working out what my results mean: Firstly thank... - Thyroid UK

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working out what my results mean

efm2022 profile image
7 Replies

Firstly thank you for all the help I’ve received already with my numerous questions. My question today is how do I fully understand the percentage through range? I have posted my results before and I’ve been told my t3 is low and I’m a poor converter.

As an example my most recent results are:-

TSH 0.35 to 5 (0.08)

Free T4 15-24 (16.6)

Free T3 3.9-6.8 (4.4)

my previous results were:

TSH 0.35 to 5 (0.06)

Free T4 15-24 (18.1)

Free T3 3.9-6.8 (4.0)

I’m still on 100levo but added 5mcg lio. How do I know if this is making a difference from the results above? It was suggested I raised the Lio to 10.

What levels should I be aiming for?

I hope this makes sense!

Tks

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efm2022
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7 Replies
greygoose profile image
greygoose

As an example my most recent results are:-

TSH 0.35 to 5 (0.08)

Free T4 15-24 (16.6) 17.78%

Free T3 3.9-6.8 (4.4) 17.24%

my previous results were:

TSH 0.35 to 5 (0.06)

Free T4 15-24 (18.1) 34.44%

Free T3 3.9-6.8 (4.0) 3.45%

We use percentages for several reasons, not least because it's easier to use for comparison with just one number rather than three (result + range).

You can easily see that your FT used to be 34.44% and is now 17.78% - it's gone down by 16.66 - which is normal when taking T3. So, yes, you were/are a poor converter and needed T3.

Your FT3, on the other hand, has gone up from 3.45% to 17.24% - an increase of 13.79. So, yes, the lio is making a huge difference.

That said, it's not enough. Hypos very often need their FT3 up around 70% through the range - or even higher - much higher than someone with no thyroid problems (euthyroid). So, yes, you need to increase your lio by 5 mcg and see what that does for you.

Handy percentage converter:

thyroid.dopiaza.org/

:)

efm2022 profile image
efm2022 in reply to greygoose

Thank you so much. That’s really helpful

greygoose profile image
greygoose in reply to efm2022

You're welcome. :)

SlowDragon profile image
SlowDragonAdministrator

Make sure you time testing correctly

Which brand of levothyroxine are you taking

And test vitamin levels too at next test

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)

T3 ….day before test split T3 as 2 or 3 smaller doses spread through the day, with last dose approximately 8-12 hours before test

Private tests are available as NHS currently rarely tests Ft3 or all relevant vitamins

Post all about what time of day to test

healthunlocked.com/thyroidu...

Testing options and includes money off codes for private testing

thyroiduk.org/testing/

Medichecks Thyroid plus BOTH TPO and TG antibodies and vitamins

medichecks.com/products/adv...

Blue Horizon Thyroid Premium Gold includes BOTH TPO and TG antibodies, cortisol and vitamins

bluehorizonbloodtests.co.uk...

Only do private testing early Monday or Tuesday morning.

Link about thyroid blood tests

thyroiduk.org/testing/thyro...

is your hypothyroidism autoimmune? (Hashimoto’s)

Link about Hashimoto’s

thyroiduk.org/hypothyroid-b...

Symptoms of hypothyroidism

thyroiduk.org/signs-and-sym...

Tips on how to do DIY finger prick test

support.medichecks.com/hc/e...

Medichecks and BH also offer private blood draw at clinic near you, or private nurse to your own home…..for an extra fee

efm2022 profile image
efm2022 in reply to SlowDragon

Yes I followed all your instructions😁Test was done early. I can’t split my 5mcg lio so I had it 10hrs before testing. I did have my VIT panel done, which I think is on my last post. I just wanted to know if the lio addition was reflected in my t3 / t4 results. It’s hard to understand it all and know that what you’re doing is working. My doctor and endo aren’t any help so I’m going solo.

Couldn’t manage without this group x

SlowDragon profile image
SlowDragonAdministrator in reply to efm2022

TSH 0.35 to 5 (0.08)

Free T4 15-24 (16.6) 17.78%

Free T3 3.9-6.8 (4.4) 17.24%

Looking at these results I would increase Levo by 25mcg as next step

This should increase Ft4 and Ft3

Retest 8 weeks later

But you could choose to increase T3 by 5mcg - taking 2 x 5mcg doses, taking 2nd dose approximately 10-12 hours after first dose

But only increase one or the other

efm2022 profile image
efm2022

Thanks so much for the advice. I will discuss this with my doctor and see if I can persuade her to do the Levo first and see the effects before I have to pay more for Lio.

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