to jenny876]

Guidelines suggest 1.6mcg per kilo per day as eventual dose

So eventually likely to be on slightly under 100mcg per day

59kg x 1.6mcg Levo = 94.4mcg per day

94.4mcg x 7 days a week = 660mcg

So

75mcg x 7 = 525mcg

100mcg x 5 days plus 75mcg x 2 days = 650mcg

[SlowDragon Administrator in reply to jenny876]

if only just increased to 50mcg

Yes retest in 8 weeks

Are you on same brand Levothyroxine as before

[SlowDragon Administrator]

TSH is over 2 so yes increase to 50mcg was correct

Retest again in another 8 weeks

Always test early morning, ideally before 9am, only drink water between waking and test and last dose Levothyroxine 24 hours before test

Likely to need further increases over coming months

Approximately how much do you weigh in kilo

[TiggerMe]

TSH 2.22 mIU/L (0.27 - 4.2) 49.6%

Free T4 (fT4) 15.7 pmol/L (12 - 22) 37.0%

Free T3 (fT3) 4 pmol/L (3.1 - 6.8) 24.3%

T4:T3 Ratio 3.925 

Yep moving in the right direction, bit odd to test after only a couple of weeks on a dose... you'll be ready for the next test and probable increase end of March 🤗

[jenny876 in reply to TiggerMe]

I had two endo appointments booked for January but had to cancel as had Covid so thats why testing only done yesterday at endo appointment.

[SlowDragon Administrator]

get vitamin D, folate, ferritin and B12 levels tested at next test

What vitamin supplements are you taking